Compared with the response of a normal patient, administration of a bolus dose of pancuronium (0.15 mg/kg) to a patient with cirrhosis and ascites would be associated with
A 55-year-old man requires intravenous lidocaine for multifocal premature ventricular contractions occurring in the first hour after a below-knee amputation. He has alcoholic cirrhosis, portal hypertension, and ascites. Which of the following correctly describes the appropriate modification of the usual loading bolus and maintenance infusion of lidocaine?
(A) Larger bolus, faster infusion
(B) Larger bolus, slower infusion
(C) Smaller bolus, faster infusion
(D) Smaller bolus, slower infusion
(E) No change necessary
B
During postoperative indirect laryngoscopy, the vocal cords appear symmetric during quiet breathing and approximate to the left of midline during phonation. The most likely cause is
(A) pure abductor paralysis of the left cord
(B) pure abductor paralysis of the right cord
(C) abductor and adductor paralysis of the left cord
(D) abductor and adductor paralysis of the right cord