Anesthetics Flashcards

1
Q

fast onset of LA due to…

A

high lipid sol + low pKa

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2
Q

Rpoivacain + Epi

A

Epi has little effect on ropivacain

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3
Q

LA caution in pts…

A

HTN, PVD, CAD, Cerebebral vascular insuffiency, heart block

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4
Q

Amides caution in pts..

A

w/ SEVERE HEPTAIC Disease

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5
Q

Prilocaine adverse effect:

A

methemoglobinemia

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6
Q

voltage and frequency-dependent blockade

A

LA

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7
Q

Esters Metabolism

A

PABA, very short acting

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8
Q

Amides Metabolism

A

Hepatic, CYP450

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9
Q

SE: Hepatic necrosis, hypoxemia

A

Halothane

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10
Q

Ostwald

A

Solubility of agent in blood, LARGER = SLOWER

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11
Q

Most common inhalant

A

Isoflurane

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12
Q

MAC is correlated with…

A

lipid solubility

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13
Q

Risk: Malignant Hyperthermia

A

Desflurane

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14
Q

Slow onset and recovery

A

Halothane

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15
Q

Second gas effect

A

novel gas introduction causes inc uptake of other gas

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16
Q

dental procedures

A

NO

17
Q

SE: Caution w/ Vit B12 deficient pts!

A

NO!

18
Q

Irreversibly oxidizes cobalt in Vit B12 deficient pt

A

NO!

19
Q

Used alone in short procedures

A

Thiopental

20
Q

SE: no antagonist for overdose

A

Thiopental

21
Q

“Balanced anesthesia”

A

Midolezam, for sedation/anxiety

22
Q

Conscious sedation use BIG GUNS

A

Fentanyl, Sufentanil

23
Q

Activates GABA-A receptor

A

Propofol

24
Q

Most common parenteral anesthetic

A

Propofol

25
Q

Widely used for induction, maintenance, sedation during regional or intensive care

A

propofol

26
Q

No analgesia!!!

A

Etomidate

27
Q

Uduction of pts at risk of hypotension

A

Etomidate

28
Q

Low CV or respiratory depression

A

Etomidate

29
Q

Blocks NMDA receptors (related to PCP)

A

Ketamine