Local Anesthetics Flashcards

1
Q

Injectable: Low Potency, Short Duration

A

“PC”
Procaine
Chloroprocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Injectable: Intermediate Potency and Duration

A

“LiMP”
Lignocaine
Mepivacaine
Prilocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Injectable: High Potency, Long Duration

A

“ToBiRama”
Tetracaine
Bupivacaine
Ropivacaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Surface Anesthetics

A
"Let The People Bring Cake"
LIgnocaine
Tetracaine
Proaracaine
Benzocaine
Cocaine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Surface: Ester Linked

A
  • Short Acting
  • Metabolized by Plasma Esterases
  • More Hypersensitivity Rxns
    Procaine
    Tetracaine
    Cocaine
    Benzocaine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Surface: Amide Linked

A
  • Long Lasting
  • Metabolized by Liver
  • Less Hypersensitivity Rxns
    Lignocaine
    Mepivacaine
    Bupivacaine
    Ropivacaine
    Prilocaine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Local Anesthetic MOA

A
  • Block conduction by DEC the large transient INC in the permeability of Na+
  • INC threshold of excitability
  • DEC rate of rise of the Action Potetial
  • Impulse Conduction slows
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Addition of Vasoconstrictors MOA

A
  • INC duration of Action
  • DEC systemic Toxicity
  • DEC bleeding in the operative field
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Topical Application Drugs

A

Cocaine
Lidocaine
Proparacaine
Tetracaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Infiltration Anesthesia Drugs

A
  • Injection of local anesthesia directly into tissue w/o taking into consideration the course of cutaneous nerves
    Lidocaine
    Procaine
    Bupivacaine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Field Block Anesthesia

A
  • SubQ injection of a solution of local anesthetic in order to anesthetize the region distal to the injection site
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Nerve Block Anesthesia

A
  • Injection of a solution of a local anesthetic into or about individual peripheral nerves or nerve plexuses produces even greater areas of anesthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bier Block

A
  • IV Regional Anesthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Spinal Anesthesia

A
  • B/W L2 and the termination of the Thecal Sac in the Sacrum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Epidural Anesthesia

A
  • Injection in the epidural space

- Used commonly for labor and delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Toxicity

A
  • CNS: Nystagmus, Muscular twitching, Tonic-Clonic Convulsions
  • CVS: DEC in electrical excitability, conduction rate, force of contraction [Bupivacaine]
  • Allergic Rxns: P-Aminobenzoid acid derivatives - esters
  • Complications of Spinal Anesthesia: Postural headache, Infxn hematoma or mechanical trauma, Persistent neurological deficits