Anesthesia Flashcards

(38 cards)

1
Q

4 types of anesthesia

A

general
local
regional
MAC - monitored anesthesia care (sedation)

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2
Q

3 types of MAC (sedation)

A

minimal sedation
moderate sedation (conscious sedation)
deep sedation

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3
Q

which type of MAC has the high risk of losing airway

A

Deep sedation

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4
Q

what area of the hospital is deep sedation commonly found

A

ER

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5
Q

how is local and regional anesthesia given

A

injected or topical

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6
Q

LOC w/general anesthesia

A

unconscious

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7
Q

What area of the body is effected by local anesthesia

A

stitches to entire limb

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8
Q

during moderate sedation pt maintain own airway t or f

A

true

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9
Q

when is an epidural given

A

post op pain or surgery

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10
Q

where/how does epidural work

A

injected in epidural space - absorbed by nerve roots

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11
Q

where/how does spinal work

A

injected in CSF - blocks larger area - directly to spinal nerve roots

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12
Q

2 major groups of anesthetics

A

ester type

amide type

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13
Q

which type of anesthetic is more likely to have allergic response

A

ester type

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14
Q

which anesthetic type lasts longer

A

amide type

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15
Q

what does epinephrine do w/anesthetics

A

prolong effect of local anesthetics

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16
Q

where should epinephrine not be used

A

where circulation is not optimal

17
Q

ester type local anesthetic should not be used with

A

epinephrine (vasoconstriction)

18
Q

MOA of local anesthetics

A

blocks sodium channels

19
Q

ester anesthetic prototype

A

procaine (Novocaine)

20
Q

most commonly used local anesthetic - AMIDE(injectable)

A

lidocaine (xylocaine)

21
Q

lidocaine with epinephrine is used to

A

decrease bleeding

22
Q

adverse effects of local anesthetics

23
Q

purpose of general anesthesia

A
blocks pain
relieves anxiety - paralyzes muscle
hypnosis
amnesia 
loss of reflexes (fight or flight)
24
Q

2 types of general anesthesia

A

inhaled or IV

25
what is balanced anesthesia
many drugs for desired outcome - min. s/e
26
IV anesthesia
ketamine proprofol benzos
27
when are short acting barbiturates used
ECT's
28
s/e of short acting barbiturates
likely to have seizures
29
2 types of benzodiazepines
Valium and versed
30
do benzo rapidly leave body
no - takes a while to leave system
31
s/e of propofol
respiratory depression
32
most widely used anesthetic
propofol
33
what type of anesthesia is seen with ketamine
dissociative - eye open/brain disconnects
34
inhaled agents leaved the body by
being breathed out
35
most commonly used drug in dental office
nitrous oxide - gas
36
is nitrous oxide ever used as a primary anesthetic
no
37
npo guidelines before surgery
adults - no solids 6-8 hrs - no clears 2-3hrs | children - no solids 6hrs - no clears 2-3hrs
38
adjunctive agents
post op meds analgesics (IV acetaminophen) anti-emetics (zofran) muscarinic agonists