Anesthesia Drugs Flashcards Preview

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Flashcards in Anesthesia Drugs Deck (26)
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1
Q

Diethyl EtherB/GMAC

A

121.92

2
Q

Nitrous OxideB/GMAC

A

0.47105

3
Q

HalothaneB/GMAC

A

2.30.74

4
Q

EnfluraneB/GMAC

A

1.81.68

5
Q

IsofluraneB/GMAC

A

1.41.15

6
Q

DesfluraneB/GMAC

A

0.426.0

7
Q

SevofluraneB/GMAC

A

0.691.7

8
Q

Muscle Relaxant for induction & maintenance

A

VecuroniumRocuronium - immediate onset**

9
Q

Muscle Relaxant for intubation

A

Succinylcholine

10
Q

Muscle Relaxant for use in liver & hepatic failure

A

AtracuriumCisatracurium

11
Q

Reversal Agents for Non-Depolarizing Muscle Relaxants

A

Neostigmine & Edrophonium** increase ACh to compete with the inhibitors** be sure to inject anti-muscarinic blockers first!Atropine or Glycopyrrolate

12
Q

Cardiac Depression for PIA

A

H

13
Q

Respiratory Depression for PIA

A

E

14
Q

Cerebral Blood Flow Increase PIA

A

H

15
Q

Neuromuscular Junction Inhibition

A

E

16
Q

Halothane

A

Alkane*sensitizes myocardium to catecholaminesArrhythmiasFulminant hepatitisbronchodilatoryworst for malignant hyperthermia

17
Q

Enflurane

A

seizuresmetabolized to F, can cause renal failurerespiratory depression significant

18
Q

Isoflurane

A

neurosurgery

19
Q

Desflurane

A

needs special vaporizer bc boils at room tempwatch for CO2 absorber bc if it has gone bad, will pump CO into pt

20
Q

Sevoflurane

A

most popular for pediatriccan interact with CO2 absorber to produce nephrotoxic compound Agood with asthmano change in CO

21
Q

Thiopental

A

minor surgical proceduresinduction onlyhighly protein boundlong elimination T1/2 bc of high volume of distribution - takes a long time to recover CNS1) reflex tachycardia2) renal insufficiency3) CNS protection4) venous irritation

22
Q

Propofol

A

pain on injection - lidocaineno associated N/V - anti-emeticquick recovery CNSCNS protection - decreases convulsion thresholdOR, ICU

23
Q

Ketamine

A

IMbronchodilatorcataplexy - nystagmus & intact reflexesmidazolam to prevent emergence hallucinationsgood for trauma bc maintains hemodynamics (bullet wounds)**trauma, inductions, mentally retarded

24
Q

Etomidate

A

minimal cardiac effects - good for pts w/ CV hxsevere post-op N/Vtransient adrenal suppressionCNS protection - decrease convulsion threshold”Hurt, jerk and hurl”pain on injectionmyoclonusN/V

25
Q

Midazolam

A

reversible with flumazenilbenzodizepineused for anxiety

26
Q

Opioids

A

most popular agents for open heart surgerymust remain intubated over nightreverse with naloxonefentanyl most commonrespiratory depression gives you the ceiling