Anesthetic Flashcards
(26 cards)
What are metabolized in liver
amides
the following are what?
lido
bupiv
mepiv
art
prilo
amides
which is
2% safest in child
lido
what is
0.5%
not safe in kids
longest lasting
bupivacaine
what is 2-3%
causes least amount of vaso dialation
mepiv
What is the shortest lasting
4% and is both metabolized in the liver and plasma due to ester chain and an amaide
articaine
what is associated with methemglobinemia
prilocaine
WHat is the pharmacodynamics of anesthetics?
sodium channel blockers
only NON IONIZED can pass through membrane to be activate inside to become ionized
Infection makes the NON IONIZED FORM RARE
increase blood floow
shorter duration
more lipid solubility
more potent and longer lasting
increase protient binding
longer duration
lower pka
means the stronger the acid the anesthetic is and therefore more rapid difussion
what is pka of mepiv
7.6
what is pka of lido, prilo, arti
7.8
what is pka of bupiv
8.1
for amount of LA what is the calc
18 mg x the % in the solution
calculate epi
not quite sure on more complex nubers but just move the decimal over three to the left.
What is the max epi for asa 1
0.2 mg
Max epi for cardiac
0.04 mg
Max lido wihout epi
4.4mg/kg
max lido wih epi
7 mg
max total of lido is 500mg
NEED TO KNOW TJIS
What depth is needed for PSA
16 mm
infraorbital numbs
all max ant + premolars
