Anesthetic Agents Flashcards

(31 cards)

1
Q

nitrous oxide

A

fastest onset but least potent
ADR: coughing, laughing

inhaled
general anesthesia

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2
Q

halothane

A

hepatotoxic
inhaled
general anesthesia

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3
Q

desflurane

A

causes the most bronchoconstriction
CI: asthma
dec BP = reflex tachycardia
nephrotoxic

inhaled
general anesthesia

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4
Q

isoflurane

A

dec BP = reflex tachycardia
nephrotoxic

inhaled
general anesthesia

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5
Q

enflurane

A

nephrotoxic

inhaled
general anesthesia

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6
Q

sevoflurane

A

nephrotoxic

inhaled
general anesthesia

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7
Q

methoxyflurane

A

slow onset but most potent
used for mothers

nephrotoxic

inhaled
general anesthesia

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8
Q

propofol

A

Diprivan
milk of amnesia (vehicle: soya)
CI: soya allergy
short acting (inc GABA)

intravenous
general anesthesia

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9
Q

thiopental

A

barbiturate (inc duration of cl channel opening)
ultra short acting

intravenous
general anesthesia

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10
Q

midazolam

A

short acting benzodiazepine
(inc frequency of cl channel opening)

intravenous
general anesthesia

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11
Q

ketamine

A

only CV stimulant
NMDA (nmethyl d-aspartate (-)) = aspartate

dissociative anesthesia

intravenous
general anesthesia

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12
Q

dissociative anesthesia

A

ketamine

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13
Q

only cv stimulant (iv general anesthetic)

A

ketamine

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14
Q

used for mothers

A

methoxyflurane

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15
Q

used for induction of anesthesia

A

iv general anesthesia (faster onset)

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16
Q

all local anesthesias are cvs/cns depressants except

17
Q

all local anesthesias are vasodilators except

18
Q

all local anesthesias are synthetic except

19
Q

properties of local anesthesia

A

amphibilic (polar & nonpolar sides)
na channel blocker
weak bases

20
Q

procaine

A

local anesthesia
ester (degraded by plasma esterase)
shorter action

21
Q

tetracaine

A

local anesthesia
ester (degraded by plasma esterase)
shorter action

22
Q

cocaine

A

local anesthesia
ester (degraded by plasma esterase)
shorter action

23
Q

benzocaine

A

local anesthesia
ester (degraded by plasma esterase)
shorter action

24
Q

dyclonine

A

local anesthesia
ester (degraded by plasma esterase)
shorter action

25
lidocaine
local anesthesia amide (degraded by hepatic amidase) longer action
26
mepivacaine
local anesthesia amide (degraded by hepatic amidase) longer action
27
bupivacaine
local anesthesia amide (degraded by hepatic amidase) longer action
28
prilocaine
local anesthesia amide (degraded by hepatic amidase) longer action
29
articaine
local anesthesia amide (degraded by hepatic amidase) longer action
30
EMLA
eutectic mixture of local anesthetic Lidocaine + Prilocaine topical anesthetic (for chemo & dialysis) prilocaine - causes methemoglobinemia)
31
long acting local anesthetics
etidocaine mepivacaine ((amides))