Chap 11 (exam 2) Flashcards Preview

Pharmacology > Chap 11 (exam 2) > Flashcards

Flashcards in Chap 11 (exam 2) Deck (18):
1

Anesthetics

The term for drugs that depress the CNS; used for surgical procedures

2

Midazolam

Generic name for the drug that is most often used for moderate sedation procedures

3

Atropine

An anticholinergic drug given preoperatively to dry secretions

4

Adjunctive

Drugs used in combination with anesthetics for anesthesia initiation (induction), sedation, reduction of anxiety, and amnesia

5

Local

A type of anesthetic drug that reduces pain sensations at the level of the peripheral nerves

6

Topical

A type of anesthetic that is applied directly to the skin and mucous membranes

7

Pancuronium

A commonly used, long-acting, nondepolarizing neuromuscular blocking drug (NMBD)

8

Succinylcholine

The only depolarizing neuromuscular blocking drug (NMBD) available; used for endotracheal intubation

9

Balanced

The practice of using combinations of drugs to produce general anesthesia rather than using a single drug

10

General

The term for anesthetic drugs that alter the central nervous system (CNS), resulting in loss of consciousness and deep muscle relaxation

11

Which drug classes are used as adjunctive drugs with anesthesia? Select all that apply:
Sedative-hypnotics
Anticonvulsants
Anticholinergics
Inhaled gas
Opioid analgesics

Sedative-hypnotics
Anticholinergics
Opioid analgesics

12

While assisting with a procedure in the emergency department, the nurse prepares lidocaine (Xylocaine) for use with which type of anesthesia?
Moderate sedation
Infiltration
Intravenous
General

Infiltration

13

The nurse monitoring a patient after surgery keeps in mind that the primary concern with use of a neuromuscular blocking drug is which adverse effect?
Respiratory arrest
Headache
Bradycardia
Hypertension

Respiratory arrest

14

To decrease the possibility of a headache after spinal anesthesia, the nurse will provide which instruction to the patient?
Sit in high Fowler's position
Maintain strict bedrest
Limit fluids
Ambulate in the hall several times a day

Maintain strict bedrest

15

The nurse is reviewing a policy for local anesthesia. Local anesthesia is indicated for which procedure(s)? Select all that apply:
Cardioversions
Suturing a skin laceration
Diagnostic procedures
Long-duration surgery
Dental procedures

Suturing a skin laceration
Diagnostic procedures
Dental procedures

16

A patient who has just returned from surgery has suddenly developed a severe elevation in body temperature. The nurse recognizes that this change may indicate which condition?
A normal temperature change after surgery
Malignant hypertension
Malignant hyperthermia
Fever

Malignant hyperthermia

17

During a procedure, the nurse is monitoring a patient who has received dexmedetomidine (Precedex) for moderate sedation. The nurse will observe for which potential adverse effect?
Respiratory depression
Tachycardia
Dizziness
Hypotension

Hypotension

18

A patient is receiving a neuromuscular blocking drug. Indicate the order in which the following areas become paralyzed once this drug is given:
__ Limbs, neck, trunk muscles
__ Intercostal muscles and diaphragm
__ Small, rapidly moving muscles, such as those of the fingers and eyes

Small, rapidly moving muscles, such as those of the fingers and eyes
Limbs, neck, trunk muscles
Intercostal muscles and diaphragm