general anesthetics Flashcards

(33 cards)

1
Q

which stages of anesthesia do you want to avoid

A

stage 2: delirium with increased BP, muscle tone and respiration
stage 3 plane 4: close to death

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2
Q

induction of general anesthesia

A

start of administration until desired stage is reached

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3
Q

maintenance of general anesthesia

A

process of staying in desired range

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4
Q

recovery stage of general anesthetics

A

reversal of induction

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5
Q

2 types of drugs

A

volatile inhalants for maintenance
IV for induction and short procedures

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6
Q

non-halogenated gas

A

NO

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7
Q

halogenated hydrocarbon

A

halothane

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8
Q

induction and recovery time depend on what

A

rate of change which depends on blood solubility

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9
Q

less soluble means it will be

A

fast induction/recovery

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10
Q

more soluble means it will be

A

slow induction/recovery

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11
Q

less soluble is what kind of blood:gas coefficient

A

low

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12
Q

more soluble is what kind of blood:gas coefficient

A

high

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13
Q

halothane has what type of solubility

A

high

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14
Q

NO has what type of solubility

A

low

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15
Q

measure of potency

A

minimum alveolar anesthetic concentration
(MAC)

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16
Q

what is the Oil:Gas partition coefficient

A

measure of lipid solubility

17
Q

high lipid solubility means what for potency

18
Q

NO time of onset and potency

A

rapid onset, low potency

19
Q

halothane time of onset and potency

A

slow onset, high potency

20
Q

unconsciousness is caused by action where

A

RAS, thalamocortical circuits

21
Q

amnesia is caused by action where

A

the limbic system

22
Q

analgesia is caused by action where

A

nociceptive pathways

23
Q

group 1 anesthetics

A

etomidate
propofol
thiopental

24
Q

group 2 anesthetics

A

ketamine
nitrous oxide

25
group 3 anesthetics
desflurane isoflurane sevoflurane
26
how do group 1 anesthetics work
hypnosis and amnesia via enhancing inhibitory NT
27
how do group 2 anesthetics work
analgesia by inhibiting excitatory NT
28
how do group 3 anesthetics work
hypnosis, amnesia, and immobility by enhancing inhibitory NT and inhibiting excitatory
29
NO issues
it diffuses into closed air spaces in the body - especially the bowel
30
NO is abused because
It reduces methionine
31
risks with halothane
malignant hyperthermia hepatotoxicity decreases cardiac output and blood pressure
32
treatment for malignant hyperthermia
dentrolene
33
neuroleptanalgesia/anesthesia
combination of fentanyl/droperidol drowsiness but can respond to commands