local anesthetics MOA
reduce the influx of sodium ions, prevent depolarization of the membrane and blcoking conduction of action potential
amides example and where is it metabolised
metabolized in the liver
ex: lidocaine
esters example and where is it metabolised
metabolised in plasma
more toxic and more allergic than amides
cocaine is an example
lidocaine uses
AV nodal arrythmias , especially prohylaxis
which amide is faster and longer acting as well as safest in children
lidocaine
lidocaine AE
CNS excitation
seizures
vasodilation
hypotension
arrythmias