Tutoring for Exam 2 Flashcards

1
Q

the two classifications of local anesthetics

A

amides

esters

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2
Q

spelling difference in amides and esthers?

A

Amides have an “I” before the caine, esters don’t

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3
Q

which category of local anesthetic is more likely to cause allergic reactions?

A

Esters

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4
Q

why are local anesthetics given with a vasoconstrictor?

A

it prolongs the effects and reduces toxicity

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5
Q

which vasoconstrictor is usually used with local anesthetics?

A

epinephrine

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6
Q

is cocaine a ester or amide?

A

an esther

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7
Q

Steps of the Analgesic Ladder

A
  • Step 1 non-opioid
  • Step 2 opioid for mild to moderate pain
  • Step 3 opioid for moderate to severe to pain
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8
Q

the only anesthetic drug without the side effects

A

Nitrous oxide

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9
Q

Barbituates all have “what” in the name?

A

Barb

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10
Q

Benzo’s end in…?

A

pam or lam

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11
Q

what is ketamine typically given for?

A

long term procedures

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12
Q

What will nurses try to keep the pain level under

A

below a 3

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13
Q

what is cross tolerance

A

when you have a tolerance to one drug you will probably have tolerance to another

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14
Q

what is stronger than morphine?

A

fentanyl

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15
Q

adverse effects of opioids?

A

constipation

respiratory sedation

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16
Q

what does miosis mean?

A

pinpoint pupils

17
Q

what is a major adverse effect of symatryptam?

A

chest compression

18
Q

how can ergotamine be administered?

A

po, sl, rectal, inhaled

19
Q

which parkinson’s drug is associated with gambling?

A

pramipexole

20
Q

elevated homocysteine levels are seen in what disease?

A

Alzheimers

21
Q

Risk factors of Alzheimers

A
family history 
increasing age
females 
head trauma
sedentary lifestyle
22
Q

memantine and cholinesterase inhibitors are use for what?

A

alzheimers

23
Q

treatment for malignant hypothermia

A

dantrolene

24
Q

what is dantrolene an antidote for?

A

anesthetics

25
quickest acting SSRI?
sertaline
26
antidote for benzos
flumazenil
27
antidote for MAOI's
nifedipine, phetolamine
28
only anti-seizure used on babies?
phenobarbital
29
what are the major symptoms of serotonin syndrome?
Mental confusion | Fever
30
major adverse effects of Fluoxetine?
- Serotonin syndrome - hyponatremia - bruxism
31
what is bruxism?
excessive teeth grinding
32
All of the SSRIS (6)
``` Fluoxetine Citalopram Sertaline Paroxetine Fluvoxamine Escitalopram "Financial councellors supervise potential fraud exchanges" - all end in "ine" or "pram" ```
33
general adverse effects for SSRI's
- decreased libido - rash - insomnia - GI issues - hyponatremia
34
which SSRI is for OCD?
fluoxetine
35
Which SSRI is the most anticholinergic and used for treating PTSD?
paroxetine