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Pharmacology > (9) Anesthetics SLO > Flashcards

(9) Anesthetics SLO Flashcards

1
Q

A client is having a scalp laceration sutured and is to be given Lidocaine that contains Epinephrine. The nurse knows that this combination is designed to:
A. Prevent infection in the wound
B. Cause vasodilation at the site of the laceration
C. Improve the absorption of the Lidocaine
D. Increase the duration of the anesthetic action in the area of the injection
E. Decrease blood pressure in the patient and have a calming effect

A

Increase the duration of the anesthetic action in the area of the injection

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2
Q 
Analgesia is the loss of \_\_?\_\_
A. 	All sensation
B. 	Consciousness
C. 	Pain sensation
D. 	Long-term memory
E. 	Short-term memory
A

Pain sensation

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3
Q

Anesthesia is the loss of ___?___, but anesthetic agents are NOT all analgesic!
A. Short-term memory
B. Consciousness
C. Long-term memory
D. Pain sensations only
E. (All) sensation with or without loss of consciousness

A

(All) sensation with or without loss of consciousness

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4
Q 
Dentists with high exposure to nitrous oxide have higher risk of developing \_\_\_?\_\_\_ and neuropathy similar to Vitamin B12 deficiency.
A. 	Insulin resistance
B. 	Glucose resistance
C. 	Megaloblastic anemia
D. 	Kidney failure
E. 	Metabolic syndrome
A

Megaloblastic anemia

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5
Q 
Etomidate is associated with \_\_?\_\_.
A. 	PONV
B. 	Laryngospasm and hiccups
C. 	Apnea
D. 	Muscle movement
E. 	All the above
A 
PONV
Laryngospasm and hiccups
Apnea
Muscle movement
**ALL***
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6
Q 
Fentanyl causes \_\_\_?\_\_\_, so would be a poor option for obese patients.
A. 	Panting
B. 	Chest wall rigidity
C. 	Analgesia
D. 	Flacid paralysis
E. 	Induction
A

Chest wall rigidity

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7
Q 
Fentanyl is associated with \_\_?\_\_.
A. 	Enhanced reflexes
B. 	Hiccups
C. 	Skeletal Muscle relaxation
D. 	No vomiting
E. 	Apnea and constipation
A

Apnea and constipation

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8
Q 
Isoflurane is a lung irritant and will cause laryngospasm and bronchospasm.   It is contraindicated in \_\_\_?\_\_
A. 	The elderly
B. 	DMT2 patients
C. 	Asthmatics
D. 	Dentists
E. 	Minor surgical procedures
A

Asthmatics

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9
Q 
Isoflurane is associated with \_\_?\_\_.
A. 	PONV
B. 	Laryngospasm and apnea
C. 	 Changes in mood
D. 	Shivering
E. 	All the above
A 
PONV
Laryngospasm and apnea
Changes in mood
Shivering
**ALL**
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10
Q 
Midazolam is associated with \_\_?\_\_.
A. 	Muscle movement
B. 	Severe respiratory depression
C. 	Short-term memory loss
D. 	Sedation
E. 	All the above
A 
Muscle movement
Sedation
Severe respiratory depression
Short-term memory loss
***ALL***
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11
Q

Obese patients present problems for anesthesia: sedative premedications should be avoided to reduce the risk of a collapsed airway; their increased body mass and high % of adipose requires more O2 predisposing them to hypoxia; Extra body mass over chest decreases chest wall compliance making breathing difficult; obese patients tend to have multi organ system problems including HT, DMT2; alterations in volumes of distribution (reduction in total body water), and the binding and elimination of drugs is unpredictable. Lipid soluble drugs, including the___?___, fentanyl and propofol, are very likely to have a prolonged duration of effect.
A. Volatile agents
B. Water soluble barbiturates
C. Water soluble benzodiazepines

A

Volatile agents

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12
Q 
Patients with a genetic predisposition to developing \_\_\_?\_\_\_ are at particular risk when given the halogenated volatile liquid general anesthetics and inorganic gas general anesthetics.
A. 	Steven Johnson’s syndrome
B. 	Serotonin syndrome
C. 	Megaloblastic anemia
D. 	Malignant hyperthermia
E. 	Neuroleptic malignant syndrome
A

Malignant Hyperthermia

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13
Q

Patients with a ___?___ should not use Ester local anesthetics like benzocaine.
A. Cold
B. History of heart disease
C. Risk factor for malignant hyperthermia
D. G6PD deficiency
E. PABA allergy

A

PABA Allergy

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14
Q 
Propofol is associated with \_\_?\_\_.
A. 	Apnea
B. 	Hypotension
C. 	Bradycardia
D. 	Chest wall rigidity
E. 	A, B and C, not D
A

Apnea
Hypotension
Bradycardia
NOT CHEST WALL RIGIDITY

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15
Q 
Sufentanil is a potent opioid analgesic indicated for use as part of balanced general anesthesia.  Which of the following products contains an opioid similar to sufentanil? 
A. 	Ultane
B. 	Ketaset
C. 	Versed
D. 	Sublimaze
E. 	Diprivan
A

Sublimaze (Fentanyl)

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16
Q 
The halogenated volatile liquid anesthetics are associated with \_\_?\_\_.
A. 	PONV
B. 	Hyperkalemia
C. 	Malignant hyperthermia
D. 	Seizure-like EEG
E. 	All the above
A 
PONV
Hyperkalemia
Malignant hyperthermia
Seizure-like EEG
**ALL**
17
Q 
The inorganic gas anesthetic nitrous oxide is administered \_\_?\_\_.
A. 	PO
B. 	IV
C. 	Hyperbarically
D. 	IM
E. 	SC
A

Hyperbarically

18
Q

The nurse administering succinylcholine (Anectine) prior to intubating a patient for mechanical ventilation, knows that this drug causes:
A. Muscle paralysis and deep analgesia
B. Muscle paralysis without analgesia or unconsciousness
C. Increased alertness, but amnesia
D. Loss of consciousness along with muscle paralysis and anesthesia
E. Deep muscle relaxation and pain relief

A

Muscle paralysis WITHOUT analgesia or unconsciousness

19
Q 
What is the amount of an inhaled anesthetic that is needed to anesthetize ½ of patients called?
A. 	SJS
B. 	Malignant Hyperthermia
C. 	Analgesia
D. 	MAC sedation
E. 	MAC
A

MAC

20
Q 
Which is a C-II opioid analgesic indicated for IV or epidural analgesia, sedation, induction and short-duration anesthesia for minor procedures?  Also used TD as an analgesic.
A. 	Isoflurane
B. 	Diprivan
C. 	Fentanyl
D. 	Versed
E. 	Ultane
A

Fentanyl (Sublimaze, Duragesic)

21
Q 
Which is a C-III barbiturate (GABA-A agonist) parenteral general anesthetic?
A. 	Thiopental
B. 	Etomidate
C. 	Dantrolene
D. 	Benzocaine
E. 	Lidocaine
A

Thiopental (Pentothal)

22
Q 
Which is a C-III non-barbiturate parenteral general anesthetic (it is an NMDA antagonist)? It is an excellent analgesic and is indicated as the sole anesthetic agent or as an adjunct especially with nitrous oxide, also as an induction agent.
A. 	Amidate
B. 	Diprivan
C. 	Ketaset
D. 	Dantrolene
E. 	Xylocaine
A

Ketaset (Ketamine)

23
Q 
Which is a C-IV BZD (GABA-A agonist) used as a sedative, hypnotic, amnesiac, anxiolytic, AED?  Indicated for pre-op sedation/anxiolysis/amnesia; induction of anesthesia; sedation of ventilated patients.
A. 	Diprivan
B. 	Ultane
C. 	Versed
D. 	Fentanyl
E. 	Isoflurane
A

Versed (Midazolam) (Hypnovel)

24
Q 
Which is a Halogenated volatile liquid general anesthetic indicated for in and outpatient induction and maintenance of general anesthesia?
A. 	Ultane
B. 	Nitrous oxide
C. 	Pentothal
D. 	Amidate
E. 	Sublimaze
A

Ultane (Sevoflurane)

25
Q 
Which is a Halogenated volatile liquid general anesthetic indicated for induction and maintenance of general anesthesia?
A. 	Fentanyl
B. 	Diprivan
C. 	Nitrous oxide
D. 	Versed
E. 	Isoflurane
A

Isoflurane (Forane)

26
Q 
Which is a Non-barbiturate parenteral general anesthetic indicated as an IV sedative/hypnotic for fast induction and maintenance of anesthesia and for sedation?  Also used to induce coma. May be used as a rescue antiemetic.
A. 	Amidate
B. 	Xylocaine
C. 	Diprivan
D. 	Ketaset
E. 	Dantrolene
A

Diprivan (Propofol)

27
Q 
Which is a Non-barbiturate parenteral general anesthetic used as a hypnotic for induction of general anesthesia.  It has no analgesic properties?  Rapid injection leads to severe hypotension.
A. 	Diprivan
B. 	Dantrium
C. 	Amidate
D. 	Xylocaine
E. 	Ketaset
A

Amidate (Etomidate)

28
Q 
Which is an Anti spasmodic indicated for chronic spasticity associated with spinal cord injury, cerebral palsy and multiple sclerosis; malignant hyperthermia?
A. 	Dantrolene
B. 	Thiopental
C. 	Etomidate
D. 	Benzocaine
E. 	Lidocaine
A

Dantrolene (Dantrium)

29
Q 
Which is an Ester local anesthetic for the temporary relief of pain and itch associated with minor burns, sunburn, minor skin/gum/mouth/ear irritations and insect bites?
A. 	Benzocaine
B. 	Thiopental
C. 	Etomidate
D. 	Dantrolene
E. 	Lidocaine
A

Benzocaine (Dermoplast, Anbesol)

30
Q 
Which of the following is an Inorganic gas general anesthetic?
A. 	Nitrous oxide (N2O)
B. 	Sevoflurane
C. 	Isoflurane
D. 	Oxygen
E. 	Propofol
A

Nitrous oxide (N2O)

31
Q 
Which is an Amide local anesthetic and anti arrhythmic for the relief from the itch, burn or pain of skin inflammation, insect bites, as an anesthetic for dental and minor surgery; tinnitus; jellyfish stings; and is an anti arrhythmic for ventricular tachyarrhythmia control?
A. 	Dantrolene
B. 	Etomidate
C. 	Lidocaine
D. 	Benzocaine
E. 	Thiopental
A

Lidocaine (Xylocaine)

32
Q 
\_\_?\_\_ is usually lighter sedation so patient is relaxed, but can still follow instructions – often used in dental surgery (e.g., wisdom tooth extraction).
A. 	MAC
B. 	MAC sedation
C. 	SJS
D. 	Analgesia
E. 	Malignant Hyperthermia
A

MAC sedation

Pharmacology (30 decks)

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