Analgesia Flashcards
Parenteral agents
Meperidine and promethazine
Butorphanol(stadol)
Fentanyl
This can antagonize the narcotic effect of meperidine
Butorphanol
Stadol
Short acting and very potent synthetic opioid
Fentanyl
Can reverse respiratory distress induced opioid narcotics
Naloxone
What drugs are used in cns toxicity that can control convulsion
Succinylcholine
Diazepam
Magnesium sulfate
This is relatively safe and simple
Pudendal block
Provides satisfactory pain relief during the first stage of labor
Paracervical block
What is injected lateral to the cervix 3 and 9 o clock
Lidocaine
Chloroprocaine
Complications of paracervical block
Fetal bradycardia
Typically used for relief of labor pain and during operative vaginal and cesarean
Epidural analgesia
What are the advantage of spinal block
Short procedure time
Rapid onset of block
High success rate
Vaginal block should extend to what dermatome
T10
Medications used for vaginal delivery
Lidocaine
Bupivacaine
Complications of spinal block
Hypotension High spinal blockade Spinal headache Convulsion Bladder dysfunction Arachnoiditis and meningitis
Most given local anethetic for epidural opiate
Bupivacaine
Advantage of epidural analgesia
Rapid onset of pain relief
Decrease in shivering
Less dense motor blockade
Patient preparation for general anesthesia
Antacids
Lateral uterine displacement
Preoxygenation
Used to render patient unconcious
Ketamine
What is given to aid intubation
Succinylcholine
Commonly used volatile anesthetic
Isoflurane
What are the uses of isoflurane
Internal podalic version of the second twin
Breech decomposition
Replacement of acutely inverted uterus
