ANESTESICOS INHALADOS Flashcards

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1
Q

CUAL ES EL MECANISMO DE ACCION DE LOS ANESTESICOS INHALADOS?

A

POTENCIACION DEL RECEPTOR GABAa/ CANALES K

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2
Q

CUAL ES LA CAM DEL SEVOFLURANO?

A

1.8%

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3
Q

CUAL ES EL COEFICIENTE SANGRE/GAS DEL SEVOFLURANO?

A

0.65

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4
Q

CUAL ES EL COEFICIENTE CEREBRO/SANGRE DEL SEVOFLURANO?

A

1.7

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5
Q

CUAL ES EL PRINCIPAL MECANISMO DE REDUCCION ANESTESICA A NIVEL CEREBRAL?

A

ESPIRACION»BIOTRANSFORMACION>PERDIDA TRANSCUTANEA

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6
Q

ENZIMA ENCARGADA DE BIOTRANSFORMACION A NIVEL HEPATICO DE LOS ANESTESICOS INHALADOS

A

P-450 CYP2E1

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7
Q

FACTORES QUE DISMINUYEN MAC

AUMENTAN LA POTENCIA DEL ANESTESICO

A
ACIDOSIS
CONSUMO AGUDO DE ALCOHOL
EDAD AVANZADA
ANEMIA
BENZODIACEPINAS
GRAN ALTITUD
ANESTESICOS INTRAVENOSIS
HIPOTENSION GRAVE
HIPOTERMIA
HIPOXIA
OPIACEOS
EMBARAZO
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8
Q

FACTORES QUE AUMENTAN MAC

DISMINUYEN LA POTENCIA

A
ABUSO CRONICO DE ALCOHOL
EDAD TEMPRANA (1 AÑO)
HIPERTERMIA
ALTITUD REDUCIDA
MEDICAMENTOS:
-IMAO
-ATC
-COCAINA
-CONSUMO AGUDO DE ANFETAMINAS
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9
Q

EFECTOS CARDIOVASCULARES DE LOS ANESTESICOS INHALADOS

A

TODOS SON DEPRESORES CARDIOVASCULARES

DISMINUCION DE LA PRESION ARTERIAL

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10
Q

EFECTOS PULMONARES DE LOS ANESTESICOS INHALADOS

A

AUMENTO DE LA FRECUENCIA RESPIRATORIA

DISMINUCION DEL VOLUMEN CORRIENTE (VT)

DISMINUCION DE LA VENTILACION MINUTO

AUMENTO DE LA PaCO2

DISMINUCION DE LA RESPUESTA VENTILATORIA A LA HIPOXEMIA

BRONCODILATACION

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11
Q

EFECTOS NEUROLOGICOS DE LOS ANESTESICOS INHALADOS

A

AUMENTO DEL FLUJO SANGUINEO CEREBRAL

AUMENTO DE LA PRESION INTRACRANEAL

DISMINUCION DE LA TASA METABOLICA CEREBRAL

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12
Q

EFECTOS RENALES DE LOS ANESTESICOS INHALADOS

A

DISMINUCION DEL FLUJO SANGUINEO RENAL

DISMINUCION DE LA TASA DE FILTRADO GLOMERULAR

DISMINUCION DEL GASTO URINARIO

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