Anestheisa Pharm Test 1 Part 4 Flashcards

1
Q

which induction agents are best for cardiac patients

A

etomidate and benzos

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2
Q

anesthetics that cause bronchodilation

A

propofol and ketamine

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3
Q

induction dose of midazolam

A

0.1-0.3 mg/kg

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4
Q

induction dose of diazepam

A

0.3-0.6 mg/kg

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5
Q

induction dose of lorazepam

A

0.03 - 0.1 mg/kg

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6
Q

protein binding of the benzos: midazolam: diazepam: lorazepam:

A

94%; 98%; 98%

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7
Q

1/2 life of midazolam

A

1-4 hours

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8
Q

1/2 life of diazepam

A

30-50hrs

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9
Q

1/2 life of lorazepam

A

12hrs

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10
Q

duration of action of midazolam

A

15-20 min

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11
Q

duration of action of diazepam

A

15-30 min

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12
Q

duration of action of lorazepam

A

60-120 min

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13
Q

__________________ was THE induction agent prior to propofol

A

thiopental

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14
Q

T/F: it is okay to give your patient a pre-sedative dose of versed and leave them unattended to go ensure the OR is set up

A

FALSE

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15
Q

____________________ has the greatest selectivity for GABA-A receptor, and interacts the least with other receptors

A

etomidate

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16
Q

what should be on the label when preparing a propofol syringe

A
  1. initials 2. date 3. time of expiration
17
Q

what component of propofol can cause increased bronchial tone leading to bronchoconstriction

A

metabisulfite preservatives

18
Q

when mixing lidocaine with propofol, no more than ___________mL of lido with ________ mL of prop

19
Q

when mixing propofol and lidocaine, the medications start to separate in the syringe after _______________

20
Q

GABA-A receptors is ______________ gated

21
Q

NMDA receptors is ________________ gated

22
Q

sx of PRIS

A
  1. hypertriglyceridemia 2. metabolic acidosis 3. rhabdomyolysis 4. renal failure 5. HD instability
23
Q

active metabolites of benzo metabolism can prolong duration in patients with ______________________

A

renal failure

24
Q

which meds also have an agonistic (increase) effect on 5HT receptors

A

BZ and ketamine

25
which meds also have an antagonistic effect on 5HT (decrease) Receptors
thiopental and propofol
26
which meds also antagonize NMDA receptors
propofol ketamine precedex
27
which meds agonize glycine receptors
BZ, etomidate, and propofol
28
which meds antagonize glycine
thiopental
29
which meds antagonize AMPA receptors
thiopental, propofol, and BZ
30
GABA stimulation can decrease _____________, ________________, and ____________
fear; anxiety; and convulsions
31
1/2 life of propofol
40 min
32
DOA of propofol
3-10 min
33
1/2 life of etomidate
2.6 hours
34
DOA of etomidate
3-12 min
35
DOA of ketamine
5-15 min
36
DOA of precedex
60-120 min