anesthesia

Question 1

Meyer-overton theory

Answer 1

more lipid soluble=more potent

Question 2

MAC

Answer 2

minimum aveolar concentratino
50% fail to respond.
90% of patients require >1.3 MAC

Question 3

If they have pacemaker can’t use….

Answer 3

bovie

Question 4

if use thigh turnaquit need?

Answer 4

general

Question 5

ASA classification

Answer 5

1=healthy
2=- mild systemic disease
3= severe systemic disease
4.= life treatening
5=Moribund
6=organ donor

Question 6

Rimifentanyl

Answer 6

opioid. short 1/2 life intraop or postop

Question 7

metoclopramide

Answer 7

dopamine antagonist. antiemetic, increases gastric motility

Question 8

metoclopramide (reglan)

Answer 8

dopamine antagonist. entiemetic. increases gastric motility

Question 9

ondasteron (zofran)

Answer 9

5HT3 antagonist

IV antiemetic

Question 10

Diazepam

Answer 10

benzo

anticonvulsive

Question 11

meperidine

Answer 11

opid anticonvulsive

Question 12

dantrolene

Answer 12

rayodine agonist

control muscle spasms and malignant hyperthermia

Question 13

Nitrous oxide

Answer 13

analgesia. NMDA antagonist. fast acting.

Hypoxia

Question 14

Halothane

Answer 14

anesthetic. fast acting. arrythmia. liver toxcicity. hypothermia

Question 15

Sevoflurane

Answer 15

anesthetic faster induction and less odor

high hepatic metabolism

Question 16

isoflurane

Answer 16

relaxant.

lowest MAC. vasodilation and bronchodilation. pungent

Question 17

desflurane

Answer 17

relaxant fast induction and emergence

CI for smokers

Question 18

vecuronium

Answer 18

relaxant. Ach antagonist w few CV side effects (residual muscle weakness)
CI=renal dysfunction

Question 19

Midazolam

Answer 19

pre induction. benzo for preop seduction or induction-> over sedation (flumazenil)

Question 20

Fentanyl

Answer 20

Pre induction. opioid for analgesia or primary anesthetic in high dose-> resp. depression

Question 21

Thiopental

Answer 21

induction. rapid/potent-> hypotension, laryngospasm grogginess

Question 22

Propofol (diprivan)

Answer 22

induction. groggy. high cardio and resp depression. antiemetic. allergy to egg, soy peanut

Question 23

Etomidate

Answer 23

induction. pt. w hemodynamic instability.

CI: seizures

Question 24

Ketamine

Answer 24

induction. amnesia w out CV depression

Question 25

Succinylcholine

Answer 25

induction. depolarized NMJ block for intubation. CI: malignant hyperthermia. serum Ca >5.5

Question 26

alkalization

Answer 26

bicarbonate speeds up onset

Question 27

Procaine Side effect

Answer 27

allergic rxn to PABA metabolite

Question 28

Benzocaine Side effect

Answer 28

methemoglobinemia

Question 29

Chloroprocaine Side effect

Answer 29

neurotoxicity and backspams

Question 30

lidocaine Side effect

Answer 30

dysrhythmia from metabolites

Question 31

prolocaine Side effect

Answer 31

methemoglobinemia

Question 32

Bupivicaine Side effect

Answer 32

R+ isomers are cardiotoxic