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PRISM > anesthesia > Flashcards

anesthesia Flashcards

1
Q

Meyer-overton theory

A

more lipid soluble=more potent

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2
Q

MAC

A

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

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3
Q

If they have pacemaker can’t use….

A

bovie

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4
Q

if use thigh turnaquit need?

A

general

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5
Q

ASA classification

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

Rimifentanyl

A

opioid. short 1/2 life intraop or postop

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7
Q

metoclopramide

A

dopamine antagonist. antiemetic, increases gastric motility

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8
Q

metoclopramide (reglan)

A

dopamine antagonist. entiemetic. increases gastric motility

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9
Q

ondasteron (zofran)

A

5HT3 antagonist

IV antiemetic

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10
Q

Diazepam

A

benzo

anticonvulsive

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11
Q

meperidine

A

opid anticonvulsive

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12
Q

dantrolene

A

rayodine agonist

control muscle spasms and malignant hyperthermia

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13
Q

Nitrous oxide

A

analgesia. NMDA antagonist. fast acting.

Hypoxia

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14
Q

Halothane

A

anesthetic. fast acting. arrythmia. liver toxcicity. hypothermia

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15
Q

Sevoflurane

A

anesthetic faster induction and less odor

high hepatic metabolism

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16
Q

isoflurane

A

relaxant.

lowest MAC. vasodilation and bronchodilation. pungent

17
Q

desflurane

A

relaxant fast induction and emergence

CI for smokers

18
Q

vecuronium

A

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

19
Q

Midazolam

A

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

20
Q

Fentanyl

A

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

21
Q

Thiopental

A

induction. rapid/potent-> hypotension, laryngospasm grogginess

22
Q

Propofol (diprivan)

A

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

23
Q

Etomidate

A

induction. pt. w hemodynamic instability.

CI: seizures

24
Q

Ketamine

A

induction. amnesia w out CV depression

25
Q

Succinylcholine

A

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

26
Q

alkalization

A

bicarbonate speeds up onset

27
Q

Procaine Side effect

A

allergic rxn to PABA metabolite

28
Q

Benzocaine Side effect

A

methemoglobinemia

29
Q

Chloroprocaine Side effect

A

neurotoxicity and backspams

30
Q

lidocaine Side effect

A

dysrhythmia from metabolites

31
Q

prolocaine Side effect

A

methemoglobinemia

32
Q

Bupivicaine Side effect

A

R+ isomers are cardiotoxic

PRISM (25 decks)

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