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Boards 2 study guide > anesthesia > Flashcards

anesthesia Flashcards

1
Q

general supresses in this order

A

psychic-> basal ganglion/cerebellum-> medullary centers-> spinal cord

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2
Q

mey overton theory

A

more lipid=more potent

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3
Q

GABA=

A

amnesia and hyponosis

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4
Q

Nicotinic ach

A

amnesia

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5
Q

glycine

A

immobility

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6
Q

blood gas partition

A

lower=fater rate of induction

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7
Q

Nitrous oxide

A

analgesic NMDA antagonist, fast acting

-> hypoxia

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8
Q

halothane

A

anesthetic fast acting

-> arrythmia, liver toxicity hypothermia

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9
Q

Sevoflurane

A

anestetic, fast induction, less odor
-> high hepatic metabolism
PREFFERED IN ASTHMATICS

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10
Q

Isoflurane

A

relaxant
lowest MAC
-> vasodiation, bronchodilation, pungent

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11
Q

Desflurane

A

relaxant
fast induction and emergence
Indicated for pts with LIVER problems
NOT for smokers

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12
Q

vecuronium

A

ach antagonist
few CV effects
-> residual muscle weakness (tx neostigmine
NOT for renal dysfunction

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13
Q

Midazolam

A

benzo

-> oversediatation

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14
Q

fentanyl

A

opiod

-> resp depression

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15
Q

thiopental

A

Rapid/potent

-> hypotnesion,laryngospasm, grogginess

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16
Q

proprofol

A

good for asthmatics

17
Q

etomidate

A

-> 11 B hydroxylase adrenal supression, myoclonus

NOT if history of seizures

18
Q

Succinylcholine

A

-> fasiculations, myalgia, bradycardia, MI, hyper kalemia

Not for Malignant hyperthermia

19
Q

Rimifentanyl

A

short half life opiod

20
Q

metoclopramide (reglan)

A

antiemetic increases gastric motility

21
Q

Meperidine

A

anticonvulsive

22
Q

Dantrolene

A

controls muscle spasm and malignant hyperthermia

decreases intracellular Ca

23
Q

Potency is

A

increased with lipid solubility

24
Q

onset is

A

decreased by pKA

25
Q

duration is

A

increased with protein binding

26
Q

Side effect of procain

A

allergic rxn to PAba

27
Q

Side effect of benzocaine

A

methemoglobinemia

28
Q

Side effect of chloroprocaine

A

neurotxicity and backspasms

29
Q

Side effect of lidocaine

A

dysrythmia

30
Q

Side effect of prolocaine

A

methemoglobinemia

31
Q

Side effect of bupivicaine

A

cardio and myotoxic

32
Q

NaHCO3 ____ onset of local anesthetics

A

increases

33
Q

hyaluronidate

A

faster spread to tissures but lower duration

34
Q

spinal anesthesia most common

A

marcaine

35
Q

hyperthyroidism meds day of surg

A

take because high T3/T4-> CV collapse

Boards 2 study guide (14 decks)

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