anesthesia

Question 1

general supresses in this order

Answer 1

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

Question 2

mey overton theory

Answer 2

more lipid=more potent

Question 3

GABA=

Answer 3

amnesia and hyponosis

Question 4

Nicotinic ach

Answer 4

amnesia

Question 5

glycine

Answer 5

immobility

Question 6

blood gas partition

Answer 6

lower=fater rate of induction

Question 7

Nitrous oxide

Answer 7

analgesic NMDA antagonist, fast acting

-> hypoxia

Question 8

halothane

Answer 8

anesthetic fast acting

-> arrythmia, liver toxicity hypothermia

Question 9

Sevoflurane

Answer 9

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

Question 10

Isoflurane

Answer 10

relaxant
lowest MAC
-> vasodiation, bronchodilation, pungent

Question 11

Desflurane

Answer 11

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

Question 12

vecuronium

Answer 12

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

Question 13

Midazolam

Answer 13

benzo

-> oversediatation

Question 14

fentanyl

Answer 14

opiod

-> resp depression

Question 15

thiopental

Answer 15

Rapid/potent

-> hypotnesion,laryngospasm, grogginess

Question 16

proprofol

Answer 16

good for asthmatics

Question 17

etomidate

Answer 17

-> 11 B hydroxylase adrenal supression, myoclonus

NOT if history of seizures

Question 18

Succinylcholine

Answer 18

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

Not for Malignant hyperthermia

Question 19

Rimifentanyl

Answer 19

short half life opiod

Question 20

metoclopramide (reglan)

Answer 20

antiemetic increases gastric motility

Question 21

Meperidine

Answer 21

anticonvulsive

Question 22

Dantrolene

Answer 22

controls muscle spasm and malignant hyperthermia

decreases intracellular Ca

Question 23

Potency is

Answer 23

increased with lipid solubility

Question 24

onset is

Answer 24

decreased by pKA

Question 25

duration is

Answer 25

increased with protein binding

Question 26

Side effect of procain

Answer 26

allergic rxn to PAba

Question 27

Side effect of benzocaine

Answer 27

methemoglobinemia

Question 28

Side effect of chloroprocaine

Answer 28

neurotxicity and backspasms

Question 29

Side effect of lidocaine

Answer 29

dysrythmia

Question 30

Side effect of prolocaine

Answer 30

methemoglobinemia

Question 31

Side effect of bupivicaine

Answer 31

cardio and myotoxic

Question 32

NaHCO3 ____ onset of local anesthetics

Answer 32

increases

Question 33

hyaluronidate

Answer 33

faster spread to tissures but lower duration

Question 34

spinal anesthesia most common

Answer 34

marcaine

Question 35

hyperthyroidism meds day of surg

Answer 35

take because high T3/T4-> CV collapse