Anesthetics Flashcards
What are the drugs used as anesthetics?
- Induction agents (IV)
- Neuromuscarinic agents
- Inhalation agents
- Local agents
Name the Induction agents?
- Barbituates
- Benzodiazepines
- Opioids
- Neurolept
- Etomidate
- Propofol
- Ketamine
Name the Neuromuscular agents.
Non-depolarizing:
- Pancuronium
- Vecuronium
- Tubocurarine
Depolarizing:
1. Succinylcholine
Name the inhalation agents.
- Halothane
- Isofluane
- Enflurane
- Desflurane
- Sevoflurane
- Nitrous Oxide
Name the local agents.
- Esters (Procaine)
- Amides (Lidocaine)
“La” = Lidocaine; Amide
Name the Barbiturates.
- Thiopental
- Thiamylal
- Methohexital
T or F: Barbiturates have good analgesic but low anesthetic effect.
FALSE: Barbiturates have good anesthetic effect but low analgesic effect.
Which Benzos are used for Anesthetics?
- Lorazepam
- Diazepam
- Midazolam
Which sedatives have good analgesia but NO amnesia?
Opiods
Which opiod is used as a sedative?
Fentanyl
-primary indication is analgesia
What are the adverse effects of Fentanyl?
- hypotension
- respiratory depression
- muscle rigidity
- N.V
What is the Neurolept drug used for sedation?
Dropinerol/Fentanyl
What is the MOA of Neurolept?
Dopa Blocker
What is the Contraindication of Neurolept?
Parkinsons
What is the MOA of Etomidate and Propofol?
Stimulate the GABA receptor similar to the Benzos
What is the MOA of Ketamine?
NMDA Glutamate Receptor antagonist
What is the contraindication of Ketamine?
CVD and HTN
Which agent for sedation has nightmares (in adults) as an adverse effect?
Ketamine
Which sedation agent has good anesthetic effects but poor analgesic effects?
- Etomidate
2. Propofol
Which sedation agent will have the patient in a dissociative state? (Patient is awake but feels no pain and does not remember)
Ketamine
Which drugs help facilitate intubation and paralyze and relax skeletal muscle for surgery? (indication for what drug)
Neuromuscular agents
What is the MOA of the Neuromuscular drugs?
Block cholinergic transmission at the neuromuscular end plates of the neuromuscular junction
T or F: The neuroleptics are good analgesics and good sedatives.
FALSE: They are neither analgesics or sedative
Which drugs are used for rapid induction and maintentence of anesthesia?
- Etomidate
2. Propofol
Which drug is indicated for short anesthetic procedures in Peds?
Ketamine
Which drugs are the former DOC for induction of anesthesia and have a rapid induction?
Barbiturates
What drugs are used for the maintenance of anesthesia?
Halothane Enflurane Isoflurane Desfluane Sevofluane Nitrous Oxide
What drugs are used for the maintenance of anesthesia ONLY?
Halothane
Enflurane
