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Pharm 1 > Anesthetics > Flashcards

Anesthetics Flashcards

1
Q

propofol (diprivan) MOA

A

general anesthetic - reduction of sensory and motor CNS function

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2
Q

propofol (diprivan) indications

A

induction- transition from awake to fully under
maintenance of general anesthesia for surgery
require mechanical ventilation

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3
Q

propofol (diprivan) contraindications

A

allergy
pregnancy/lactation
glaucoma
malignant hypothermia

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4
Q

propofol (diprivan) AE/SE

A

hypotension- dose-dependent

propofol related infusion syndrome

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5
Q

propofol (diprivan) interactions

A

anti-hypertensives

beta-blockers

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6
Q

propofol (diprivan) nursing considerations/education/interventions

A 
monitor vitals during/after
quick onset/offset
lipid-soluble
can be used on renal/hepatic impairment
low incidence post-op N/V
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7
Q

midazolam (versed) MOA

A

general anesthetic- CNS depression

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8
Q

midazolam (versed) indications

A

general- moderate sedation
hypnotic
conscious sedation

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9
Q

midazolam (versed) conraindications

A

allergy
pregnancy/lactation
glaucoma
malignant hypothermia

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10
Q

midazolam (versed) AE/SE

A

memory loss- amnesia but may be beneficial
cardiac/resp arrest
n/v

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11
Q

midazolam (versed) interactions

A

anti-hypertensives

beta-blockers

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12
Q

midazolam (versed) nursing considerations/education

A

monitor vital before/after

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13
Q

lidocaine (xylocaine) MOA

A

blocker peripheral nerve

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14
Q

lidocaine (xylocaine) amind

A

topical- transdermal
can mix with Epi
IV

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15
Q

lidocaine (xylocaine) indications

A

dental, surgical, dx procedures

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16
Q

lidocaine (xylocaine) contraindications

A

allergy

vicious lidocaine avoid under 3

17
Q

lidocaine (xylocaine) AE/SE

A

hypotension from spinal anesthesia

conduction disorder

18
Q

lidocaine (xylocaine) interactions

A

enflurane, halothane, EPI

19
Q

lidocaine (xylocaine) nurse interventions/ education

A

most commonly used anesthetic
monitor vitals
report dizziness, paresthesia

20
Q

succinylcholine (acnectine) MOA

A

prevent nerve transmission in skeletal and smooth muscle = paralysis
required mechanical ventilation

21
Q

succinylcholine (acnectine) MOA indications

A

facilitates controlled ventilation during surgery/intubation
adjunct w/ general anesthesia

22
Q

succinylcholine (acnectine) MOA contraindications

A

allergy
malignant hypothermia
glaucoma
crush injuries, CVA, burns

23
Q

succinylcholine (acnectine) MOA AE/SE

A

muscle spasms/twitching

24
Q

succinylcholine (acnectine) MOA interactions

A

aminoglycosides
tetracyclines
create additive effect

25
Q

succinylcholine (acnectine) MOA nursing interventions/education

A

short duration 4-6 min
must be mechanically ventilated
monitor vital signs/resp. before/during/after

Pharm 1 (7 decks)

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