Chapter 50 - General Anesthetics

Question 1

Isoflurane

Answer 1

Class: Inhalation Anesthetic

Question 2

Isoflurane (be familiar)
Use:
AE:

Answer 2

Use: Blocks the perception of pain
AE: Cardiovascular and respiratory depression, airway irritation, spasms in susceptible patients, vomiting, rare possibility of immune-mediated hepatotoxicity
-Delivered as a gas to the lungs
-Produces amnesia, skeletal muscle relaxation, and hypnosis

Question 3

Propofol

Answer 3

Class: IV Anesthetic

Question 4

Propofol (be familiar)

Answer 4

MOA: Blocks the perception of pain
Use: Renders a patient unconscious in a fast and safe manner; used extensively for ambulatory surgery and diagnostic procedures
-Produces amnesia, euphoria, and hypnosis
-Does not provide analgesia
-Most widely used IV anesthetic

Question 5

Vecuronium

Answer 5

Class: Neuromuscular blocking agent

Question 6

Vecuronium

MOA:

Answer 6

MOA: Temporarily suspends nerve impulse at the neuromuscular junction (paralyzing)

• Can be titrated to produce weakness through comlete paralysis
• Non-depolarizing agent = Interrupt nerve transmission by not allowing neurotransmitters to cause contraction of muscle (bad part, it also effects diaphragm so must intubate/ventilate patient) - makes muscles weak or completely paralyzes patient