DRUGS Flashcards
what the amides
lidocaine
bupivacaine
ropivacaine
mepivacaine
what are the esters
tetracaine
cocaine
amide
widely used, highly versatile
-blocks, injection, topical, spinals, epidurals
less lipophilic than bupivacaine or ropivacaine
lidocaine
ester
long acting drug due to slow metabolism
spinals
peripheral nerve block
tetracaine
ester
used for topical anesthesia, ENT
schedule II drug, cant use at home
cocaine
amide
similar to bupivacaine but sager in terms of cardiotoxicity
ropivacaine
amide
widely used
potent, long acting
more cardiotoxic than lidocaine and ropivacaine
bupivacaine
can penetrate keratinized skin easy and useful for catheter insertion
lidocaine 2.5%-prilocaine 2.5% (EMLA cream)
amide
intermediate acting w/ similar action to lidocaine
mepivacaine
topical gel, liquid, ointment, spray
warning=methemoglobinemia, not used in children under age 2
benzocaine
used as a nerve block
lidocaine, ropivacaine, bupivacaine
used for spinal blocks
lidocaine, tetracaine, bupivacaine
used for epidural blocks
lidocaine, bupivacaine, ropivacaine