Exam 2 Flashcards
Stage 1: Analgesia
Loss of pain, still conscious
Stage 2: Excitement
Unconscious, delirious activity
Stage 3: Anesthesia
Unconscious, skeletal muscle relaxation
Stage 4: Paralysis
Breathing stops, lethal without life support
Benzodiazepines use
Anxiety/sedation
Opioids use
Pain
H2 receptor antagonists use
Reduce stomach acidity so when people are laying flat the esophagus doesn’t corrode
Anti-emetics use
Prevent nausea/vomiting
Anticholinergics
Create a dry mouth so people don’t aspirate saliva
Three purposes of General anesthesia
Analgesia, amnesia, and muscle relaxation
Analgesia
Lack of pain
Amnesia
Lack of memory
Skeletal muscle relaxation
Lack of movement
Medication for inhaled anesthetics
End in -flurane
Names of common general anesthetics
Propofol, midazolam, etomidate, fentanyl
Mechanism of action of general anesthetics
Block sodium channels to prevent neurotransmitter conduction
Adverse effects of anesthetics
- drowsiness, weakness, fatigue, incoordination
- shivering, muscle pain, nausea/vomiting, sore throat
- malignant hyperthermia
General anesthesia
Complex procedures, entire body
Regional anesthesia
Large part of body
Local anesthesia
Small part of body
Local anesthetics name
Esters or amide
-end in -caine
Adverse effects of amide anesthetics
Few allergic reactions
CNS: slurred speech, tremors seizures
Cardiac: low blood pressure/heart rate, arrhythmias, arrest
Different locations local anesthetic is used
Topical, infiltration, field block, spinal, epidural
Topical
Placing on skin for skin numbing
Infiltration
Injection in area of pain or operation
Field block
Regional anesthesia, injection surrounding nerve group
Spinal
Injection into subarachnoid space into spinal fluid
Epidural
Injection into epidural space of spine
Functions of skin
Protective coating
Regulate body temperature
Preserve water
Houses sensory receptors
Structure of the skin
Epidermis, dermis, subcutaneous tissue, sebaceous gland, melanocytes
Typical treatment of dermatitis
Topical or oral corticosteroids
Ending of corticosteroids
End in -sone
How do corticosteroids work?
Prevent white blood cells from migration to inflammation site
Adverse effects of corticosteroids
Irritation, skin burning
Atrophy, thinning skin
What is psoriasis?
Chronic, immune system related disease
- Rapid growth of skin
- scaly, red or white itchy patches
- skin and joint involvement
Common treatments for psoriasis
Topical mediations, UV light, oral medications
Corticosteroids psoriasis vs. dermatitis
Psoriasis - cause skin thinning
Dermatitis - anti-inflammatory
Side effects of methotrexate
Renal/hepatic function, bone marrow suppression, GI toxicity, infertility, not used in pregnancy
Can acitretin be used during pregnancy?
No it can’t
Cause of acne
Plugged sebaceous glands (oil glands)
Common medications used for acne
Benzoyl peroxide, tetracyclines, isotretinoin, salicylic acid
Side effects of topicals
Itching, burning, stinging, redness, excessive drying
Side effects of tetracyclines
Photosensitivity, pediatric tooth discoloration, GI discomfort
Isotretinoin (accutane)
Suicidal ideation, not for pregnancy, bone marrow suppression
Common bugs that infect our skin
Staphylococcus aureus
Streptococcus
Candida albicans
Common topcials
Bacitracin Mupirocin Neomycin Miconazole (azole anti fungal class) Nystatin Tebinafine Tolnaftate
Difference between mites and lice
Mites burrow under the skin and can’t be seen
Lice can’t burrow in skin
Mechanism of permethrin
Causes seizures/death in bugs
Brand name of permethrin
Nix
Penicillin name ending
-cillin
Cephalosporins name ending
Ceph- or cef- in the name
Aminoglycosides common name endings
End in -micin or -mycin
Flouroquinolones common name endings
End in -floxacin
Tetracyclines common name ending
End in -cycline
Mechanism of action of penicillin
Interferes with the synthesis of peptidoglycan
Mechanism of action of cephalosporins
Inhibits peptidoglycan
Mechanism of antifungals
Blocks the synthesis of ergosterol
Adverse effects of penicillins
Hypersensitivity, rash, diarrhea
Adverse effects of cephalosporins
Diarrhea, sun sensitivity, kidney stones
Adverse effects of aminoglycosides
Ototoxicity and nephrotoxicity
What does vancomycin cause if infused too quickly?
Red man’s syndrome
Adverse effects of tetracyclines
GI, photosensitivity, discoloration of teeth in children
Contraindications of tetracyclines
Hypersensitivity, liver disease, children <8 years old