General Anesthesia

Question 1

How is propofol administered?

Answer 1

Intravenously

Question 2

How does cardiac output affect induction?

Answer 2

Increased cardiac output slows induction

Question 3

What physical property drives movement across compartments, and how does this affect which organs receive the drug first?

Answer 3

Partial pressure concentration drives movement across compartments

For this reason, the drug will move to the blood vessel rich organs first (brain, heart, liver, kidney), followed by the skin and muscle and ending with fat

Question 4

What physical property drives movement across compartments?

Answer 4

Partial pressure concentration drives movement across compartments

Question 5

What color is sevoflurane, and which patient population would you use sevoflurane with?

Answer 5

Yellow, and kids

Question 6

Which general anesthetic is the most cardiovascularly stable?

Answer 6

Etomidate the most cardiovascularly stable (least CV side effects)

Question 7

What are some benefits of ketamine?

Answer 7

Ketamine is good with asthmatics, great if you don’t want to tube patients, short procedures

Question 8

Is haloflurane soluble in blood?

Answer 8

Yes, very

Question 9

Is haloflurane soluble in blood?

Answer 9

Yes, very

Question 10

What are some inhalational anesthetics

Answer 10

nitric oxide, haloflurane, isoflurane, desflurane, enflurane, sevoflurane

Question 11

What are some IV anesthetics

Answer 11

Propofol, Thiopental, Ketamine

Question 12

Ketamine MOA

Answer 12

NMDA receptor Antagonist