General anesthetics

Question 1

State characterized by analgesia, amnesia, LOC, inhibition of reflexes, and skeletal muscle relaxation

Answer 1

State of general anesthesia

Question 2

Stages of general anesthesia

Answer 2

Analgesia
Excitement
Surgical anesthesia
Medullary depression

Question 3

Concentration of inhaled anesthetic which produces immobility in 50% of subjects exposed to a noxious stimulus

Answer 3

Minimum alveolar concentration

Question 4

MAC where nearly 100% of subjects will not respond to stimuli

Answer 4

1.3 MAC

Question 5

Toxicity of nitrous oxide

Answer 5

Second gas effect
Diffusion hypoxia

Question 6

Inhaled general anesthetics associated with nephrotoxicity

Answer 6

Methoxyflurane
Enflurane
Sevoflurane

Question 7

Treatment for malignant hyperthermia

Answer 7

Dantrolene

Question 8

Toxicity of halothane

Answer 8

Sensitizes the heart to epi-induced arrhythmias
Halothane induced hepatitis

Question 9

Inhaled general anesthetic commonly used for induction in children

Answer 9

Halothane

Question 10

Most rapid onset of action and recovery of the halogenated general anesthesias

Answer 10

Desflurane

Question 11

Side effects of desflurane

Answer 11

Irritating to airway in awake pts, causing coughing, salivation, and bronchospasm

Question 12

Types of barbiturate general anesthetics

Answer 12

Thiopental
Methohexital

Question 13

Side effects of barbiturates

Answer 13

Cerebral metabolism, oxygen utilization, and cerebral blood flow decreased
Prcipitate porphyria

Question 14

Used as premedication prior to induction of general anesthesia, producing anxiolysis, amnesia, and sedation

Answer 14

Benzodiazepines

Question 15

Benzodiazepine with a a more rapid onset and shorter elimination half-life

Answer 15

Midazolam

Question 16

General anesthetic agent of choice in ambulatory surgery

Answer 16

Propofol

Question 17

Agent effective in producing prolonged sedation in pts in critical care

Answer 17

Propofol

Question 18

General anesthetic with little effect on CV and respiration, used in pts with CAD, cardiomyopathy, cerebra vascular disease, and hypovolemia

Answer 18

Etomidate

Question 19

Side effects of etomidate

Answer 19

Post-op nausea
Adrenocortical suppression

Question 20

Neuroleptanalgesia

Answer 20

State of analgesia and amnesia caused by combining fentanyl and droperidol

Question 21

Dissociative anesthetic that produces a cataleptic state that includes analgesia and amnesia

Answer 21

Ketamine

Question 22

General anesthetic that causes CVS stimulation

Answer 22

Ketamine

Question 23

Emergence phenomena of ketamine

Answer 23

Post-op disorientation
Sensory and perceptual illusions
Vivid dreams