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pharm 2 > History of Anesthesia > Flashcards

History of Anesthesia Flashcards

1
Q

Anesthetic technique evolution?

A

inhalation to local to IV

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2
Q

first GA inhalation agent?

A

diethyl ether

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3
Q

first person to publicly use diethyl ether

A

William Morton

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4
Q

father of anesthesia

A

John Snow

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5
Q

was chloroform or ether preferred? why?

A

ether, cardiac arrythmias/respiratory depression/liver toxicity

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6
Q

who nicknamed nitrous laughing gas?

A

Humphry Davy

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7
Q

who used nitrous first for anesthetic on a dental extraction?

A

Horace Wells

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8
Q

most widely used inhaled anesthetic in the US?

A

Sevoflurane

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9
Q

first person to use cocaine as local anesthetic on the eye?

A

Carl Koller

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10
Q

first person to use cocaine for IAN block?

A

William Halsted

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11
Q

who discovered lidocaine

A

Nils Lofgren

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12
Q

what is the most popular agent for IV sedation worldwide?

A

propofol

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13
Q

what is used as a paralytic?

A

succinylcholine

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14
Q

minimum sedation
response to stimulation?
airway problems?
cardio problems?

A

cognitive impairment but patient responds PURPOSEFULLY to verbal commands
no airway problems
no cardio problems

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15
Q

Moderate Sedation
response to stimulus?
airway problems?
cardio problems?

A

response to verbal or tactile solutions
no airway problem
no cardio problems

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16
Q

deep sedation
response to stimulation?
airway problems?
cardio problems?

A

respond to repeated or painful stimulation
may need airway assistance
no cardio issues

17
Q

general anesthesia
response to stimulation?
airway problems?
cardio problems?

A

not arousable at all
airway help needed
cardio fxn may be impaired

18
Q

What ASA rankings need med consultation

A

III/IV

19
Q

For minimal/moderate sedation how many people need BLS training in the room?

A

at least one additional along with the dentist

20
Q

for deep/GA how many people need BLS training in the room?

A

at least 3 individuals must be present including (one person who does the sedation and two others)

21
Q

for inhalation use, what is the lowest percentage of oxygen you are allowed to deliver?

A

30%

22
Q

True/False: you don’t need a scavenger system for inhalation equipment

A

false

23
Q

True/False: the dentist can leave the facility before the patient is discharged

A

false

24
Q

6 A’s of GA

A 
Anesthesia
Analgesia
Amnesia
Areflexia
Autonomic areflexia
anxiolysis
25
Q

is sevoflurane volatile or non volatile?

can it be given directly as the gas or does it need to be vaporized?

A

volatile

vaporized

26
Q

nitrous oxide volatile or non volatile

can it be given directly as the gas or does it need to be vaporized?

A

nonvolatile

can be given directly as gas

pharm 2 (3 decks)

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