Injectable Anesthetics Flashcards

1
Q

Epidural Injection Complications

A
  • Systemic infection
  • Clotting issues
  • Infected skin
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2
Q

Local Anesthetics

A
  • Impare nerve impluses in peripheral nerve
  • No IV*

* can cause cardiac arrest or convulsions

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3
Q

Telazol Routes

A

IV or IM
* rapid onset

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4
Q

Alfaxalone

A
  • Neuroactive steriod
  • Anesthesia due to effect on GABA
  • Inhibits neural impulse transmission
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5
Q

Epidural Anesthesia

A
  • Uses local anesthetic (lidocaine)
  • Can give opioid same way for analgesia
  • Effects caudal portion of body
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6
Q

Lidocaine
Duration

A
  • Short duration
  • Rapid onset (30 sec)
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7
Q

Lidocaine

with Epinephrine

A
  • Slow absorption
  • Increased length of action
  • Increased risk of cardiac arrhythmias
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8
Q

Cyclohexamine Characteristics

A
  • Dissociative agent
  • Antagonistic effects at NMDA receptor
  • Catalepsy
  • Analgesic - best when combined with opioid
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9
Q

Cyclohexamine and CNS

A
  • Does not depress
  • May increase HR and BP
  • Excitement during recovery
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10
Q

Alfaxalone Route and Administration

A
  • IV - no irritation if given outside vein
  • Can give to sighthounds
  • Rapidly eliminated
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11
Q

Ketamine Effects

A
  • Open, dilated eyes
  • Salivation, no vomit
  • Minimal respiratory depression
  • Increased BP and cardiac output
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12
Q

Telazol Effects

A
  • High doses cause excitement and inspiratory apnea leading to hypoxia
  • Good for aggressive patients
  • Analgesia better than ketamine
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13
Q

Propofol Effects

A
  • CNS depression
  • Bradycardia, decreased cardiac output, hypotension
  • Respiratory depression
  • Muscle twitching
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14
Q

Cetacaine

A
  • Topical use
  • Apply to larynx to relax muscle during intubation
  • Associated with Heinz body anemia
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15
Q

Proparacaine

A
  • Used for cornea
  • Applied as drops
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16
Q

Bupivicaine

A
  • Used in dentristry
  • Longer effect than lidocaine, but slower onset
  • Can be used for epidurals
17
Q

Propofol

A
  • Non-barbiturate IV induction agent
  • Depresses CNS - acts on GABA
  • No analgesia
  • Rapid LOC
18
Q

Kitty Magic Complications

A
  • CNS stimulation with catalepsy
  • Irregular breathing
  • Convulsions
  • Hallucinations
  • Can’t control anesthetic depth
19
Q

Telazol

A
  • Dissociative anesthetic
  • Analgesia via brain pathways interrupted
  • For cats and dogs
  • Schedule III
20
Q

Propofol Routes and Administration

A
  • IV - minimal pain if given outside vein
  • Give slowly
  • 1/3 dose, wait 30 seconds
  • too slow = may cause excitement
  • too fast = respiratory and cardiovascular depression
21
Q

Barbiturates Use

A
  • General anesthesia: fat redistribution = fast wake up
  • Anticonvulsants (phenobarbital)
  • Depresses CNS, beginning at cerebral cortex
22
Q

Telazol Agents

A

Water soluble, able to go IM

23
Q

Propofol Metabolism

A
  • Liver = very fast
  • Leads to smooth and rapid recovery
24
Q

Catalepsy

A
  • Rigidy of skeletal muscles, noted in front limbs
  • Reduced with sedation
  • Not a sign that a patient is coming out of anesthesia
25
Q

Kitty Magic

DKT

A
  • Short duration of sedation
  • Given IM, combined
  • Ketamine
  • Torb
  • Dex
26
Q

Barbiturates
Classifications

A

Classification according to the duration of action
* long
* intermediate
* short
* ultra short

27
Q

Barbiturates

Long

A
  • Phenobarbital Tablets
  • Seizure control
  • Schedule IV
28
Q

Barbiturates

Short

A

Pentobarbital

Used for
* anesthesia
* seizure control (IV)
* euthanasia*

*Schedule II or III

29
Q

Barbiturates

Ultra-short

A

Thiopental
* suited for anesthesia induction
* schedule III
* not available

30
Q

Clyclohexamine Classifications

A

Ketamine
* schedule III

31
Q

Ketamine with Dogs

A
  • Given IV
  • Combined with diazepam
32
Q

Stratus Epilepticus

A

Continual seizure

33
Q

Ketamine with Cats

A
  • Given IM or IV
  • IM = stinging
  • Violent reactions
  • Reduced reaction by slowly injecting
34
Q

Barbiturates

Intermediate

A
  • Secobarbital
  • Limited use