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Ocular Pharmacology > Lecture 3 - Anaesthetics > Flashcards

Lecture 3 - Anaesthetics Flashcards

1
Q

Lidocaine

  1. group?
  2. indications?
  3. onset/duration
A
  1. amide
  2. LA, RA, status epilepticus, ventricular arrhythmia, forced ructions, chalazion surgery
  3. 4-6 mins / 2/3-1 hr.
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2
Q

Etidocaine

  1. group?
  2. indications?
  3. onset/duration?
A
  1. amide
  2. LA
  3. 3-5mins / 5-10hrs
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3
Q

Mepivicaine

  1. group?
  2. indications?
  3. onset/duration?
A
  1. amide
  2. RA & LA
  3. 3-5mins/ 2-3hrs
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4
Q

Bupivicaine

  1. group?
  2. indications?
  3. onset/duration?
A
  1. amide
  2. LA, RA and obstetrics
  3. 5-10mins / 4-12hrs
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5
Q

Prilocaine

  1. group?
  2. indications?
  3. onset/duration?
A
  1. amide

2. LA topical and infiltration

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6
Q

Ropivacaine

  1. group?
  2. indication?
  3. onset/duration?
A

amides

LA, RA & obstetrics

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7
Q

Procaine

  1. group?
  2. indications
  3. onset/duration
A
  1. esters
  3. 7-8mins/ 1/2-3/4hrs
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8
Q

Cocaine (ester, BA) adverse effects.

A

System: excitement, convulsions, rapid palpitations, nausea, delirium
Ocular: desquamation, mydriasis, lid retraction (Muller’s muscle; nonvoluntary)

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9
Q

Myelination enhances sensitivity dependent/independent of diameters.

A

independent of diameter

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10
Q

Small/large diameter highly active nerves tend to be more sensitivity.

A

small diameter nerve = more sensitive

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11
Q

Large diameters are less sensitive and thus recover quicker/slower than small.

A

Quicker = less sensitive

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12
Q

PABAs, MABAs, and BA are all esters/amides.

A

esters

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13
Q

Tetracaine, benzocaine, procaine and benoxinate are PABA/MABA/BA?

A

PABA; para amino benzoic acid

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14
Q

Proparacaine is PABA/MABA/BA?

A

MABA; mono amino benzoic acid

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15
Q

Cocain is PABA/MABA/BA?

A

BA; benzoic acid

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16
Q

Lidocaine, Mepivicaine, Bupivicaine, Etidocaine, Prilocaine are esters/amides.

A

amides

17
Q

Amides are under _________ metabolism.

A

hepatic

18
Q

Indications:
tonometry, gonio, sutures, nasolacrimal massage, ultrasound

Which anesthetic?

A

proparacaine / tetracaine

19
Q

Indication: tonometry

Which anesthetic?

A

benoxinate

20
Q

Indications: herpetic neuralgia (injection)

Which anesthetic?

A

procaine

21
Q

Indications:
OTC oral, dental cough

Which anesthetic?

A

benzocaine

22
Q

Indications:
otolaryngology

Which anesthetic?

A

cocaine

Ocular Pharmacology (6 decks)

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