PDA Block 3 Overview Flashcards

1
Q

General Anesthetics: Parenteral

A
  • Sodium Thiopental
  • Propofol
  • Etomidate
  • Ketamine
  • Midazolam
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2
Q

Sodium Thiopental

A
  • Induction of anesthesia
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3
Q

Propofol

A
  • Maintain and induce anesthesia

- Useful bc it is an antiemetic

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4
Q

Etomidate

A

Induce anesthesia in pt at risk for hypotension

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5
Q

Ketamine

A
  • dissociative anesthesia

- use in pt with bronchospasm

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6
Q

Midazolam

A
  • induction agent
  • conscious sedation
  • anti-anxiety (anxiolytic)
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7
Q

General anesthesia: Inhaled

A

Isoflurane
Sevoflurane
Desflurane
Nitrous oxide

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8
Q

Local Anesthetics

A
Cocaine
Procaine
Tetracaine
Benzocaine
Lidocaine
Bupivacaine
Ropivacaine
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9
Q

Major Depressive Disorder

A

Monoamine Theory of Depression: Depression results from functionally deficiency of NE or serotonin.

Affective disorders are due to imbalance in biogenic amine neurotransmitter systems

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10
Q

Anti-depressant Rx

A
SSRI: Fluoxetine & Sertraline
SNRI: Duloxetine
Tri-cyclic: Amitriptylline & Clomipramine
MAOi: Phenelzine
Atypical: Buproprion & Mirtazapine
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11
Q

Psychosis

A
  • derangement of personality
  • loss of contact with reality
  • delusions
  • hallucinations
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12
Q

Anti-psychotics: Typical

A
  • Chlorpromazine
  • Thioridazine
  • Fluphenazine
  • Haloperidol
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13
Q

Anti-psychotics: Atypical

A
  • Clozapine
  • Olanzapine
  • Risperidone
  • Quetiapine
  • Aripiprazole
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14
Q

Anesthesia

A

state where no movement occurs in response to what should be painful; loss of consciousness

Components of anesthetic state – amnesia, unconsciousness, analgesia, immobility, attenuation of autonomic responses

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15
Q

Minimal Alveolar Concentration (MAC)

A

[anesthetic] that prevents movement in response to pain in 50% of subjects

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16
Q

Typical antipsychotics

A

Block D2 receptors (↓ adenylyl cyclase)
Tx – decrease in psychotic behavior (positive symptoms)

SE: Tardive Dyskinesia– up-regulation of DA receptors that control involuntary movements

17
Q

Atypical antipsychotics

A

Block D3¸D4 receptors
Block 5-HT2 receptors

Tx: Improves Positive symptoms (in resistant/refractory patients)
Improves Negative symptoms

SE: lower incidence of extrapyramidal effects

18
Q

Manic

A

for more than 7 days: ↑ self-esteem, grandiosity; talkativeness, flight of ideas, distractability, ↑ goal-directed activity; excessive involvement in pleasurable activities; ↓ need for sleep

19
Q

Anti-Manic Rx

A
  • Litium
  • Valproic Acid
  • Divalproex
  • Carbamazepine