Random Flashcards
Why does propofol cause pain on injection?
phenol
Therapeutic Index
LD 50/ ED 50
Therapeutic Window
TD 50/ ED 50
Which NMBD has the fastest onset and is less potent?
rocuronium
What does the dose response curve tell us?
potency and efficacy
what are our phenylpiperidines?
fentanyl, sufentanil, alfentanil, and remifentanil
properties of an ideal IV anesthetic? (seven of them)
water soluble, minimal CV effects and respiratory depression, lack hypersensitivity reactions, rapid onset of action, rapidly metabolized, produce steep dose response curve, quick return to mental baseline
which drug has most of the ideal properties?
propofol
which receptor do IV anesthetics and benzodiazepines attach?
GABA receptor (gammaminobutyric acid) which is a ligand gated ion channel when activated flood of Cl- comes in and hyperpolarizes the cell (inhibitory response)
What is the dissociation constant?
the pH at which 50% is ionized and 50% is nonionized
Context sensitive half time
(continuous infusion) time required for an infusion maintained at a constant concentration to decrease by 50% (increases with longer infusions)