Volatiles Flashcards
What is the MAC of halothane
0.75
What is halothanes OGPC
224
Halothanes blood:gas cooefficient
2.4
What is halothanes boiling point
50
What is halothanes SVP
32
What are halothanes side effects
Bronchodilator
Reduced CO
Increase CBF
Hepatitis (more in adults -> necrosis)
How is halothane metabolised
20% via CYP450 to trifluoroacetic acid, chlorine, bromine
What type of chemical is halothane
Halogenated hydrocarbon
Unstable in light
What is the MAC of isoflurane
1.17
What is isofluranes OGPC
98
What is isofluranes blood gas coefficient
1.4
What is isofluranes boiling point
48
What is the SVP of isoflurane
33
What are isofluranes effects
airway irritant
reduced SVR (?coronary steal)
Best CBF profile (no increase if <1MAC)
What is isofluranes metabolism
0.2% hepatic to trifluoroacetic acid and fluorides.
CHF2 and sodalime might -> CO
What type of chemical is isoflurane
Halogenated ethyl methyl ether
What is enfluranes MAC
1.68
What is enfluranes OGPC
98
What is enfluranes BGPC
1.8
What is the boiling point of enflurane
56
What is the SVP of enflurane
23
What are enfluranes side effects
At high concentrations get a 3Hz spike in EEG similar to seizure
What is the metabolism of enflurane
2% to fluorides which can cause nephropathy.
CHF2 and sodalime might -> CO
What is sevofluranes MAC
1.8
What is sevofluranes OGPC
80
What is sevofluranes BGPC
0.7
What is sevofluranes boiling point
58
What is sevofluranes SVP
23
What are sevofluranes side effects
Reduced SVR
What is sevofluranes metabolism
3.5% via CYP2E1
Fluorides and soda lime -> compound A
What type of chemical is sevoflurane
Polyfluorinated isopropyl methy ether
Achiral
How is sevo stored and why
In polyethylene napthalate with 300ppm water
If stored with <100ppm water/ in glass -> lewis acids -> hydrofluoric acid
What is desflurane’s MAC
6.6
What is desfluranes OGPC
29
What is desfluranes BGPC
0.4
What is desfluranes boiling point
23
What is desfluranes SVP
89
What are desfluranes side effects
Quick onsent/offset
Tachycardia
HTN
What is desfluranes metabolism
0.02% to trifluoroacetic acid
CHF2 + soda lime -> CO
What are the TEC 6 conditions?
Heated to 39 at 2bar
What is N2Os MAC
105
What is the OGPC of N2O
1.4
What is the BGPC of N2O
0.5
What is N2Os BP
-88
What is the SVP of N2O
5200
What are the side effects of N2O
Increase CBF
Myocardial depression but SNS stimulation
PONV
Agranulocytosis
How is N2O metabolised
<0.01% to N2
B12 cobalt oxidised -> megaloblastic changes
What is N2Os critical temp and pressure
36.5 and 72
What is xenons MAC
71
What is the OGPC of xenon
1.9
What is the BGPC of Xenon
0.14
What is xenon’s BP
-108
What are Xenon’s side effects
Decrease HR and RR
Increases TV (opp. to the rest)
Analgesia
How is xenon metabolised
Eliminated in the lungs