Week 4 Local Anesthetics Flashcards
Local Anesthetic Definition
drugs that reversibly block conduction of electrical impulses along nerve fibers
What are LA utilized for?
chronic and acute pain
major component of clinical anesthesia
Nerve Anatomy includes
the axon and extension of the neuron is the functional of peripheral nerves
nerves are considered
myelinated or unmyelinated based on type of axon covering
What are the major components of the nerve?
axolemma
axoplasm
schwann cells surround each neuron
Schwann cells
serve to support and insulate each axon
Unmyelinated nerves
smaller nerves
single schwann cells cover several axons
Myelinated nerves
larger nerves
schwann cells covers only one axon and has several concentric layers of myelin
Nodes of Ranvier
periodic segments between schwann cells along the axon that do not contain myelin
Primary site of LA action
voltage-gated sodium channels are located in nodes of ranvier segments
action potentials jump from nerve to nerve
saltatory conduction
To block impulses in myelinated fibers it is neccessary for LA to
inhibit channels in three successive nodes
Fasciculi are
bundles of axons