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11 Cards in this Set

  • Front
  • Back
esters
cocaine, procaine, and benzocaine; hydrolyzed by hepatic and plasma esterases
amides
lidocaine and bupivicaine; hydrolyzed in the liver
especially cardiotoxic
bupivicaine
only LA that is not basic amine
benzocaine- therefore not water soluble
LA MOA
block NA+ channel from the intracellular side
axons most susceptible to LAs
smallest, those that conduct high frequency signals, and those that transmit pain sensation
LA toxicities
produce arrhythmias, coma, and convulsions
why give vasoconstrictors with LAs
reduce blood flow and prolong duration of action
ester metabolites
may cause allergic reaction in some subjects manifested upon reexposure
cocaine actions
LA, sympathomimetic- HTN, tachy, and arrhythmia, and intense euphoria
saxitoxin and tedrodotoxin
toxins that act on sodium channels