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