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11 Cards in this Set
- Front
- Back
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post-surgical pain
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opioids, NSAIDS
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neuropathic pain
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anticonvulsants
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cancer pain
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opioids plus adjuvants
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headache
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serotonin 5-HT(1d) agonists
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routes of la admin
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topical, infiltration, nerve block (proximal to nerve for large area anesth), spinal (in intrathecal or subarachnoid space), epidural (outside subarachnoid membrane)
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adverse effects of inflammation on local anesthetic effects
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1: inflammatory mediators sensitize na+ channels, leading to increased current mag and decr inactivation time
2: incr blood flow enhances removal of local anesthetic from site, which decr's potency and duration. |
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LA additives
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vasoconstrictors to prolong action, bicarb to decr pain on inject, carbonation for intracell acidosis
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emla
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lidocaine and prilocaine
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procaine (novocain)
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short duration, mederate onset, 2% soln w/ NE
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benzocaine
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topical 20% gel/oint, slow absorption, methemoglobinemia
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lidocaine
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fast onset, medium duration, 2% soln w/ Epi; topical injection & spray.
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