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45 Cards in this Set
- Front
- Back
Esters (Local anesthetics)
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Procaine, Tetracaine, Benzocaine, Cocaine
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Amides (Local anesthetics)
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Lidocaine, Prilocaine, Bupivacaine, Ropivacaine
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Short-acting local anesthetics
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Procaine, Tetracaine
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Intermediate-acting local anesthetics
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Lidocaine, Prilocaine
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Long-acting local anesthetics
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Bupivacaine, Ropivacaine
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First anesthetic developed
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Procaine
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Like procaine but 10x more potent/toxic and longer acting
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Tetracaine uses/PHK
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OTC topical anesthetic
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Benzocaine
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Causes methemoglobinemia
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Prilocaine
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Most likely to cause arrythmias
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Bupivacaine
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Enantiomer of Bupivacaine, more lipid soluble, less cardiac effects
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Ropivacaine
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Active form of local anesthetics
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Ionized (weak bases)
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local anesthetic target fibers
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Type A delta, Type C dorsal root, sympathetic
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Toxicity of ester local anesthetics
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PABA can cause allergic rxns and inhibit sulfonamides
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Mechanism of local anesthetics
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Block voltage gated sodium channels
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Thromboxane actions
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Vasoconstriction (+mitogenic)
Bronchoconstriction Activate GI tract, increase mucus, decrease acid Platelet aggregation |
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Prostacyclin actions
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Vasodilation
Bronchodilation Activate GI tract, increase mucus, decrease acid Inhibits platelet activation Vasodilation of renal arteries |
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PGE1 actions
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Bronchodilation
Activate GI tract, increase mucus, decrease acid Erection Vasodilation of renal arteries Fever |
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PGE2 actions
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Vasodilation
Bronchodilation Activate GI tract, increase mucus, decrease acid Uterine contractions Vasodilation of renal arteries Pain, fever |
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Dinoprosterone (PGE2)
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Abortion, facilitating labor, dysmenorrhea
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Alprostadil (PGE1)
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Erectile dysfunction
Patent ductus arteriosus |
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Misoprostol (PGE1)
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Reduces gastric acid secretion for ulcers
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Epoprostenol (PGI)
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Vasodilation in pulmonary hypertension
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Zileuton & Zarfilukast
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Leukotriene antagonists used in asthma
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Celecoxib mechanism
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Reversible COX-2 inhibitor
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Celecoxib adverse effects
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May increase platelet aggregation
Contraindicated in sulfonamide sensitivity |
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NSAID with most potency, but worse side effect profile
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Indomethacin
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NSAIDs that inhibit PMN migration
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Indomethacin, Piroxican
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NSAID used in combo w/misoprostol for arthritis
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Diclofenac (Voltaren)
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NSAID used in combo with opiates for post-surgical pain
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Ketorolac
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NSAID with best side effect profile, but shortest half-life
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Ibuprofen (1-3hrs)
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NSAID with longest half life
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Naproxen (13hrs)
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NSAID that is less nephrotoxic
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Suldinac
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Taken up by macrophages, suppresses phagocytosis and lysosomal enzymes
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Aurothioglucose
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Causes hemolysis in G6P deficient
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Hydroxychloroquine
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Distributes in retina and epidermins
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Hydroxychloroquine
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Most well tolerated drug for RA
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Sulfasaline - rare hepatitis or bone marrow suppression
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Murine/human MAB against TNF-a
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Infliximab
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MAB against CD20
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Rituximab
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Human MAB against TNF-a
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Adalimumab
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Recombinant protein TNF-a inhibitor
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Etanercept
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Recombinant protein, blocks T-cell activation
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Abatacept
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DHODH inhibitor
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Leflunomide
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IMPDH inhibitor
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Micophenolate mofetil
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Recombinant protein, IL-1 antagonist
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Anakira
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