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45 Cards in this Set

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