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10 Cards in this Set
- Front
- Back
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(P) ISOSFLURANE
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Gen anesthesia agents-->inhalants
4: part of balanced anesthesia obstetrics ICU sedation ocular surgery MECH: unknown CONTRAS: predisp to malignant hyperthermia infants & kids ADVERSES: RESP DEPRESS. hypO- thermia & tension N&V *monitor RR* **morbidly obese will have problems** |
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(P) PROPOFOL
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GEN ANESTHESIA -->PARENTERAL
4: anesthesia ICU sedation status epilepticus MECH: very short lived crosses placenta & milk CONTRAS: soybean/ glycerol/ egg allergy ADVERSES: APNEA & ANAPHYLACTIS N&V Involuntary movements **make sure emulsion isn't seperated! = bacteria** |
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(P) LIDOCAINE
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LOCAL ANESTHETIC AGENT
4: regional blocks nerve " eye, Dental, OB procedures MECH: direct nerve penetration = necessary down memb depolarization = up excitability threshold CONTRAS: sulfite or methyl paraben sensitivity infection @ inject site ADVERSES: - allergic rxs - none unless accidental intravascular inject happens **x's placenta - may prolong 2nd stage of labor** **DON'T use preserved prep if for spinal/ epidural procedure** |
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(P) TUBOCURARINE
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NON-DEPOLARIZING NEUROMUSCULAR BLOCK
4: intubation w/ tracheal tube mech ventilation MECH: only IV CONTRAS: early preg ADVERSES: prolonged paralysis apnea malignant hyperthermia - flushing **explain person won't breathe w/out equipment in the room** |
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(P) SUCCINYLCHLORIDE
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DEPOLARIZING NEUROMUSCULAR BLOCK
4: rapid intubation & endoscopies MECH: IV & IM lasts only ~ 3 minutes CONTRAS: malignant hyperthermia narrow-angle glaucoma plasma psudocholinesterase dis ADVERSES: Prolonged paralysis & apnea - ocular pressure - histamine release - muscle pain **explain to down anxiety** **keep resuc. equipt @ bedside** |
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anesthesia = ?
General anesthesia? |
loss of feeling of sensation (to avoid pain & memories)
state of unconsciousness, analgesia & amnesia |
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Action of NON-depolarizing drugs?
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forces muscle to remain in relaxed state
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Action of depolarizing drugs?
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forces muscle into rapid contractions, until it reaches flaccid paralysis (can't receive any neural comms)
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Functional drugs?
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don't treat a disease/disorder
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MAC
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Minimum alveolar concentration
Concentration of anesthetic gas required to eliminate movement in 50% of patients (smaller MAC = more potent agent) |
