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10 Cards in this Set
- Front
- Back
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what types of general anesthetics
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Inhaled
Nitrous oxide Suprane, Ethrane, Fluothane, Forane, Pentrhrane, and Ultane Injected Amidate Ketalar Brevital Diprivan Surital Pentothal |
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what is diprivan
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Diprivan – For ICU use in intubated, mechanically ventilated patients to provide continuous sedation and control of stress responses.
5-50 mg/kg/min. – titrate dosage Higher does for induction No analgesic properties Watch B/P, bradycardia Burning, pain, stinging, coldness at IV site |
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what are the effects of gerenal anestheics
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Respiratory – depressed
Cardiovascular – depressed Cerebrovascular – Increased intracranial blood volume/pressure GI – reduced hepatic flow Renal – decreased GF Skeletal – muscle relaxation Cutaneous circulation – vasodilation CNS – depressed, blurred vision. Nystagmus, decreased consciousness. |
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what is local anesthics
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Epidural
Infiltration Nerve block Spinal Topical |
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what is lidocaine
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Xylocaine – 0.5% - 4%
Xylocaine with epinephrine – 0.5%-2% (use to sew scalp wounds) |
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what are neuromuscular blocking agents
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Must have artificial ventilation
Paralyzes the respiratory & skeletal muscles DO NOT relieve pain Antidotes – neostigmine |
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what are depolarizing neuromuscular blocking agents-succinylcholine
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Succinylcholine – Anectine
Ultra short acting Rapid onset, duration 4-6 minutes 20mg/ml- give 0.6 mg/kg-1.1 mg/kg Watch for apnea, hyperkalemia, rhabdomyolysis, malignant hyperthermia. Must have Oxygen, and ambu bag if use for procedures in the room. Cardioversion. |
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what are depolarizing neuromuscular blocking agents-pavulon
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Pavulon – long acting
For long procedures in surgery Must be mechanically ventilated Causes skeletal muscle paralysis NO analgesic properties, must give pain medication Give 70-85 mcg/kg. Additional doses may be given 10-15 mcg/kg so the patient does not fight the ventilator. |
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what is anesthesia for pediactrics
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Hepatic, cardiac, respiratory, and renal systems not fully developed
Higher risk for upper airway obstruction of laryngospasms during general anesthesia Small airway Nitrous oxide commonly used |
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what is anesthesia for pediactrics
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Hepatic, cardiac, respiratory, and renal systems are all affected by aging. More problems with CNS depression, toxicity, pneumonia, and cardiac abnormalities.
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