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20 Cards in this Set
- Front
- Back
ANESTHETICS
- most anesthetics have what receptor activity |
- enhance GABA-a receptor activity
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ANESTHETICS
- anesthetic drugs must have what property? |
- lipid soluble (to cross BBB)
or - actively transported |
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ANESTHETICS
- drugs with LESS Solubility in BLOOD have what characters? |
- Rapid Induction
- Rapid Recovery |
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ANESTHETICS
- drugs with MORE Solubility in LIPIDS have what character? |
- greater Potency
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ANESTHETICS
- Minimum Alveolar Concentration (MAC) is a measure of? - a higher MAC indicates? |
- measure of Potency
- lower potency (potency = 1/MAC) |
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ANESTHETICS
- MAC values are analogous to what? |
ED50
(% of inspired anesthetic at which 50% of patients are knocked the fuck out) |
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ANESTHETICS
- MAC is inversely proportional to? - MAC values can be lowered (thus more potency) by concurrent administration of? |
- Lipid solubility & Potency
- Opioid analgesics (allows less anesthetics to be used) |
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ANESTHETICS
- what anesthetic has a MAC of greater than 100%? - what does this mean in terms of ED50? - what does this mean clinically? |
- Nitric Oxide
(based on ED50, NO can not anesthetize 50% of population) - NO can not be used as a sole single anesthetic |
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ANESTHETICS
- list the top 5 inhaled anesthetics from greatest lipid soluble to least - thus, this list is same as? - thus, this list is inverse of? |
1.) Halothane
2.) Isoflurane 3.) Enflurane 4.) Ether 5.) NO - Potency - MAC |
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ANESTHETICS
- what is the Blood-Gas Partition Coefficient? |
- anesthetic solubility in blood
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ANESTHETICS
- more blood soluble anesthetics takes longer to achieve what in the brain? |
- desired partial pressure in brain
(longer time to reach steady state) |
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ANESTHETICS
- Higher blood solubility implies what about onset of action & recovery time? |
- Slow onset of action
- Slow Recovery time |
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ANESTHETICS
- what is the Most Blood Soluble inhaled anesthetic? - what does this mean for its properties? |
Halothane
- Slow onset of action - Slow recovery |
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ANESTHETICS
- which drugs are nearly insoluble in the blood? |
- Desflurane
- Sevoflurane (both have low blood-gas solubility ratios, so rapid onset & rapid recovery) |
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ANESTHETICS
- rank the inhaled anesthetics from greatest to least for Blood-Gas Coefficient ratio |
1.) Halothane
2.) Enflurane 3.) Isoflurane 4.) NO |
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ANESTHETICS
- Inhaled anesthetic that does NOT act on GABA-a receptors? |
- NO
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ANESTHETICS
- inhaled anesthetics that is associated with convulsions |
- Enflurane
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ANESTHETICS
- Halothane is associated with what SE? |
- Hepatitis
- Malignant Hyperthermia |
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ANESTHETICS
- Halothane is associated with Malignant hyperthemia when used concomitantly with? - Halothane is associated with Malignant Hyperthermia when deficiency with? |
- Succinylcholine
- Ryanodine channel |
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ANESTHETICS
- inhaled anesthetics that is associated with nephrotoxicity? |
methoxyflurane
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