2023-12-03T21:23:54+03:00[Europe/Moscow] en true <p>unconsciousness, amnesia, analgesia, inhibition of autonomic reflexes, skeletal muscle relaxation</p>, <p>should induce rapid smooth loss of consciousness, rapidly reversible, wide margin of safety</p>, <p>inhaled + IV drugs</p>, <p>increase inhibition through GABA; decrease excitation</p>, <p>decreased BP, reduced RR, hypothermia, N/V</p>, <p>-ane suffix </p>, <p>nitrous oxide</p>, <p>propofol, fospropofol, etomidate, ketamine</p>, <p>methohexital</p>, <p>Midazolam, Dexmedetomidine </p>, <p>IV</p>, <p>GABA A agonism</p>, <p>c</p>, <p>b</p>, <p>b</p>, <p>a</p>, <p>a</p>, <p>fast; acidosis; muscle contraction </p>, <p>GABA A positive allosteric modulation </p>, <p>anti-emetic, injection site pain, narrow TI</p>, <p>b</p>, <p>b</p>, <p>hypnotic; analgesic </p>, <p>b</p>, <p>a</p>, <p>a</p>, <p>c</p>, <p>c,d</p>, <p>c</p>, <p>d</p>, <p>d</p>, <p>d</p>, <p>b</p>, <p>b</p>, <p>a,c</p>, <p>flumazenil </p>, <p>c</p>, <p>prolong sedation in hospitalized patients, emergence delirium/agitation, sedation/GA</p>, <p>opioid; benzo</p> flashcards
Pharmacology of General Anesthetics

Pharmacology of General Anesthetics

  • unconsciousness, amnesia, analgesia, inhibition of autonomic reflexes, skeletal muscle relaxation

    What are the desired effects of General Anesthetics? (5)

  • should induce rapid smooth loss of consciousness, rapidly reversible, wide margin of safety

    What are the characteristics of an ideal anesthetic drug? (3)

  • inhaled + IV drugs

    Balanced Anesthesia =

  • increase inhibition through GABA; decrease excitation

    What is the MOA of General Anesthetics?

  • decreased BP, reduced RR, hypothermia, N/V

    What are the negative effects of general anesthesia? (4)

  • -ane suffix

    What are the volatile GA?

  • nitrous oxide

    What is the gaseous GA?

  • propofol, fospropofol, etomidate, ketamine

    What are the PO/IV GA? (4)

  • methohexital

    What is the Barbituate?

  • Midazolam, Dexmedetomidine

    What are the Benzodiazepines? (2)

  • IV

    ______ drugs are preferred for induction.

  • GABA A agonism

    MOA of Inhaled Anesthetics?

  • c

    Which are used for GA induction and maintenance of surgical

    procedures?

    a) benzodiazepines

    b) barbituates

    c) inhaled anesthetics

    d) IV anesthetics

  • b

    Which inhaled anesthetic can cause fulminant hepatic necrosis?

    a) Enflurane

    b) Halothane

    c) Nitrous oxide

  • b

    Which inhaled anesthetic can cause malignant hyperthermia when

    combined with succinylcholine?

    a) Enflurane

    b) Halothane

    c) Nitrous oxide

  • a

    Which inhaled anesthetic can cause nephrotoxicity?

    a) Enflurane

    b) Halothane

    c) Nitrous oxide

  • a

    Which inhaled anesthetic can cause seizures?

    a) Enflurane

    b) Halothane

    c) Nitrous oxide

  • fast; acidosis; muscle contraction

    Dantrolene requires ______ administration to control _______ and _______ when treating malignant hyperthermia.

  • GABA A positive allosteric modulation

    Propofol MOA?

  • anti-emetic, injection site pain, narrow TI

    What are the notable features of Propofol? (3)

  • b

    Which has a fast recovery and no hangover due to high plasma

    clearance?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • b

    Which has the biggest decrease in systemic BP?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • hypnotic; analgesic

    Propofol is a ______, but NOT an _______.

  • b

    Which is given with Lidocaine for injection site pain?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • a

    Which is a water-soluble prodrug?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • a

    Which has NO injection site pain?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • c

    Which is used in patients with reduced cardiac function or respiratory reserve?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • c,d

    Which are used for conscious sedation?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • c

    Which can suppress the endocrine system?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • d

    Which has unpleasant emergence reactions?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • d

    Which has a MOA related to NMDA antagonism?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • d

    Which provides analgesia?

    a) Fospropofol

    b) Propofol

    c) Etomidate

    d) Ketamine

  • b

    Which is used for induction?

    a) midazolam

    b) methohexital

    c) dexmedetomidine

  • b

    Which causes the most CNS depression?

    a) midazolam

    b) methohexital

    c) dexmedetomidine

  • a,c

    Which are used as anxiolytics?

    a) midazolam

    b) methohexital

    c) dexmedetomidine

  • flumazenil

    How do we reverse Midazolam?

  • c

    Which is an A2 agonist?

    a) midazolam

    b) methohexital

    c) dexmedetomidine

  • prolong sedation in hospitalized patients, emergence delirium/agitation, sedation/GA

    What are the main clinical applications of Dexmedetomidine? (3)

  • opioid; benzo

    Adding an A2 agonist to a sedation regimen can greatly reduce _____ & _____ requirements.