Study sets matching "anesthesia"

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Study sets matching "anesthesia"

Anesthesia
anesthesia risk categories
anesthetic agents
analgesia
why are drugs given as preanasthetics?
1. Normal healthy patient... 2. Patient with mild systemic disea…
drugs that are used for preanesthetics, induction or maintena…
pain relief- provide before, during, and after surgery. human…
- to tranquilize/sedate... - to decrease the dose of maintenance…
anesthesia risk categories
1. Normal healthy patient... 2. Patient with mild systemic disea…
anesthetic agents
drugs that are used for preanesthetics, induction or maintena…
13 terms
Anesthesia
The term anesthesia refers to a loss o…
Local and Reginonal Anesthesics
Generic Name
procaine
...
...
Trade Name
Novocain
The term anesthesia refers to a loss o…
...
Local and Reginonal Anesthesics
...
8 terms
Anesthesia
V2 Maxillary Branches
V3 Mandibular Branches
Facial nerve
Infiltration
Zygomatic (won't be anesthetizing); PSA; Infraorbital (MSA, A…
-Sensory: auriculotemporal (area around the ear and you might…
motor of muscles of facial expression; motor to submandibular…
solution placed in an area and it diffuses, used to anestheti…
V2 Maxillary Branches
Zygomatic (won't be anesthetizing); PSA; Infraorbital (MSA, A…
V3 Mandibular Branches
-Sensory: auriculotemporal (area around the ear and you might…
99 terms
Anesthesia
Enflurane
Felypressin
Covaine
Bupivacaine ... Cocaine... Ropivacaine
...
New vasopressor... Preferred in coronary artery disease patients…
Erythro xylon cocoa... Used for eye sx earlier... Vasoconstrictor l…
Vasoconstrictors
Enflurane
...
Felypressin
New vasopressor... Preferred in coronary artery disease patients…
91 terms
Anesthesia
Definition
Traditional Goals
Regional Anesthesia (Blocks)
General Anesthesia
Process of blocking the perception of pain and other sensations
Analgesia - absence of pain... Anesthesia - absence of sensation…
Anesthetizing a larger section of the body via the placement…
*Rendering patient unconscious and insensitive to pain; volun…
Definition
Process of blocking the perception of pain and other sensations
Traditional Goals
Analgesia - absence of pain... Anesthesia - absence of sensation…
18 terms
Anesthesia
Opioids
Fentany
Morphine
Remifentanil
...
...
...
...
Opioids
...
Fentany
...
393 terms
Anesthesia
Def: Anesthesia
Def: Local anesthesia
Def: Epidural anesthesia
Def: Spinal anesthesia
Loss of sensation/pain (?perception)
Anesthesia of a small confined area of the body (e.g., lidoca…
Anesthetic drugs/narcotics infused into epidural space
Anesthetic agents injected into the thecal sac
Def: Anesthesia
Loss of sensation/pain (?perception)
Def: Local anesthesia
Anesthesia of a small confined area of the body (e.g., lidoca…
Anesthesia
General Anesthesia
General types
IV types
Local (SC and topical)
Four stages with increasing influence on reflexes, muscle ton…
...
...
...
General Anesthesia
Four stages with increasing influence on reflexes, muscle ton…
General types
...
Anesthesia
Anesthetic
General Anesthetic
Local
Regional
A drug that causes loss of sensation
Anesthetic that causes complete loss of consciousness
Anesthetic that does not affect consciousness
Anesthetic that is injected into a nerve causing loss of sens…
Anesthetic
A drug that causes loss of sensation
General Anesthetic
Anesthetic that causes complete loss of consciousness
Anesthesia
Regional anesthesia
local anesthesia
general anesthesia
CVAD
anesthesia agents injected into or near the spinal fluid and…
applying a topical agent on the body's surface or injecting a…
administration of anesthetic agents that are inhaled or admin…
central venous access device
Regional anesthesia
anesthesia agents injected into or near the spinal fluid and…
local anesthesia
applying a topical agent on the body's surface or injecting a…
72 terms
anesthesia
drugs are assigned to a specific sched…
schedule 1 drugs
schedule II drugs
schedule III
1. their habituation/addiction potential... 2. their abuse poten…
no acceptable med use... LSD... marijuana... methaqualone
acceptable med use - can cause addiction easily ... percocet... oxy…
lesser addiction potential - more difficult to abuse ... tylenol…
drugs are assigned to a specific sched…
1. their habituation/addiction potential... 2. their abuse poten…
schedule 1 drugs
no acceptable med use... LSD... marijuana... methaqualone
26 terms
Anesthesia
Analgesics
Examples of Analgesics
NSAIDs
Anesthetic
Any drug that helps alleviate or block pain without loss of c…
NSAIDs - orally or parentally... Narcotics... Topical
non-steroidal anti-inflammatory drugs
-Eliminates pain; may render patient unconscious... -Pharmacolog…
Analgesics
Any drug that helps alleviate or block pain without loss of c…
Examples of Analgesics
NSAIDs - orally or parentally... Narcotics... Topical
anesthesia
Goals of anesthesia
Four steps of anesthesia
Cerebrum
Thalamus
Unconsciousness, loss of pain, muscle relaxation, no motor re…
Pre-anesthetic period, induction, Maintenance, Recovery
Conscious thought
Sensory relay/filter
Goals of anesthesia
Unconsciousness, loss of pain, muscle relaxation, no motor re…
Four steps of anesthesia
Pre-anesthetic period, induction, Maintenance, Recovery
69 terms
Anesthesia
Class 1 ASA risk
Class II ASA risk
Class III ASA risk
Class IV ASA risk
Healthy,no underlying DZ... OVH,Castration,declaw,sedation-hip x…
Slight/mod systemic disturbance... Able to compensate, no clinic…
Moderate risk-systemic dz,clinical signs... Anemia/anorexia,dehy…
High risk-pre-existing systemic dz,severe disturbance... Shock,u…
Class 1 ASA risk
Healthy,no underlying DZ... OVH,Castration,declaw,sedation-hip x…
Class II ASA risk
Slight/mod systemic disturbance... Able to compensate, no clinic…
Anesthesia
Anesthetics
Antihistamine
Anticholinergics
Benzodiazepine
Bupivacain (Marcaine)... Lidocaine (Xylocaine)... Procaine (Novacain)
Promethazine (Phenergan)
Atropine
Lorazpam (Ativan)
Anesthetics
Bupivacain (Marcaine)... Lidocaine (Xylocaine)... Procaine (Novacain)
Antihistamine
Promethazine (Phenergan)
15 terms
Anesthesia
Enflurane
Isoflurane
Desflurane
Sevoflurane
Ethrane
Forane
Suprane
Ultane
Enflurane
Ethrane
Isoflurane
Forane
anesthesia
supraperiosteal injection (local infil…
MSA... middle superior alveolar block
ASA block... anterior superior alveolar
PSA block... posterior superior alveolar
needle (gauge/length)- 27 gauge short... nerves-terminal branche…
needle (gauge/length)- 27 gauge short... nerves- msa ... teeth- max…
needle (gauge/length)- 27 gauge short ... nerves- ASA... teeth- max…
needle (gauge/length)- 25 gauge short /27 short ok... nerves- PS…
supraperiosteal injection (local infil…
needle (gauge/length)- 27 gauge short... nerves-terminal branche…
MSA... middle superior alveolar block
needle (gauge/length)- 27 gauge short... nerves- msa ... teeth- max…
38 terms
Anesthesia
Factors affecting anesthesia choice:
P1
P2
P3
Patient/Surgeon preference... Surgical Procedure... ASA physical st…
Normal Healthy patient
Pt with mild systemic disease
Pt with severe systemic disease
Factors affecting anesthesia choice:
Patient/Surgeon preference... Surgical Procedure... ASA physical st…
P1
Normal Healthy patient
37 terms
Anesthesia
IV general Anesthesia
IV Gen GABA
Barbiturates
Propofol
Induction of anesthesia in adults... m/c propofol --> thiopental
Barbiturates (thiopental, thiamylal, methonhexital)... Propofol…
Rapid onset and short duration (10-30 s lasts 5-8 min)... Thiope…
IV Gen "Milk of Magnesia"... Faster recovery than barbiturates…
IV general Anesthesia
Induction of anesthesia in adults... m/c propofol --> thiopental
IV Gen GABA
Barbiturates (thiopental, thiamylal, methonhexital)... Propofol…
298 terms
anesthesia
normal axis
left axis deviation
right axis deviation
under damped arterial pressure
if QRS positive deflection in lead 1 and 2 or avF
if QRS positive deflection in lead 1 and negative in lead 2 o…
if QRS negative deflection in lead 1 and positive in lead 2 o…
resonance occurs causing the signal to oscillate and overshoo…
normal axis
if QRS positive deflection in lead 1 and 2 or avF
left axis deviation
if QRS positive deflection in lead 1 and negative in lead 2 o…
Anesthesia
Aims of GA
Spectrum from Consciousness to Unconsc…
4 Stages of GA
4 planes of Surgical Anesthesia
Prevent pain, movement, reflexes... Induce amnesia and loss of i…
MINIMAL SEDATION (anxiolysis) - responds to verbal commands,…
1) ANALGESIA... * Altered consciousness, drowsy, disoriented... 2)…
Plane 1 - light anesthesia... Plane 2 - loss of blink reflex... Pla…
Aims of GA
Prevent pain, movement, reflexes... Induce amnesia and loss of i…
Spectrum from Consciousness to Unconsc…
MINIMAL SEDATION (anxiolysis) - responds to verbal commands,…
Anesthesia
Novocain
Xylocaine
Marcaine
Sensorcaine
procaine
lidocaine
bupivacaine
bupivacaine
Novocain
procaine
Xylocaine
lidocaine
anesthesia
analgesics
NSAIDS
anesthesia
reversible state of:
any drug that helps alleviate or block pain without loss of c…
non-steroidal anti-inflamitory drug
eliminates pain; may render patient unconscious ... induced phar…
amnesia... analgesia ... loss of consciousness ... loss of skeletal mu…
analgesics
any drug that helps alleviate or block pain without loss of c…
NSAIDS
non-steroidal anti-inflamitory drug
Anesthesia
Analgesics
Non-steroidal anti-inflammatory drug
Rimadyl/Deramaxx
lidocaine cream
Any drug that helps alleviate or block pain without loss of c…
NSAID
examples of NSAID
topical analgesic
Analgesics
Any drug that helps alleviate or block pain without loss of c…
Non-steroidal anti-inflammatory drug
NSAID
6 terms
Anesthesia
1 mg IV... pre-op sedation
5mg Disp 14... 1 PO Qhs
10 mg Disp 40... 1 PO TID
Muscles spasm/ after major tendon injury
versed (Midazolam)
write a prescription for patient with insomnia... ie .Ambient
Flexeril (Cyclobenzaprine)
Indication for Flexeril use?
1 mg IV... pre-op sedation
versed (Midazolam)
5mg Disp 14... 1 PO Qhs
write a prescription for patient with insomnia... ie .Ambient
Anesthesia
analgesia
anticholinergics
barbiturates
benzodiazepines
Relief of pain
Drugs that block stimulation of the parasympathetic nervous s…
Drugs derived from barbituric acid that vary in their sedativ…
A class of drugs that cause sedation and skeletal muscle rela…
analgesia
Relief of pain
anticholinergics
Drugs that block stimulation of the parasympathetic nervous s…
Anesthesia
Anesthesiologist
Anesthetist
Anesthetic
Anesthesia (general)
Medical physician who is a specialist in the field of anesthe…
A certified registered nurse anesthetist (crna) or physician…
An agent that produces loss of feeling (numbness) and elimina…
The absence essentially of all sensation
Anesthesiologist
Medical physician who is a specialist in the field of anesthe…
Anesthetist
A certified registered nurse anesthetist (crna) or physician…
27 terms
Anesthesia
Amnesia, analgesia, unconsciousness, m…
1
2
3
5 components of anesthesia
ASA ___: normal healthy patient
ASA ___: mild systemic disease with no functional limitation…
ASA ___: severe systemic disease with functional limitations…
Amnesia, analgesia, unconsciousness, m…
5 components of anesthesia
1
ASA ___: normal healthy patient
Anesthesia
Defined as a loss of feeling or sensat…
What can anesthesia be broken down into?
______ ______ is the process of bringi…
A state without pain
Anesthesia
Local-a specific part... General-whole body
Anesthetic induction
Analgesia
Defined as a loss of feeling or sensat…
Anesthesia
What can anesthesia be broken down into?
Local-a specific part... General-whole body
12 terms
Anesthesia
Inhailed anesthetics
Halothane, methoxyflurane
Low therapeutic index
Thiopental
Avoid the use of what general anestesia drug in pts with CHF
Malignant hyperthermia can be caused by which inhaled anesthe…
Is inhaled anesthetics low or high therapeutic index
Hangover effect... Onset 10-30 seconds... Recovery 5-10 mins
Inhailed anesthetics
Avoid the use of what general anestesia drug in pts with CHF
Halothane, methoxyflurane
Malignant hyperthermia can be caused by which inhaled anesthe…
15 terms
Anesthesia
succinylcholine
neostigmine
robinul
vecuronium bromide
paralytic... long mechanism of action- not typically used in the…
reverse effects of muscle relaxants ... acetylcholinesterase inh…
anticholinergic ... block unwanted affects that occur with neost…
muscle relaxant... Class: Nondepolarizing neuromuscular blocker
succinylcholine
paralytic... long mechanism of action- not typically used in the…
neostigmine
reverse effects of muscle relaxants ... acetylcholinesterase inh…
11 terms
anesthesia
NITROUS
HALOTHANE
ISOFLURANE
SEVOFLURANE
105%, 0.47
0.74, 2.54
1.15, 1.4
2, 0.6
NITROUS
105%, 0.47
HALOTHANE
0.74, 2.54
20 terms
Anesthesia
two types of metabolic oxygen
define anesthesia
what is the most commonly used analges…
neuroleptanalgesia
iso & sevo
a loss of sensation in a body part or whole body
Opoids - i.e: buprenex, fetanyl, morphine
combo of sedative/tranq and opoid
two types of metabolic oxygen
iso & sevo
define anesthesia
a loss of sensation in a body part or whole body
26 terms
Anesthesia
ASA position
ASA area anesthetized
ASA insertion site
ASA deposition point
10 o'clock
Central incisor to canine (or up to MB cusp of 1st molar if n…
Height of mucobuccal fold, medial to canine eminence
Above apical area of canine at height of canine fossa
ASA position
10 o'clock
ASA area anesthetized
Central incisor to canine (or up to MB cusp of 1st molar if n…
Anesthesia
General anesthesia
Principals of anesthesia
Classifications
Local anesthetics
A global but reversible depression of CNS function resulting…
Minimize adverse effects ... Maintain homeostasis... Maximize posto…
Local: lidocaine, bupiviciane, ropivavaine, cocaine, benzocai…
Contain hydrophilic and lipophilic moieties ... Lipophilicity in…
General anesthesia
A global but reversible depression of CNS function resulting…
Principals of anesthesia
Minimize adverse effects ... Maintain homeostasis... Maximize posto…
29 terms
Anesthesia
margin of safety (MOS)
anesthesia
minimum alveolar concentration (MAC)
direct physician's control
increased markedly
produced using only inhaled or intravenus drugs
prevent responding
solubility of agent... concentration of agent inspired by air
margin of safety (MOS)
increased markedly
anesthesia
produced using only inhaled or intravenus drugs
125 terms
Anesthesia
Anesthesia goals
Anesthesia Fundamentals
Tranquilization
Sedation
- Pain relief... - Optimum sxl condition... - Pt safety/survival... Ge…
1. Evaluate Hx, physical status, lab data... 2. Optimize pt cond…
Behavior change, relief of anxiety; relaxed but aware of surr…
Central depression, drowsiness; Pt unaware of surroundings bu…
Anesthesia goals
- Pain relief... - Optimum sxl condition... - Pt safety/survival... Ge…
Anesthesia Fundamentals
1. Evaluate Hx, physical status, lab data... 2. Optimize pt cond…
31 terms
Anesthesia
Anesthetics
Types of anesthesia
General anesthesia
Local anesthesia
Drugs that produce unconsciousness and insensitivity to painf…
General anesthesia... Local anesthesia... Neuromuscular blocking ag…
Produce unconsciousness and lack of responsiveness to ALL pai…
Do not reduce consciousness... Blunt sensation in limited area…
Anesthetics
Drugs that produce unconsciousness and insensitivity to painf…
Types of anesthesia
General anesthesia... Local anesthesia... Neuromuscular blocking ag…
54 terms
Anesthesia
Three purposes of general anesthesia
4 Agents of general anesthesia
4 objectives of inhalation agents
Commonly used inhalation agents
1. To make patient unconscious... 2. To provide analgesia... 3. Kee…
1. Unconsciousness: hypnosis... 2. Amnesia: loss of memory... 3. An…
1. Hypnosis... 2. Amnesia... 3. Analgesia... 4. Helps control blood pr…
Isoflurane, Sevoflurane, Desflurane, Nitrous Oxide
Three purposes of general anesthesia
1. To make patient unconscious... 2. To provide analgesia... 3. Kee…
4 Agents of general anesthesia
1. Unconsciousness: hypnosis... 2. Amnesia: loss of memory... 3. An…
Anesthesia
Set Up
Parts of the syringe
Harpoon
Syringe Barrel
Topical... Gauze... Q-tip... Hemostat... Cotton Plier... Syringe... Carps... Needl…
-Needle adapter... -Harpoon... -Thumb ring... -Syringe Barrel... -Threade…
Goes into the rubber stopper
Breech loading (from the side)... Has large and small window... Lar…
Set Up
Topical... Gauze... Q-tip... Hemostat... Cotton Plier... Syringe... Carps... Needl…
Parts of the syringe
-Needle adapter... -Harpoon... -Thumb ring... -Syringe Barrel... -Threade…
anesthesia
benzodiazepine
GABA-R
Midazolam
diazepam
midazolam... sz, antianxiety, and for amnestic effects *prior t…
ligand gated chloride channel
short acting benzo (tom- triazolam, oxazepam, midazolam)... GAB…
Valium... Benzodiazepine prototype: binds to BDZ receptors of th…
benzodiazepine
midazolam... sz, antianxiety, and for amnestic effects *prior t…
GABA-R
ligand gated chloride channel
Anesthesia:
Anesthesia
Induction Agent
General Anesthesia
Regional Anesthesia:
Loss of painful sensation with or without loss of consciousne…
...
Medically-induced coma and loss of protective reflexes from t…
Anesthesia affecting a large part of the body. ... Spinal/Epidur…
Anesthesia
Loss of painful sensation with or without loss of consciousne…
Induction Agent
...
17 terms
Anesthesia
Analgesic
Anesthetic
Hypnotic
Sedative
Relieves pain
Blocks pain
Induce sleep
Reduces irritability or excitement
Analgesic
Relieves pain
Anesthetic
Blocks pain
21 terms
Anesthesia
CLASS: Adrenergics
CLASS: Analgesics (narcotic analgesics)
CLASS: Analgesic (NSAID)
CLASS: Antianxiety/ Sedative/ Tranquil…
A. epinephrine (Adrenalin Chloride)... Action: Vasoconstriction…
A. fentanyl- Sublimaze ... Surgical Use: Adjunct to general or…
A. tromethamine- Toradol ... Surgical Use: Post-Op pain mgt.
A. Midazolam Hcl- Versed ... B. Diazepam- Valium ... C. Lorazepam-…
CLASS: Adrenergics
A. epinephrine (Adrenalin Chloride)... Action: Vasoconstriction…
CLASS: Analgesics (narcotic analgesics)
A. fentanyl- Sublimaze ... Surgical Use: Adjunct to general or…
13 terms
Anesthesia
MAC
MAC deals with
High MAC:
Low MAC:
Minimal Aveolar Concentration
inhalants, specific potency
low potency
high potency
MAC
Minimal Aveolar Concentration
MAC deals with
inhalants, specific potency
25 terms
Anesthesia
HR/RR
muscle stiffness and movement
pupil position
MM color
lower means deeper
if there is muscle stiffness, it is indicative of anesthetic…
if light or deep, pupils are central; if dying they are dilated
gums should be pale pink; CRT increased may be sign of anesth…
HR/RR
lower means deeper
muscle stiffness and movement
if there is muscle stiffness, it is indicative of anesthetic…
24 terms
Anesthesia
General Anesthesia
Regional Anesthesia
Monitored Anesthesia
One-lung Ventilation (OLV)
Drug-induced loss of consciosness
Loss of sensation in a region of the body, using technique su…
Patient is under light sedation or no sedation while undering…
One lung is ventilated and the other lung is collapsed tempor…
General Anesthesia
Drug-induced loss of consciosness
Regional Anesthesia
Loss of sensation in a region of the body, using technique su…
56 terms
Anesthesia
general anesthesia
regional anesthesia
spinal anesthesia
epidural anesthesia
a drug induced loss of consciousness
a loss of sensation in a region of the body
an anesthetic agent is injected in the subarachnoid space int…
an anesthetic agent is injected in the epidural space, a smal…
general anesthesia
a drug induced loss of consciousness
regional anesthesia
a loss of sensation in a region of the body
Anesthesia
pre meds
induction agent
reverse agent
emergency drugs
sedatives/transquilizers to take the edge off and pain contro…
Propofol
Naloxone
Epinephrine... Vasopressin... Atropine
pre meds
sedatives/transquilizers to take the edge off and pain contro…
induction agent
Propofol
41 terms
Anesthesia
Diazepam (Valium)
Midazolam (versed)
Hydroxyzine hydrochloride (vistaril)
Promethazine hydrochloride (phenergan)
Antianxiety
Antianxiety
Antianxiety
Antianxiety
Diazepam (Valium)
Antianxiety
Midazolam (versed)
Antianxiety
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