How can we help?

You can also find more resources in our Help Center.

Study sets matching "anesthesia"

Study sets
Classes
Users

Study sets matching "anesthesia"

8 terms
Anesthesia
Cocaine
Procaine
Lidocaine
Articaine
Ester... Short onset... Short duration... Moderate potency
Ester... Short onset... Short duration... Low potency
Amide... Short onset... Moderate duration... Moderate potency... Highly v…
Amide... Short onset... Moderate duration... Moderate potency
Cocaine
Ester... Short onset... Short duration... Moderate potency
Procaine
Ester... Short onset... Short duration... Low potency
113 terms
Anesthesia
Morphine
Hydromorph
Fentanyl
Butorphanol
Duramorph
Dilaudid
Sublimaze
Torbugesic
Morphine
Duramorph
Hydromorph
Dilaudid
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…
157 terms
Anesthesia
Anesthesia
Types of Anesthesia
Induction Period
Maintenance Period
The total loss of sensation in a body part (local) or in the…
Local Anesthesia... Regional Anesthesia... General Anesthesia ... Surg…
Taking the patient to unconsciousness... Allows for Endotracheal…
Maintenance agents administered... Stable level of anesthesia is…
Anesthesia
The total loss of sensation in a body part (local) or in the…
Types of Anesthesia
Local Anesthesia... Regional Anesthesia... General Anesthesia ... Surg…
18 terms
Anesthesia
Opioids
Fentany
Morphine
Remifentanil
...
...
...
...
Opioids
...
Fentany
...
12 terms
Anesthesia
Xylocaine
Septocaine
Marcaine
Mepivacaine
2% Lidocaine w/Epi 1:100,000... 20mg/mL Lidocaine = 2%... .01 mg/…
4% Articaine w/Epi 1:100,000 (Or 1:200,000)... 40mg/mL of Artic…
.5% Bupivacaine w/Epi 1:200,000 (.02mg/mL)... 5mg/mL of Bupivac…
3% Mepavacaine... 30mg/mLl Mepavacaine... NO Epinephrine... 1 Carpule…
Xylocaine
2% Lidocaine w/Epi 1:100,000... 20mg/mL Lidocaine = 2%... .01 mg/…
Septocaine
4% Articaine w/Epi 1:100,000 (Or 1:200,000)... 40mg/mL of Artic…
11 terms
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
...
6 terms
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
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…
29 terms
Anesthesia
Reversal agent
Lipid solubility
Anticholinergic
Adjunct
antagonist drug given to lessen or abolish the effects of ano…
tendency of a drug to dissolve in lipids
drug that blocks parasympathetic receptors on target organs
drug used around the time of anesthesia to produce other effe…
Reversal agent
antagonist drug given to lessen or abolish the effects of ano…
Lipid solubility
tendency of a drug to dissolve in lipids
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
13 terms
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
255 terms
anesthesia
inhalational anesthetics
measured in
MAC value
common factors causing inc MAC
sevoflurane, desflurane, isoflurane and nitrous oxide... act on…
concentration, ratio of total anesthetic gas/total gas volume…
mean alveolar concentration in oxygen at 1atm of P that preve…
hyperthermia, drug abuse (like alcohol), hyperthyroidism
inhalational anesthetics
sevoflurane, desflurane, isoflurane and nitrous oxide... act on…
measured in
concentration, ratio of total anesthetic gas/total gas volume…
59 terms
Anesthesia
Blood:gas coeffucient
MAC
What conc of Mac given ? Is it additive?
Potency
Solubility in blood ... Insoluble means rapid effects, small nu…
Minimal alveolar concentration , potency, alveolar concentrat…
Yes additive, give 1.3 Mac
Depends on lipid solubility
Blood:gas coeffucient
Solubility in blood ... Insoluble means rapid effects, small nu…
MAC
Minimal alveolar concentration , potency, alveolar concentrat…
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…
20 terms
Anesthesia
Lidocaine
Mepivacaine
Articaine
Bupivacaine
-carrier= alpha 1 acid glycoprotein (kids lack)... -xylidides= m…
-lower pKa... -short/ intermediate action... -Class C... -does NOT hav…
-septocaine... -higher lipid solubilty... -class C... -NERVE DAMAGE in…
-LONG duration of action... -sensory + motor block... -CARDIAC COMP…
Lidocaine
-carrier= alpha 1 acid glycoprotein (kids lack)... -xylidides= m…
Mepivacaine
-lower pKa... -short/ intermediate action... -Class C... -does NOT hav…
51 terms
Anesthesia
Anticholinergics (parasympatholytics)
Tranquilizers - Minor
Flumazenil
Tranquilizers - Major
Atropine... Glycopyrrolate
Benzodiazepine - diazepam, midazolam, zolazepam
benzodiazepine antagonist
Phenothiazines - Acetylpromazine... Butyrophenones - Droperidol,…
Anticholinergics (parasympatholytics)
Atropine... Glycopyrrolate
Tranquilizers - Minor
Benzodiazepine - diazepam, midazolam, zolazepam
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…
46 terms
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
I - Minimal Risk... (ASA scale)
II - Slight Risk... (ASA scale)
III - Moderate Risk... (ASA scale)
IV - High Risk... (ASA scale)
Normal, healthy patient... (OHE, castration)
Mild systemic disturbances... (Ruptured cruciate ligament, neona…
Moderate systemic disturbances or disease with mild clinical…
Severe systemic disturbances that are life threatening... (Shock…
I - Minimal Risk... (ASA scale)
Normal, healthy patient... (OHE, castration)
II - Slight Risk... (ASA scale)
Mild systemic disturbances... (Ruptured cruciate ligament, neona…
67 terms
anesthesia
lidocaine onset
prilocaine onset
mepivacaine onset
bupivacaine onset
2-3
2-4
1.5-2
6-10
lidocaine onset
2-3
prilocaine onset
2-4
14 terms
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
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…
55 terms
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
23 terms
Anesthesia
Main purpose
General anesthesia via inhalation (hal…
Nitrous oxide... Side effects:... Hypotensio…
IV thiopental sodium (Pentothal) use f…
Block nerve impulses... Decreases reflexes... Increases Muscle rela…
Nursing considerations:... Maintain airway... Protect&orient client…
Nursing considerations:... Monitor Vs... Adequate oxygenation is es…
Nursing considerations:... Monitor VS especially airway and brea…
Main purpose
Block nerve impulses... Decreases reflexes... Increases Muscle rela…
General anesthesia via inhalation (hal…
Nursing considerations:... Maintain airway... Protect&orient client…
18 terms
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
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…
181 terms
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
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…
295 terms
Anesthesia
Analgesia
Tranquilization
Sedation
Narcosis
freedom from or absence of pain
behavioral change wherein anxiety is relieved and the patient…
state characterized by central depression accompanied by drow…
drug induced state of deep sleep from which the patient canno…
Analgesia
freedom from or absence of pain
Tranquilization
behavioral change wherein anxiety is relieved and the patient…
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…
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
20 terms
Anesthesia
Anesthesia
Analgesia
Hypnosis
Narcosis
A total loss of sensation in a body part or in the whole body…
Freedom from or absence of pain or pain perception.
Artificially induced sleep to trance resembling sleep from wh…
Drug-induced sleep that they are not easily aroused from.
Anesthesia
A total loss of sensation in a body part or in the whole body…
Analgesia
Freedom from or absence of pain or pain perception.
9 terms
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…
16 terms
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
27 terms
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…
11 terms
Anesthesia
General
General
Regional
Regional
Every system affected
Entire Pt is asleep
Cessatian section delivery
A part of the body is blocked
General
Every system affected
General
Entire Pt is asleep
19 terms
Anesthesia
Anesthesia
Anesthetics
Three main types of anesthesia:
Local anesthesia
refers to a loss of pain and sensation through the use of drugs
are the drugs that are used to prevent you from feeling.
1.Local anesthesia... 2.Regional anesthesia... 3.General anesthesia
numbs only one specific area of the body... it is used when onl…
Anesthesia
refers to a loss of pain and sensation through the use of drugs
Anesthetics
are the drugs that are used to prevent you from feeling.
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…
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…
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…
41 terms
Anesthesia
Diazepam (Valium)
Midazolam (versed)
Hydroxyzine hydrochloride (vistaril)
Promethazine hydrochloride (phenergan)
Antianxiety
Antianxiety
Antianxiety
Antianxiety
Diazepam (Valium)
Antianxiety
Midazolam (versed)
Antianxiety
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
Benzos are not reliable sedatives by t…
Opioid agonist/antagonist
Opioid agonist
Acepromazine
an animal with a normal brain
used for mild to moderate sedation/analgesia... reversible
Most common portion of the pre-med protocols... mild to moderate…
used when more reliable anxiolysis is needed than is provided…
Benzos are not reliable sedatives by t…
an animal with a normal brain
Opioid agonist/antagonist
used for mild to moderate sedation/analgesia... reversible
Anesthesia
Anesthesia
Local Anesthesia
Ester anesthetics
Amide anessthetics
suppress: ... 1) afferent sensory reflexes... 2) CNS pain processing
- reversible blockade of conduction... - weak bases... - inactivate…
- less commonly used... - allergic response
- longer acting... - safer
Anesthesia
suppress: ... 1) afferent sensory reflexes... 2) CNS pain processing
Local Anesthesia
- reversible blockade of conduction... - weak bases... - inactivate…
30 terms
Anesthesia
Goals of Anesthesia
Classes of Anesthesia- General
Classes of Anesthesia- Sedation (MAC)
Classes of Anesthesia- Regional
Anesthetic Triad: Anesthesia, Analgesia, Muscle Relaxation ... U…
General-suppresses central nervous system... -patient is complet…
-inhibits transmission of nerve impulses from high and low ce…
Regional... -blocks transmission of nerve impulses between areas…
Goals of Anesthesia
Anesthetic Triad: Anesthesia, Analgesia, Muscle Relaxation ... U…
Classes of Anesthesia- General
General-suppresses central nervous system... -patient is complet…
Anesthesia
General Anesthesia
Classification for Surgical procedures…
Classification for Surgical procedures…
Regional Anesthesia
Used for major procedures... -involves intubation... - does not rec…
Extensive reconstruction, alteration of body parts... EX: colon…
minimal alteration in body parts... Ex: cataract extraction, too…
spinal, epidural or peripheral nerve block... -no loss of consci…
General Anesthesia
Used for major procedures... -involves intubation... - does not rec…
Classification for Surgical procedures…
Extensive reconstruction, alteration of body parts... EX: colon…
4 of 10