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CRNA Board Review--Pharmacokinetics
CRNA board review
11
Nursing
Graduate
12/21/2009

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Cards

Term
What is elimination half-time vs elimination half-life?
Definition
Half time describes the amount of time it takes to reduce the serum concentration by half, while half life describes the amount of time it takes to reduce the amount in the entire body
Term
Name 3 drugs eliminated via zero order kinetics
Definition
Phenytoin, alcohol, and ASA
Term
Do infants have a relatively larger or smaller Vd?
Definition
Larger
Term
Do infants require more or less sux/kg than adults? What about NDMBA's?
Definition
Require more sux due to increased Vd and immature neuromuscular junction. NDMBA's are about the same; there is more required due to larger Vd, but the junction is immature so it balances out
Term
What drug undergoes first-order, one compartment kinetics?
Definition
Albumin
Term
What is the formula for determining volume of distribution (Vd)?
Definition
Vd= Q/Cp(t=0) where Q is the injected quantity and Cp(t=0) is the concentration once the initial distribution phase is over
Term
Which drugs are considered weak acids?
Definition
Barbiturates (pentothal) and propofol
Term
When looking at drug names, what ion substrates indicate the compound is a weak acid?
Definition
anything with positively charged ions, such as Na, Mg, or Ca (ex. sodium pentothal)
Term
When looking at compound names, which ionic substrates indicate the drug is a weak base?
Definition
Anion substrates, such as Cl or SO4 (ex morphine sulphate)
Term
What local anesthetic can cause methemoglobinuria?
Definition
Prilocaine
Term
Which form of local (ionized vs. non) for conduction block to occurr?
Definition
Both (Ionized form to bind to the voltage-gated Na channel inside the cell and unionized to get into the cell)
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