Shared Flashcard Set

Details

Local Anesthetics
n/a
22
Medical
Graduate
10/16/2009

Additional Medical Flashcards

 


 

Cards

Term
Esters
Definition
Cocaine, procaine, tetracaine
Term
Amides
Definition
lidocaine, bupivacaine, mepivacaine
Term
Mechanism
Definition
blocks inner portion of Na channels, favors the inactivated state
Term
Most active in
Definition
Rapidly firing neurons
Term
Teriary amines
Definition
Penetrate membrane when uncharged but bind in the charged state within the cell
Term
Infected tissue presents problems...
Definition
Tissue is acidic - alkaline anesthetics can't bind as well - DOSE HIGHER
Term
Order of nerve blockade
Definition
smaller > larger
myelinated > not myelinated
Size > Myelin
Term
Order of loss
Definition
Pain, temperature, touch, pressure (last)
Term
Preservative allergy
Definition
Don't give amides
Term
PABA allergy
Definition
Don't give esters
Term
Cocaine and BP
Definition
Inhibits NE reuptake, causes hypertension (unique in that sense)
Term
Metabolism and excretion of esters
Definition
short half life, rapidly broken down by plasma esterases (pseudocholinesterase)
Term
Amides metabolism and excretion
Definition
Metabolized by N-alkylation and p450; longer half life and higher systemic toxicity
Term
Contraindication for lidocaine
Definition
Patient is on amiodarone
Term
Pregnancy considerations
Definition
Use bupivicaine
Term
Contraindications for epinephrine use
Definition
Do not use in appendages due to lack of collateral blood flow
Term
Short locals (20-45 minutes)
Definition
Procaine, benzocaine
Term
Medium (1-2 hours)
Definition
Lidocaine
Term
Medium-long duration (3-9 hours)
Definition
Tetracaine, bupivacaine
Term
Topical
Definition
Proparacaine, benzocaine
Term
Local
Definition
Procaine, lidocaine
Term
Regional
Definition
Tetracaine, bupivacaine
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