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Pharm Midterm
local anesthesia
10
Nursing
Undergraduate 3
09/29/2010

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Cards

Term
the great advantage of local anesthesia, compared with inhalation anesthesia, is that ______
Definition
pain can be suppressed without causing generalized depression of the entire nervous system
Term
how do local anesthetics work?
Definition
local anesthetics stop axonal conduction by blocking sodium channels in the axonal membrane, thereby bringing conduction to a halt
Term
the two major groups of local anesthetics are:
Definition
esters, amides
Term
what is the order in which sensation is lost when local anesthesia is used?
Definition
perception of pain is lost first, followed in order by perception of cold, warmth, touch, and deep pressure
Term
effects of local anesthetics are not limited to ____ neurons. They also block ____ neurons
Definition
sensory, motor
Term
local anesthetics are frequently administered in combination with a vasoconstrictor, usually _____. The benefits of the vasoconstrictor include ____ and _____
Definition
epinephrine; prolonged anesthesia, reduced risk of toxicity
Term
If necessary, excessive excitation during the excitation phase of local anesthetic administration can be treated with ____ or ____
Definition
IV benzodiazepine, IV thiopental
Term
______ anesthesia is achieved by injecting a local anesthetic within the epidural space. ____ and ____ are popular drugs used for this type of anesthesia
Definition
epidural, lidocaine, bupivacaine
Term
the most significant adverse effect of spinal anesthesia is _______
Definition
hypotension
Term
how can spinal headaches be relieved?
Definition
by having the patient assume a supine position
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