| Term 
 | Definition 
 
        | Applied to skin or mucous membranes to desensitize skin prior to applying deeper local anesthetic (surface numbing) |  | 
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        | Term 
 | Definition 
 
        | Injecting anesthetics deeper into the tissues |  | 
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        | Term 
 | Definition 
 
        | Injecting local anesthetic into nerves to block conduction of pain. |  | 
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        | Term 
 | Definition 
 
        | causes vasoconstriction to keep anesthetic in area longer |  | 
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        | Term 
 | Definition 
 
        | decreases the burn when used with lidocaine - neutralizes acidic environment of infection
 - anesthesia works better because of change in pH
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | class of local anesthesia that is used as as topical or injectable (benzocaine, procaine, cocaine) |  | 
        |  | 
        
        | Term 
 
        | bezocaine, procaine, cocaine |  | Definition 
 
        | three types of ester local anesthetics |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Replaced esters as they have less side effects and longer duration of action (Lidocaine, prilocaine, ropivacaine)
 |  | 
        |  | 
        
        | Term 
 
        | Lidocaine, prilocaine, ropivacaine |  | Definition 
 
        | three examples of amide local anesthetics |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | to ↓ apprehension, ↓ post operative pain, lessening induction/anesthetic doses with smoother recovery period |  | 
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        | Term 
 | Definition 
 
        | opiod/barbituate used for preop sedation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opoid/barbituate given pre and post op for pain relief |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | drugs given to decrease N/V and relax skeletal muscles (Droperidal - Inapsine) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | two examples of dopamine blockers |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | drugs given to decrease post-op N/V (Phenergan or Promethazine) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | drugs given to relax skeletal muscles (Anectine – succinylcholine ) |  | 
        |  | 
        
        | Term 
 
        | Anectine – succinylcholine |  | Definition 
 
        | two examples of neuromuscular blockers |  | 
        |  | 
        
        | Term 
 
        | hydroxyzine(Vistaril) lorazepam(Ativan) |  | Definition 
 
        | two preop drugs that make patient feel relaxed and then become sedated |  | 
        |  | 
        
        | Term 
 
        | drowsiness, dry mouth, dizziness, ataxia |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | retrograde amnesia, unsteadiness, drowsiness, abdominal discomfort |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | method of administration for Visteral |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Stops almost all activity in the brain Causes total analgesia
 Causes LOC, amnesia, and paralyzation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | general anesthesia route used for shorter, quicker procedures When combined with inhalation requires lower doses of inhaled meds witch decrease side effects
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | general anesthesia route used for longer, in-depth procedures |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | general anesthesia route used for hemorrhoids |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | route for Barbiturates: Pentothal, Etomidate, propofol
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | route for Benzodiazepines: Valium, Ativan, Versed
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | route for Opioids: Fentanyl, sufentanil citrate, alfentanil hydrochloride
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | route for Desflurane, enflurane, halothane, isoflurane, nitrous oxide |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | needed to carry pain message in nervous system at spinal cord to brain |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | are small, protein molecules that are natural painkiller produced by cells in your nervous system and other parts of your body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | natural painkiller an endogenous opioid derived from the prohormone prodynorphin. It is a neuroactive peptide with potent analgesic effects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | natural painkiller that is a pentapeptide involved in regulating nociception in the body - internally derived and bind to the body's opioid receptors
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pain meds from poppy plant (synthetic, natural) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Morphine like drug, produces analgesia & CNS depression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Prevent effects of opioids/reverses them |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | act on peripheral level to decrease pain |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | act on CNS to decrease pain |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | with opiod use, if respirations drop below ___ notify MD - may need Narcan |  | 
        |  | 
        
        | Term 
 
        | COX-2 inhibitors Ibuprofen & ibuprofen-like (nonsalicylates)
 Salicylates
 Centrally acting agents
 |  | Definition 
 
        | 4 sub-categories of NSAIDS |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | analgesic that should be given with food, milk, or antacids to decrease harmful GI affects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | do not use _____ when on NSAIDS |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhibits prostaglandin synthesis, has greater anti-inflammatory effects, prolongs bleeding time |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Derived from acetyl salicylic acid Useful in pain management due to analgesic,
 antipyretic, and anti-inflammatory effects
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | should not be used w/ Hepatic or renal disease, pregnancy and lactation, pre-existing hypo- prothrombinemia, vitamin K deficiency, peptic ulcer, GI irritations, mild diabetes, gout |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | migraine medication that is prescribed when tryptans are not effective |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a dangerous side effect of glucocorticosteroids is that they can elevate ______ ________ |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | which generation of anti-histimines causes the side-effect of sedation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Acetaminophen AKA: Non-salicylates is also known as |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | used to treat acute tylenol overdose to prevent liver damage |  | 
        |  | 
        
        | Term 
 
        | Respiratory alkalosis, hemorrhage, confusion, asterixis (flapping tremor), pulm. edema, convulsions, tetany, shock, coma, fever, renal and resp. failure |  | Definition 
 
        | signs of very high ASA levels |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | two types of drugs used to stop a migraine in progress |  | 
        |  | 
        
        | Term 
 
        | Beta blockers Calcium channel blocker
 Antidepressant
 antiseizure
 |  | Definition 
 
        | 4 types of drugs to prevent migraines from occuring |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | seratonin stimulator used to stop a migraine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | three triptan antimigraine medications |  | 
        |  | 
        
        | Term 
 
        | Physical dependency Tachycardia/palpitations
 MI
 Hypotension
 Stimulates serotonin
 Use cautiously in those with cardiac disease, hypertension, diabetes
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Migergot, Migranal, or Methergine |  | Definition 
 
        | three examples of ergotamines (ergot alkalies) |  | 
        |  | 
        
        | Term 
 
        | Physical dependency Tachycardia/palpitations
 MI
 Hypotension
 Stimulates serotonin
 Use cautiously in those with cardiac disease, hypertension, diabetes
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | N/V Weakness in legs, muscles
 Pain/tingling/numbness in fingers & toes
 Angina-like pain
 Tachycardia
 |  | Definition 
 
        | side effects of Ergotamines |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sub q sumatriptan (imitrex) ends H/A in ____________ |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | antimigraine medications may be repeated after ____, but no more than ___ times per day |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ergot antimigraines are pregnancy category __ |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a rare but serious condition that causes swelling in the liver and brain |  | 
        |  | 
        
        | Term 
 
        | as confusion, seizures and loss of consciousness |  | Definition 
 | 
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