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Exam 3
Lecture 6 part 1- local Anesthetics
39
Anthropology
7th Grade
10/23/2013

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Term
inhalational anesthetics-4
Definition
nitrous oxide
isoflurane
halothane
enflurane
Term
local anesthetics-4
Definition
procaine
tetracaine
bupivacaine
lidocaine
Term
IV anesthetics-4
Definition
barbs
opioids
BDZs
neuroleptics
Term
local anesthetics MOA
Definition
block Na channels
Term
advantages of local anesthetics-2
Definition
reversible
minimal systemtic
Term
disadvantages of local anesthetics-2
Definition
require compliance
possible systemic effects
Term
c fibers transmit _ pain
Definition
slow burning
Term
the Ad fibers are the thickest/thinest
Definition
thinest
Term
in normal rest state the nerve has potential of
Definition
-70
Term
stimulation of the nerve has depolarized membrane potential of
Definition
+35 (look on slide 6 to see all the states)
Term
the site of action for LAs is-
so what must they do?
this means potency is related to-
Definition
cytoplasmic plasma membrane
cross the membrane!
lipiphillicty
Term
the _ form is most active
the _ form is nessecary for rapid penetration of membrane
Definition
charged
uncharged
Term
the greater the _ fraction for anesthetic, the faster the onset
Definition
non-ionized
Term
what drugs have the more non-ionized form-2
Definition
lidocaine
mepivacaine
Term
which LAs have slow onset-2
Definition
tetracaine
procaine
Term
_ in pH delays onset of action
Definition
decrease (bc gets ionized)
Term
LAs except cocaine do not cause-
they do cause
Definition
local vasoconstriciton
vasodillatory
Term
what is included in LA solution to cause vasoconstriciton to delay absorption and extend DOA
Definition
Epi
Term
esters are metabolized to _
this can cause?
an example
Definition
PABA
more allergic rxn than amides
tetracaine
Term
amide metab in-
Definition
liver
Term
ADEs with LA-4
Definition
CNS stimulation, drowsiness
decrease cardio excitablilty
smooth muscle relaxaiton
Term
2 symtpoms of LA toxicity
Definition
numbness
coma
Term
topical anesthesia used for-2
Definition
dentistry, opthal
Term
infiltration anesthesia is for
Definition
minor surgery
Term
clinical uses of aneshtesi include-3
Definition
field block, spinal, epidural
Term
the lipophillic protion is for-
Definition
binding to channel
Term
the intermediate chains are for-
Definition
stability/toxicity
Term
the hydrophillic portion is for
Definition
for water soluable salts
Term
Procaine is short acting, has a lot of allergies *
Definition
Term
tetracaine:
onset-
used-3
Definition
slow
topically, opthalmis, spinal bc long lasting
Term
which drug is effective wihtout an added vasoconstrictor
Definition
lidocaine
Term
Lidocaine is resistant to
Definition
hydrolysis
Term
Lidocaine
DOA:
onset:
use
Definition
medium
rapid
usefull all around
Term
the amides-3
Definition
lidocaine
bupivacaine
mepivicaine
Term
bupivacaine
onset:
DOA:
useful:
Definition
intermediate
long
labor/post op
Term
mepivacaine
onset
duration-
Definition
rapid
medium
Term
which med doesnt have vasodilation
Definition
mepivacaine
Term
whihc drug is toxic to neonates
Definition
mepivicaine
Term
which drug can cause methemoglobinemia
Definition
prilocaine
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