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Pharmacology of Inhaled anesthetics
Pharmacology
21
Medical
Professional
01/16/2012

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Term
what are the 4 stages of anesthesia?
Definition
stage 1 low dose: Analgesia
stage 2 medium dose: Excitement
stage 3 high dose: surgical anesthesia
stage 4 v. high dose: cardio-pulm collapse
Term
these drugs may suppress presynaptic release of glutamate
Definition
Isoflurane, desflurane, and sevoflurane
Term
this drug blocks NMDA receptors
Definition
Nitrous Oxide
Term
In terms of boiling points, rank anesthetics from highest to lowest
Definition
Halothane, Sevoflurane, Isoflurane, Desflurane
Term
In terms of vapor pressure, rank drugs fdrom highest to lowest
Definition
Desflurane, Halothane, Isoflurane, Sevoflurane
Term
what are the effect of ethers on anesthetics?
Definition
they decrease metabolism
Term
What is special about Desflurane
Definition
due to its lower boiling point and high vapor pressure, it requires a heated vaporizer for administration
Term
what is MAC?
Definition
equilibrium conc required to prevent purposeful movement to a given stimulus
Term
In terms of MAC, how are drugs ranked from highest to lowest?
Definition
N2O, Desflurane, Sevoflurane, Isoflurane, Halothane
Term
what is MAC incr by?
Definition
hyperthermia
incr. CNS catecholamines
*chronic* OH abuse
cocaine use
hypernatremia
Term
What is MAC unaltered by?
Definition
Hyperthyroidism
Hypothyroidism
Term
Anesthetic effect on CNS
Definition
**ALL except N2O**

hypnosis, amnesia, analgesia
muscle relaxation
incr. cerebral blood flow, pressure and EEG amplitude
decr. O2 consumption and EEG frequency
Term
Anesthetic effect on CV
Definition
**all except N2O**
decrease contraction, tone and ANS activity.

**all but N2O and halothane**
decrease systemic vascular resistance.

HR: incr. by Isoflurane and desflurane(the most); stable w/halothane and sevoflurane

CO: decr. w/halothane and sevoflurane at high doses >1.5-2 MAC
Term
Anesthetic effect on Resp system
Definition
airway resistance
decreased: halothane, isoflurane, sevoflurane
Incr: desflurane

Resp rate and Tidal vol decreased by all
Term
This drug induces vomiting
Definition
N2O
Term
In terms of metabolism, rank drugs highest to lowest
Definition
Halothane, Sevoflurane, Isoflurane, Desflurane
Term
relationship of Free fluoride and renal toxicity
Definition
incr. F metabolism- incr. renal toxicity (methoxyflurane metabolized by renal)
Term
This vinyl halide if formed by halothane
Definition
BCDFE
Term
This vinyl halide is formed by sevoflurane
Definition
Cmpd A
Term
These drugs are known to form carbon monoxide in the absorbent
Definition
Desflurane and Isoflurane
Term
this can form an extremely toxic Hydrofluoric acid
Definition
sevoflurane
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