Miscellaneous Quiz / General Anesthetics

Random Miscellaneous or Nintendo Quiz

Can you name the General Anesthetics?

Quiz not verified by Sporcle

Forced Order
Also try: Ten Top 10s
Challenge
Share
Tweet
Embed
Score 0/85 Timer 20:00
HintAnswer
Methohexital class
Drug SE: Similar to halothane less hepatotoxicity more renal toxicity (polyuric renal insufficiency)
Sevoflurane class
Drug CV effects: Similar to halothane (less effect on rate). Decrease in vascular resistance
Drugs P-kinetics: 'Rapid onset and short duration (rapid recovery). Primarily metabolized in liver. '
Drug P-kinetics: Slow onset & recovery
Drug CV effects: Decrease in systemic BP, negative inotropic effects
Drugs Brain effects: Decrease in metabolism, O2 utilization, and cerebral blood flow. (No increase in ICP - better in pts w/ cerbral swelling)
Thiopental class
Lorazepam class
Drugs Resp effects: depressant
Drug Use: Induction or maintenance. Used in short applications only b/c of nephrotoxicity (OB-GYN)
Enflurane class
Drug Brain effects: may cause burst suppression on EEG
Drug SE: Hypotension, apnea & pain at site of injection, muscle mvmt expensive (bacterial infections). Acidosis in children
Class MOA: Increase the threshold of firing. Depress both axonal & synaptic transmission. Depresses spontaneous & evoked activity of neurons either by the Meyer-Overton hypothesis
Drug P-kinetics: Slow onset & recovery; naloxone reversal available
Drugs P-kinetics: Medium rate of onset & recovery, medium solubility
Drug P-kinetics: Rapid onset & moderately fast recovery. NO analgesic effects - opiods required. Degraded in liver and plasma
Class Kidney and Liver effects:decreased blood flow
Drug Uses: Used in induction & for maintenance: antiemetic properties, 'day surgery'. Sedation in critical care setting. Not for peds
Drug Uses: CV stability; decreased steroidogenesis. Induction when prolonged infusion is NOT required
Morphine class
Drug Use: Standard induction agent: CV depression; avoid in porphyrias
Drug Use: Induction or maintenance. . Used in pediatric and outpatient anesthesia
Drugs Other effects: May exacerbate porphria by inducing synthesis of ALA synthase
Drugs MOA: Unclear (probably GABA-A channel effects)
Atropine class
Drug MOA: unknown, probably similar to fluranes
HintAnswer
Drugs SE: Anterograde amnesia in >50%.
May induce mild sizure activity (muscle twitching -- prob harmless)
Drug SE: Hepatotoxicity (fatal fulminant hepatic cirrhosis). Generation of flouride ions during metabolism may be nephrotoxic, Malignant hyperthermia (reversal is Dantrolene IV whi
Class Resp effects: Decrease tidal vol, increase rate, decrease in minute ventilation, resp depressant (reduce responses to CO2 & hypoxia), pooling of mucus --> atelectasis & resp
Drug SE: Emergence phenomena (disorientation, sensory & perceptual illusions, & vivid dreams -- Diazepam reduces symptoms).
Drugs SE: Similar to halothane less hepatotoxicity
Drug Resp effects: minimal
Propofol class
Drug CV effects: Similar to halothane except (less HR effects, decrease CO)
Succinylcholine class
Drug CV effects: CV stimulation via excitation of central sympathetic nerves, possibly inhibiting NE reuptake.
Drugs enhancing NM blockade
Drug MOA: May involve inhibition of NMDA glutamic acid receptors. Produces dissociative anesthetic: catatonia, amnesia, profound analgesia w/o LOC
Drug SE: Involuntary muscle mvmts, monoclonus (no EEG signs), n/v, pain at inj site, adrenocortical suppression, prolonged use may cause hypotension, e- imbalance, & oliguria
Drug Use: Induction or maintenance. Used for pediatric anesthesia.
Midazolam class
Thiamylal class
Nitrous Oxide class
Drug P-kinetics: Highly lipophilic. Moderately rapid onset and recovery
Tubocurarine class
Diazepam class
Drug P-kinetics: Rapid onset & rapid recovery (faster than barbituates). Rapidly metabolized in the liver + extrahepatic degradation = advantagous in liver dz
Drugs use: Used in balanced anesthesia (anesthesia premedication) & conscious sedation; CV stability; marked amnesia
Drug Use: Induction or Maintenance
Halothane class
Sufentanil class
Class Brain effects: Decrease metabolic rate; decrease cerebral resistance --> increased blood flow = not good choice for neurosurgery esp when ICP is elevated.
Alfentanil class
Fentanyl class
HintAnswer
Drug Resp effects: Slight decrease in RR
Remifentanil class
Drug CV effects: Minimal, good choice for CV surgeries and those w/ hypotension and MI risk
Drug Use: Maintenance
Drug SE: Amnesia, hypoxia. Prolonged exposure --> megaloblastic anemia (OR staff)
Drug CV effects: Similar to desflurance
Drug P-kinetics: Incomplete anesthetic; rapid onset & recovery
Drug Resp effects: less respiratory effects
Drug P-kinetics: Medium rate of onset & recovery, medium solubility
Drug CV effects: Similar to halothane
Drug P-kinetics: Rapid onset & recovery
Ketamine class
Class Uterine Smooth Muscle Effects: potent uterine muscle relaxants. Useful for fetal manipulation during delivery
Desflurane class
Drug uses: Used in balanced anesthesia, short procedure induction (remifentanil and alfentinil), conscious sedation & spinal epidural; neuroleptic anesthesia (fentanyl, NO, and dro
Drug CV effects: Decreases in MAP, bradycardia, increase RAP (depressed cardiac function)
Drug Use: Induction, used in combo to reduce dose of other, not used alone
Drug P-kinetics: Low volatility; poor induction agent ; rapid recovery
Ethomidate class
Drug uses: Dissociative anesthesia, induction agent in children undergoing short, painful procedures, high-risk geriatric patients, & patients in CV shock. Outpatients & pts w/ ast
Drugs P-kinetics: Slow onset, plateau & slow recovery, flumazenil reversal available. Only midazolam is H2O-soluble, become lipid soluble at physiologic pH. Midazolam: faster onset
Isoflurane class
Drug CV effects: Similar to isoflurane: transient tachycardia do to sympathetic discharge, decrease vascular resistance
Drug Brain effects: Increases cerebral blood flow, O2 consumption, & ICP. DO NOT use in pts w/ increased ICP
Methoxyflurane class
Drug CV effects: Produces sympathetic discharge, may balance negative effects of other inhalants when used in common
Drugs CV effects: Myocardial depressant = decreased SV, CO, & BP

You're not logged in!

Compare scores with friends on all Sporcle quizzes.
Sign Up with Email
OR
Log In

You Might Also Like...

Show Comments

Extras

Top Quizzes Today


Score Distribution

Your Account Isn't Verified!

In order to create a playlist on Sporcle, you need to verify the email address you used during registration. Go to your Sporcle Settings to finish the process.