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What is the action of local anesthesia?
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Blocks entry of Na ions into neurons-
Neurons can't fire without influx of Na
aka sodium channel blockers
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What is the purpose of Xylocaine (lidocaine with epinephrine added)?
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The addition of epi constricts blood vessels and keeps the anesthetic solution in the area longer
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What class does lidocaine (Xylocaine) belong?
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Local Anesthetic Amide
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What is the only gas routinely used for anesthesia?
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Nitrous Oxide
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What is a field block (infiltration) ?
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Regional anesthesia by encircling the operative field with injections of a local anesthetic
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Where is the epidural space?
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Above the dura mater. It is the outermost of the 3 meninges
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What is the #1 nursing priority while the patient is under general anesthesia?
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Patient Safety
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What class is lidocaine (Xylocaine) in?
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Local Anesthetic Amide
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What class is nitrous oxide (NOS) in ?
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General Anesthetic, Gas
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What is a common adverse effect of nitrous oxide following administration?
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Nausea and vomiting
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What class is halothane (Fluothane) in?
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Volatile Anesthetic
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What are the side effects of halothane (Fluothane)?
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Dysrhythmias, drowsiness, vomiting, nausea
myocardial depression, marked hypotension, pulmonary vasoconstriction, hepatotoxicity
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What is malignant hyperthermia?
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Rare but potentially fatal adverse effect triggered by all inhaled anesthetics. It causes muscle rigidity and severe temp elevation (up to 43'C). Greatest risk is when halothane is used with succinylcholine.
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What class is thiopental (Pentothal) in?
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IV Anesthetic, ultra-short acting barbiturate
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What is nueroleptanalgesia?
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State of conciousness, though insenstive to pain and unconnected with surroundings. Produced by Innovar (premixture of fentanyl and droperidol). Similar state is produced with ketamine (Ketalar).
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