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Anestesicos Locales, Esteres, Amidas

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Answer
Anestesicos Locales   Esteres, Amidas  
🗑
Esteres   Bloquean canales de Na+  
🗑
Esteres Metabolito Toxico   PABA  
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Unico Vasoconstrictor   Cocaina  
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Grupo Aromatico   Da liposubilidad  
🗑
Grupo Ester   Tipo de degradacion  
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Cadena Hidrocarbonada   Liposolubilidad  
🗑
Grupo Amino   Hidrosolubilidad  
🗑
Forma No Ionizada   Difunde Rapido  
🗑
Forma Ionizada   Se queda en membrana  
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Sal estable y poco soluble en agua   Clorhidratos  
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Esteres Anestesicos Locales   Cocaina, Procaina, Cloroprocaina, Tetracaina, Proparacaina, Benzocaina  
🗑
Metaboliza a Prilocaina   Procaina  
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Es el Graneodin, dolores de garganta, oido, hemorroides   Benzocaina  
🗑
Anestesicos locales combinado con Adrenalina causan:   Toxico, Necrosis Tisular y Gangrena  
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Aumentan la concentracion de anestesicos locales   Benzodiacepinas  
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Si se usa un vasoconstrictor   usar menor cantidad  
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Amidas Anestesicos Locales   Lidocaina, Prilocaina, Bupivacaina, Dibucaina, Etidocaina, Cloroprocaina, Tetracaina, Ropivacaina  
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Primera eleccion infarto agudo al miocardio   Lidocaina  
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Alergicos a esteres   Lidocaina  
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Una potencia   Procaina  
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Efecto Antiarritmico   Lidocaina  
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Causa metahemoglobina   Prilocaina  
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Tx. de Metahemoglobina   Acido Ascorbico, Azul de Metileno  
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Hidroliza Rapido   Cloroprocaina  
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CARDIOTOXICO   Bupivacaina  
🗑
Tx. Prurito Genital   Dibucaina (muy toxico)  
🗑
Mesoterapia por ser lipofilico   Etidocaina  
🗑
Gastroscopia, Anestesia Nariz   Tetracaina  
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Epidural, Poco Bloqueo motor   Ropivacaina  
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Baja Potencia 30-60 mins   Procaina, cloroprocaina  
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Moderada Potencia 1-2 horas   Mepivacaina, Lidocaina, Prilocaina  
🗑
Alta Potencia 3-5 horas   Bupivacaina, Tetracaina, Etidocaina  
🗑


   

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