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Pharm Ch. 12
General & Local Anesthetics
Question | Answer |
---|---|
What is adjunct anesthetics? | drugs used in combination with anesthetic drugs to control the AE of anesthetics or to help maintain the anesthetic state in the pt |
What is anesthesia? | the loss of the ability to feel pain resulting fomr the administration of an anesthetic drug or ther medical intervention |
What is anesthetics? | drugs that depress the CNS or PNS to produce diminution of consciousness, loss of responsiveness to sensory stimulation or muscle relaxation |
What is balanced anesthesia? | the pratice of using combinations of different drug classes rather than a single drug to produce anesthesia |
What is general anesthesia? | a drug induced state in which the CNS nerve impulses are altered to reduce pain and other sensations throughout the entire body. complete loss of consciousness |
What is local anesthesia? | a drug induced state in which peripheral or spinal nerve impulses are altered to reduce or eliminate pain and other sensations in tissues innervated by these nerves |
What is malignant hyperthermia? | a genetically linked major adverse reaction to general anesthesia characterized by a rapid rise in body temp, as well as tachycardia, tachypnea, and sweating |
What is moderate sedation? | a milder form of general anesthesia that causes patial or complete loss of consciousness but does not generally reduce normal repiratory drive |
What is overton meyer theory? | a theory that describes the relationship between the lipid solubility of anesthetic drugs and their potency |
What is spinal anesthesia? | local anesthesia induced by injection of an anesthetic drug near the spinal cord to anesthetize nerves that are distal to the side of injection |
What is diprivan? | parental general anesthetic used for the induction and maintenance of general anesthesia, also for sedation for mechanical ventilation in ICU, well tolerated |
What is lidocaine? | local anesthetic, |
A pt is in the hospital for removal of a lymph node from his arm under local anesthesia, the physicain has requested "lidocaine with epinephrine" the nurse recognizes that the most important reason for adding epinephrine is that it? | reduces bleeding |
The surgical nurse is reviewing operative cases scheduled for the day. which of the following pts is more prone to complications from general anesthesia? | a 79 year old female who is about to have her gallbladder removed |
Which nursing diagnosis is possible for a pt who has been under GA for 3-4 hours during surgery? | decreased geseous exchange due to CNS depressent effects of GA |
A pt is recovering from GA, what is the nurses main concern during the immediate postoperative period? | Airway |
A pt is recovering from surgery during which he received an NMBD as he wakes up during recovery, he looks as if he is panicking and yet is unable to speak. what is the best action by the nurse at this time? | reassure the pt that he is recovering and that the medication is still wearing off |
What do neuromuscular blocking drugs prevent? | nerve transmission in skeletal and smooth muscles |