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Local Anesthetics
| Question | Answer |
|---|---|
| What was the first anesthetic | Cocaine |
| What is another name for Xylocaine | Lidocaine |
| What is another name for Carbocaine | Mepivacaine |
| What is the ideal local anesthetic | Potent,reversible,absence of systemic and allergic reactions |
| What are the two types of anesthetics | Esters and Amides |
| What is the chemistry of an ester | Central "C" with two "O" |
| What is the chemistry of an amide | Central "C" with oxygen and Nitrogen |
| What is the mechanism of action from the anesthetic | H-B The base will block a channel |
| From the mechanism of action what does the B of an anesthetic block | It blocks Na from entering the cell |
| What is another name for an anestic | A free base |
| The rate of absorption depends on what | Vasculaity of the tissue |
| What is the Pregnancy category of Lidocaine | Category B |
| What anesthetic is 10 times more soluble than lidocaine | Bupivacaine |
| Whats another name for Bupivicaine | Marpivicaine |
| Why are amides commonly used | There are less reported allergies than esters |
| When someone is allergic to an anesthetic what are they allergic to | The ester |
| What is a problem with a local anesthetic | They are local dilators |
| Ester anesthetics in the plasma will metabolize the ester into | PABA |
| What is the responsible factor for allergies with esters | PABA |
| How are anesthesia excreted | Through the kidneys |
| Anesthetics will commonly block what first | Autonomic, cold and warmth |
| What will anesthetics block later | Pain, touch, pressure, vibration, proprioception and motor |
| What is an important factor to consider with anesthetics and adverse reactions | The patients weight |
| How should the anesthetic be injected to keep it localized | Slowly |
| Epinephrine is what class of pregnancy anesthetic | C class |
| Benzacine is what class of pregnancy anesthetic | C class |
| Lidocaine is what class of pregnancy anesthetic | B |
| In generally what two physiological functions occur when taking anesthetics | depression of the cardiovascular system and the CNS |
| Majority of ingredients in a anesthetic is | Anesthetic |
| What common ingredient is found within Epinephrine | Sodium Bisulfite |
| Name a local anesthetic | Amides |
| Name a local anesthetic | Esthers |
| Name a local anesthetic | w/ epinephrine |
| Name a local anesthetic | w/o epinephrine |
| Name an amide anesthetic | Lidocaine |
| Name an amide anesthetic | Mepivacine |
| Name an amide anesthetic | Prilocaine |
| Name an amide anesthetic | Bupivacaine |
| Name an amide anesthetic | Ropivacaine |
| Name an amide anesthetic | Articaine |
| Whats another name for Lidocaine | Xylocaine, octocaine |
| Whats another name for Mepivacaine | Carbocaine, polocaine, isocaine |
| Whats another name for Prilocaine | Citanest |
| Whats another name for Bupivacaine | Marcaine |
| Whats another name for Ropicacaine | Naropin |
| Whats another name for articaine | Septocaine |