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Local Anesthetics
One liners Local Anesthetics
| Question | Answer |
|---|---|
| MOA of local anesthetics (LA's) | Block voltage-dependent sodium channels |
| This may enhance activity of local anesthetics | Hyperkalemia |
| This may antagonize activity of local anesthetics | Hypercalcemia |
| Almost all local anesthetics have this property and sometimes require the administration of vasoconstrictors (ex. Epinephrine) to prolong activity | Vasodilation |
| Local anesthetic with vasoconstrictive property, favored for head, neck, and pharyngeal surgery | Cocaine |
| Longer acting local anesthetics which are less dependent on vasoconstrictors | Tetracaine and bupivacaine |
| These LA's have surface activity | Cocaine and benzocaine |
| Most important toxic effects of most local anesthetics | CNS toxicity |
| Commonly abused LA which has cardiovascular toxicity including severe hypertension with cerebral hemorrhage, cardiac arrhythmias, and myocardial infarction | Cocaine |
| LA causing methemoglobinemia | Prilocaine |