perioperative drugs

three opioid receptors

three opioid receptors

mu

kappa

delta

prototype strong opioid

morphine

morphine is better for ___ pain

dull

morphine blocks ___ receptors

mu

people can develop ___ to morphine

tolerance

morphine tolerance does not apply to

constipation or miosis

do not ____ morphine

abruptly withdrawal

monitor what vital sign for morphine

RR

other strong opioids

fentanyl

methadone

hydromorphone

oxymorphone

meperidine

moderate-strong opioid

codeine

some people lack the __ to metabolize _

gene, codeine

codeine produces less (2)

analgesia and resp depression

other moderate opioids

oxycodone

hydrocodone

assess ___ for opioids

pain

main opioid antagonist

naloxone

other opioid antagonists

relistor

tramadol

clonidine

order of sensations that are blocked by local anesthetics

pain

cold

warmth

touch

pressure

anesthetics can also block ___, which is a safety concern

mobility

for anesthetics to cross quickly, they need (3)

small size

high lipid solubility

low ionization

if blood flow is high, anesthetics are ___

quickly removed from the area

local anesthetics are usually paired with __ for vasoconst

epinephrine

if absorption outpaces metabolism of anesth

plasma levels rise to toxicity

if metabolism outpaces absorption of anesth

plasma stays low

two types of local anesthetics

ester and amide

prototype ester

novocain

prototype amide type

lidocaine

topical local anesth have a risk for

systemic toxicity

systemic absorption of local anesth is determined by

amt applied

skin condition

skin temperature

GA produces

unconsciuosness and lack of response to pain

main inhaled anesthetic

nitrous oxide

MAC

minimum anesthetic that air contains to produce anesthesia

inhaled GA is eliminated via

the lungs

inhaled GA is distributed by

regional blood flow

volatile liquid GA inhaled ending

-flurane

propofol is an ___

intravenous anesthetic

main NMB

succinylcholine