Notes in 02 General ANE & IV ANE

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Published	07/30/2024	5 Requirements for General Anesthesia:{{c1::AnalgesiaAsleep (Drug-induced reversible state of unconsciousness)Adrenergic Blunting (No tachycardia, HPN…
Published	07/30/2024	A drug that puts a px in a relaxed state and not anxious, not afraid, not agitated, with or without changes in sensorium is called a {{c1::sedative}}
Published	07/30/2024	A drug that puts a px to sleep is called a {{c1::hypnotic}}
Published	07/30/2024	4 parameters in describing the types/depth of sedation:{{c1::ResponsivenessAirway obstructionVentilationBlood pressure and heart rate}}
Published	07/30/2024	In {{c1::minimal}} sedation:Responsiveness: Awake, not anxious (anxiolysis) with normal response to verbal stimulationAirway: UnaffectedVentilation: U…
Published	07/30/2024	In {{c1::moderate/conscious}} sedation:Responsiveness: Px may close eyes but purposeful response to verbal or tactile stimulationAirway: Not requiredV…
Published	07/30/2024	In {{c1::deep}} sedation:Responsiveness: Purposeful response following repeated or painful stimulationAirway: May be requiredVentilation: May be inade…
Published	07/30/2024	In {{c1::haha this stage is now General Anesthesia}} sedation:Responsiveness: Unarousable even with painful stimulusAirway: Often requiredVentilation:…
Published	07/30/2024	In {{c2::Light}} Anesthesia, the px can still awaken and move unpredictably with {{c1::↓ beta and ↑ alpha and delta::↑/↓ alpha, beta, and delta}} acti…
Published	07/30/2024	In {{c2::Intermediate}} Anesthesia, the {{c3::anteriorization}} pattern is found with {{c1::↓ beta and ↑ alpha and delta::↑/↓ alpha, beta, and de…
Published	07/30/2024	In {{c2::Deep}} Anesthesia, the {{c3::burst suppression}} pattern is found with {{c1::alternating bursts of alpha and beta::↑/↓ alpha, beta, and …
Published	07/30/2024	In {{c1::Profound}} Anesthesia, we have a completely flat EEG
Published	07/30/2024	The ideal level of anesthesia is {{c1::between intermediate and deep levels}}
Published	07/30/2024	[QC] Preference of anesthesiologists1. EEG2. Bispectral Index Monitor3. Physiologic Monitor{{c1::3 > 2 > 1}}
Published	07/30/2024	In a Bispectral Index Monitor,100 bispectral index value means that the px is {{c1::awake::awake/asleep}}0 bispectral index value means that the px is…
Published	07/30/2024	The ideal bispectral index value is {{c1::40-60}}
Published	07/30/2024	Parts of a Physiologic Monitor from top to bottom, left to right and normal ranges:{{c1::ECG Tracing (60-100, sinus rhythm)O2 Saturation (95%-100%)BP …
Published	07/30/2024	In a surgeryDr <insert your name here>, DPBA! the px is tachycardic and hypertensive! what do we do!{{c1::Choose me, Pick me, Love me. Px is s…
Published	07/30/2024	In a surgerySonsaeng-nim <insert your name here>! the px is bradycardic and hypotensive! what do we do juseyo! Ottoke :({{c1::Px is now i…
Published	07/30/2024	In a surgeryDr House! the px is tachycardic and hypotensive! what do we do!{{c1::Lupus. Nah I'm kidding. There's a loss of blood going on somewhere}…
Published	07/30/2024	{{c2::Thiopental and Propofol::2 Representative Anesthetic Drugs}} MOA: {{c1::GABA Receptor Agonist}}
Published	07/30/2024	Thiopental Arm-Brain Circulation Time: {{c1::30-45 seconds to sleep}}Redistribution Time: {{c1::5-10 minutes to wake up}}Half-life: {{c1::10 hour…
Published	07/30/2024	Aside from sedative-hypnotic-general anesthetic properties, Thiopental has these effects: {{c1::anti-convulsant & cerebral protection (DOC in…
Published	07/30/2024	Thiopental ADE aside from bradycardia/pnea and ↓ BP: {{c1::Post-operative nausea and vomiting (PONV) & Significant histamine release::2}}
Published	07/30/2024	{{c1::Thiopental}} is the preferred drug to put prisoners on death row to sleep
Published	07/30/2024	Aside from sedative-hypnotic-general anesthetic properties, Propofol has these effects: {{c1::anti-convulsant, anti-emesis & cerebral protect…
Published	07/30/2024	Neuroprotection in cases of cerebral edema DOC: {{c1::Thiopental}}
Published	07/30/2024	PropofolArm-Brain Circulation Time: {{c1::15-30 seconds to sleep}}Redistribution Time: {{c1::2-8 minutes to wake up}}Half-life: {{c1::1-3 hours}}
Published	07/30/2024	Propofol ADE aside from bradycardia/pnea and ↓ BP:{{c1::Pain on injection site, Histamine Release, Myoclonic Movements::3}}Propofol-Related Infusion S…
Published	07/30/2024	{{c2::Propofol::Drug}}-related infusion Syndrome Clinical Findings:{{c1::Metabolic AcidosisCardiac, Liver, Renal Failure::4}}Respiratory Collapse
Published	07/30/2024	IV Propofol is painful at the site on injection because of the {{c1::1% Propofol which is an alkylphenol::Component}}
Published	07/30/2024	IV Propofol is water-soluble but is able to cross the BBB because of the {{c1::10% Soybean oil (lipophilic) and 1.2% Purified Egg Lecithin (emulsifier…
Published	07/30/2024	IV Propofol is made isotonic with blood because of the {{c1::2.5% glycerol::Component}}
Published	07/30/2024	IV Propofol is pH {{c2::7-8.5}} because of the {{c1::NaOH::Component}}
Published	07/30/2024	IV Propofol has {{c1::EDTA::Component}} as a bacteriostatic agent
Published	07/30/2024	{{c2::Ketamine HCl::Representative Anesthetic Drug}} MOA: {{c1::NMDA receptor antagonist}}
Published	07/30/2024	Ketamine HClArm-Brain Circulation Time: {{c1::30-60 seconds to sleep}}Redistribution Time: {{c1::10-15 minutes to wake up}}
Published	07/30/2024	Ketamine HCl Effects: Dissociative anesthesia w/ {{c1::Intact reflexes and respiratory function}} and {{c1::(+) sympathocardiac effects}}
Published	07/30/2024	Ketamine HCl is contraindicated in px w/ {{c1::HPN and tachycardia}}
Published	07/30/2024	Ketamine HCl ADE: {{c1::↑ ICP,↑ Psychotomimetic effects, ↑ salivation, ↑ CMRO2::4 ↑}}
Published	07/30/2024	Ketamine HCl produces (-) Sympathocardiac effects in px w/ {{c1::depleted cathecolamines}}
Published	07/30/2024	Sedation DOC: {{c1::Benzodiazepines}}
Published	07/30/2024	Benzodiazepines MOA: {{c1::increasing the frequency of the opening of the chloride ion channels, therefore increasing the potency of GABA}}
Published	07/30/2024	Benzodiazepines ANE Effects: {{c1::Sedative, Anterograde amnesia, Anti-convulsant::3}}
Published	07/30/2024	Acute Seizure Attacks DOC: {{c1::Benzodiazepines}}
Published	07/30/2024	[QC] Time until onset1. Midazolam (Dormicum)2. Diazepam (Valium)3. Lorazepam (Ativan){{c1::3 > 2 > 1}}
Published	07/30/2024	[QC] Half-life (Also tell why the longest acting one is so)1. Midazolam (Dormicum)2. Diazepam (Valium)3. Lorazepam (Ativan){{c1::2 > 3 > 1. Diaz…
Published	07/30/2024	Which benzodiazepines are painful on injection and why?{{c1::Diazepam (Valium) and Lorazepam (Ativan) because they include propylene glycol}}
Published	07/30/2024	Benzodiazepine Overdose DOC: {{c1::Flumazenil}}It is a {{c1::competitive::competitive/physiologic}} antagonist
Published	07/30/2024	Clonidine Effects: {{c1::Antihypertensive at first, Sedative, Analgesic, Anti-emesis}}
Published	07/30/2024	Dexmedetomidine Effects: {{c1::Sedative, Analgesic, Anti-emesis}}
Published	07/30/2024	[QC] {{c2::Alpha-2 Agonism::MOA}}1. Clonidine2. Dexmedetomidine{{c1::B}}
Published	07/30/2024	[QC] Used for induction, maintenance, ICU sedation, and weaning from mechanical ventilation1. Clonidine2. Dexmedetomidine{{c1::B}}
Published	07/30/2024	[QC] Bradycardia1. Clonidine2. Dexmedetomidine{{c1::B}}
Published	07/30/2024	[QC] Chronic Pain Management1. Clonidine2. Dexmedetomidine{{c1::A}}
Published	07/30/2024	[QC] Lowest amount you can decrease the dose to maintain MAC1. Clonidine2. Dexmedetomidine{{c1::B}}
Status	Last Update	Fields