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Exam (elaborations)

Nagelhout Pharmacology 1 Exam 2 Questions with Correctly Verified Answers

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Blood/Gas Partition Coefficient of Isoflurane - ANSWER-1.4 Blood/Gas Partition Coefficient of Sevoflurane - ANSWER-0.6 Blood/Gas Partition Coefficient of Desflurane - ANSWER-0.42 Blood/Gas Partition Coefficient of N2O - ANSWER-0.47 Blood/Gas Partition Coefficient is a measure of _________. - ANSWER-speed...how fast you go to sleep and how fast you wake up Put gasses in order of fastest to slowest - ANSWER-N2O Desflurane Sevoflurane Isoflurane Oil/Gas Coefficient of Isoflurane - ANSWER-99 Oil-Gas Coefficient of Sevoflurane - ANSWER-50 Oil/Gas Coefficient of N2O - ANSWER-1.4 Oil/Gas Coefficient of Desflurane - ANSWER-18.7 Oil/Gas Partition Coefficient is a measure of........ - ANSWER-potentcy Put gasses in order of most potent to least potent - ANSWER-Isoflurane Sevoflurane Desflurane N2O An INCREASE in cardiac output ________ the onset of all anesthetic gasses. - ANSWER-slows A DECREASE in cardiac output ________ the onset of al anesthetic gasses. - ANSWER-speeds Which gases will be effected the most by an increase in cardiac output? - ANSWER-the highest blood/gas coefficient gases (slowest) A ventilation/perfusion deficit ________ the delivery of all anesthetic gases. - ANSWER-slows Which gases will be effect most by a ventilation/perfusion deficit? - ANSWER-the faster inhalation agents (lowest blood/gas partition coefficient) are effected more than the slower inhalation agents (higher blood/gas partition coefficient) What are the volatile gas anesthetics? - ANSWER-Iso, Sevo, Des....these start in liquid phase and have to be "volatilized" (vaporized) in order to be administered. What are the non-volatile gas anesthetics? - ANSWER-Nitrous Oxide....already in gas form from the wall ___________ is the only inorganic gas. All other gases are __________. - ANSWER-Nitrous Oxide. Contains no carbons Halogenated Ethers What anesthetics have a GABAMIMETIC mechanism of action? - ANSWER-gases propofol benzos etomidate Which anesthetics have a NMDA ANTAGONIST mechanism of action? - ANSWER-ketamine

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Nagelhout Pharmacology 1 Exam 2 Questions
with Correctly Verified Answers

What is the MAC of Isoflurane? - ANSWER-1.15

What is the MAC of Sevoflurane? - ANSWER-2

What is the MAC of Desflurane? - ANSWER-5.8

What is the MAC of N2O? - ANSWER-105

What is MAC? - ANSWER-the minimum alveolar concentration needed to achieve
surgical anesthesia (immobility) in 50% of patients exposed to noxious stimuli. Think:
anesthesia gas dose

Blood/Gas Partition Coefficient of Isoflurane - ANSWER-1.4

Blood/Gas Partition Coefficient of Sevoflurane - ANSWER-0.6

Blood/Gas Partition Coefficient of Desflurane - ANSWER-0.42

Blood/Gas Partition Coefficient of N2O - ANSWER-0.47

Blood/Gas Partition Coefficient is a measure of _________. - ANSWER-speed...how
fast you go to sleep and how fast you wake up

Put gasses in order of fastest to slowest - ANSWER-N2O
Desflurane
Sevoflurane
Isoflurane

Oil/Gas Coefficient of Isoflurane - ANSWER-99

Oil-Gas Coefficient of Sevoflurane - ANSWER-50

Oil/Gas Coefficient of N2O - ANSWER-1.4

Oil/Gas Coefficient of Desflurane - ANSWER-18.7

Oil/Gas Partition Coefficient is a measure of........ - ANSWER-potentcy

Put gasses in order of most potent to least potent - ANSWER-Isoflurane
Sevoflurane
Desflurane
N2O

, An INCREASE in cardiac output ________ the onset of all anesthetic gasses. -
ANSWER-slows

A DECREASE in cardiac output ________ the onset of al anesthetic gasses. -
ANSWER-speeds

Which gases will be effected the most by an increase in cardiac output? - ANSWER-the
highest blood/gas coefficient gases (slowest)

A ventilation/perfusion deficit ________ the delivery of all anesthetic gases. - ANSWER-
slows

Which gases will be effect most by a ventilation/perfusion deficit? - ANSWER-the faster
inhalation agents (lowest blood/gas partition coefficient) are effected more than the
slower inhalation agents (higher blood/gas partition coefficient)

What are the volatile gas anesthetics? - ANSWER-Iso, Sevo, Des....these start in liquid
phase and have to be "volatilized" (vaporized) in order to be administered.

What are the non-volatile gas anesthetics? - ANSWER-Nitrous Oxide....already in gas
form from the wall

___________ is the only inorganic gas.
All other gases are __________. - ANSWER-Nitrous Oxide. Contains no carbons
Halogenated Ethers

What anesthetics have a GABAMIMETIC mechanism of action? - ANSWER-gases
propofol
benzos
etomidate

Which anesthetics have a NMDA ANTAGONIST mechanism of action? - ANSWER-
ketamine

Which anesthetics have a PSA2 ANTAGONIST mechanism of action? - ANSWER-
dexmetatomadine

What does a GABA RECEPTOR do? - ANSWER-increases chloride production

What does an NMDA RECEPTOR do? - ANSWER-ketamine blocks GLUTIMATE from
attaching to it

Effects of gas anesthetics on the CNS and ANS - ANSWER-dose dependent
depression
decreased oxygen consumption- CMRO2
decreased intraoccular pressure

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