Pharmacology for nurse anesthesiology quiz! In order to work an anaesthetic, you are expected to have a deep understanding of how different drugs work their effects as well as things to look out for when one administers the drugs to a patient. Are you sure you now all this, this question is the perfect way to test yourself, do give it a shot and keep an eye out for more like it!
Meperidine
Fentanyl
Morphine
Codeine
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Morphine
Fentanyl
Sufentanil
Meperidine
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He is too light, increase the sevoflurane.
Maybe he could use some more opioids to relieve pain.
Maybe he could use more paralytic.
He needs a little more midazolam to calm him down.
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Agent-specific
Temperature compensated
Inside of circuit
Flow-Over
Variable bypass
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Meperidine
Morphine
Remifentanil
Sufentanil
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Enkephalin
Endorphin
Dynorphin
Epinorphin
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Ketorolac
Morphine
Fentanyl
Ethanol
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True
False
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Benzo's
Barbituates
NSAIDs
Opioids
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Can be safely given to asthmatics and those on MAOIs
Does not cause miosis
Context-sensitive half-time independent of infusion time
Most rapid onset with large Vd
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The more soluble an agent is, the faster it will reach equilibration.
The less soluble an agent is, the faster it will reach equilibration.
The less soluble an agent is, the slower it will reach equilibration.
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0-6 months
6-12 months
13-18 months
19-25 months
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A central mu effect
A central kappa effect
A central delta effect
A central muscle contraction effect
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Mu1
Mu2
Kappa
Delta
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Mu
Kappa
Delta
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Flumazenil
Naloxone, carefully titrated
Switch to meperidine
Nalbuphine
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Naloxone 40-80 mcg IV
Flumazenil, titrate by doses of 0.2 mg
Nalbuphine
Meperidine
Butorphanol
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Fentanyl
Morphine
Remifentanil
Sufentanil
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Mu and kappa
Delta and kappa
Mu and delta
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Pituitary
Placenta
Adrenal medulla
Pancreas
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Sufentanil
Fentanyl
Alfentanil
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Sufentanil
Remifentanil
Morphine
Alfentanil
Hydromorphone
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True
False
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Codeine
Morphine
Tramadol
Meperidine
Sufentanil
Oxycodone
Nalbuphine
Methadone
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Pretreat with a non-depolarizing NMB
Pretreat with a depolarizing NMB
Stop or decrease opioid infusion
Increase opioid infusion
Give induction dose of thiopental or propofol
Give sedation dose of midazolam or diazepam
Rapid NMB if glottis is closed
Notify the physician.
Methadone
Meperidine
Dexmedetomidine
Nalbuphine
Butorphanol
Naloxone
Tramadol
Buprenorphine
Codeine
Bair Hugger
Cooling Blanket
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