General Anesthesia

Question 1

Nitrous Oxide is used for

Answer 1

minor medical/surgical procedures

Question 2

Nitrous Oxide MOA

Answer 2

• Activate opioid receptors in midbrain (PAIN)

- Activate GABA receptors to relax muscle skeleton (RELAX)

Question 3

Nitrous Oxide nursing concerns

Answer 3

• Anxiety
• Pulmonary and cardiac function
• LOC status
• Contraindication

Question 4

Barbiturates

Answer 4

Thiopental Sodium (Pentothal)

Question 5

Thiopental Sodium (Pentothal) is used for

Answer 5

hypnosis and anesthesia induction

• Rapid general anesthetic
• Brief duration of action

Question 6

MOA for Thiopental Sodium (Pentothal)

Answer 6

Activate GABA receptor to depress CNS & produce vasodilation/muscle relaxation

Question 7

Adverse Effects for Thiopental Sodium (Pentothal)

Answer 7

Shivering
N/V
Anaphylaxis
Respiratory Depression
Laryngospasm
Hypotension

Question 8

Benzodiazepines

Answer 8

Midazolam (Versed)

Question 9

Midazolam (Versed) is used

Answer 9

• Reduce anxiety and stress during surgery as premed or supplement
• Induce relaxation, sedation and amnesia

Question 10

MOA Midazolam (Versed)

Answer 10

activate GABA receptor to depress CNS, to produce skeletal muscle relaxation

Question 11

Opioids

Answer 11

Fentanyl (Actiq, Duragesic)

Question 12

Miscellaneous

Answer 12

Ketamine (Ketalar)