Term
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Definition
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Term
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Definition
- half-life: 30-60min (longest of the curares)
- MoA: non-depolarizing blockade of muscle nic recs (curare)
- Elim: renal excretion
- Rx: adjuvant in surgical anesthesia, abdom wall relax & orthopedic procedures
- tox: non-analgesic, apnea
- contras:
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Term
chemical antidotes of curare drugs |
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Definition
- cholinesterase inhibitors (neostigmine)
- muscarinic blockers (glycopyrrolate--minimizes muscarinic effects of cholinesterase inhibitors) |
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Term
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Definition
- half-life: >60min
- MoA: non-depol blockade of muscle nic receptors (curare)
- Elim: liver and renal
- Rx: prototype (only used in lethal injection)
- tox:
- contras:
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Term
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Definition
- half-life: 25-60min (medium of curares)
- MoA: non-depol blockade of muscular nic receptors (curare)
- Elim: liver
- Rx: intubation, muscle relaxation during surgery or ventillation
- tox: apnea, non-analgesic
- contras:
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Term
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Definition
- half-life: 15-20min (shortest of curares)
- MoA: non-depol blockade of muscle nic recs (curare)
- Elim: plasma cholinesterase!!
- Rx: intubation, muscle relax during surgery or vent in pts w renal failure!!
- tox: apnea, non-anagesic
- contras:
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Term
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Definition
- half-life: 30-45min (medium for curares)
- MoA: non-depol blockade of muscle nic recs (curare)
- Elim: liver, renal
- Rx: adjuvant in surgical anesthesia, abdom wall relax & orthopedic procedures
- tox: apnea, non-analgesic
- contras:
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Term
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Definition
- half-life: <8min (SHORT!!)
- MoA: nic agonist--depolarization blockade of muscle nic receptors
- Elim: plasma cholinesterase--(not AchE)
- Rx: tracheal intubation, control convulsions during ECT
- tox: apnea, non-analgesic, muscle pain from fasciculations, can initiate malignant hyperthermia
- contras: malignant hyperthermia
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Term
succinylcholine--phase I / antidote |
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Definition
phase I: depolarizing block. inactivation of volt-gated Na+ channels.
antidote: none (hydrolyzed in 5-10min)
--Atropine for bradycardia due to muscarinic effects |
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Term
succinylcholine--phase II / antidote |
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Definition
phase II: desensitization block (if succinylcholine left for >30min, the neuron will be desensitized even after succinylcholine dissociates)
antidote: cholinesterase inhibitor! |
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Term
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Definition
- half-life:
- MoA: inhibits NT release from sk muscle sensory afferent (GABAb agonist--spasmolytic)
- Elim:
- Rx: muscle spasticity assoc w MS or spinal cord injury
- tox: heavy drowsiness
- contras:
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Term
benzodiazepines (diazepam, clonazepam) |
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Definition
- trade:
- half-life:
- MoA: facilitate GABA mediated pre-synaptic inhibition
- Elim:
- Rx: spasticity, MS
- tox: sedation and drowsiness (much less than baclofen)
- contras:
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Term
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Definition
- half-life:
- MoA: centrally acting a2 agonist
- Elim:
- Rx: muscle spasticity, MS
- tox: drowsiness, hypoTN
- contras:
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Term
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Definition
- half-life:
- MoA: uncouples excitation-contraction of sk muscles (blocks ryanodine recs--blocks Ca release from SR)
- Elim:
- Rx: muscle spasm, MALIGNANT HYPERTHERMIA
- tox: muslce weakness, sedation
- contras:
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