Anaesthetic Agents and Mechanism of Action
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Questions and Answers

What is the definition of MAC (Minimum Alveolar Concentration)?

  • The minimum concentration of anaesthetic agent required to produce amnesia
  • The minimum concentration of anaesthetic agent required to produce unconsciousness
  • The minimum concentration of anaesthetic agent required to prevent movement in 50% of patients (correct)
  • The minimum concentration of anaesthetic agent required to produce analgesia
  • What is the mechanism of action of volatile anaesthetics?

  • Act on the PNS, causing vasodilation and hypotension
  • Act on the heart, causing bradycardia and hypotension
  • Act on the CNS, causing amnesia, analgesia, and immobility (correct)
  • Act on the liver, causing metabolism and elimination
  • Which of the following anaesthetic agents is metabolized by the kidneys?

  • Thiopental
  • Sevoflurane (correct)
  • Isoflurane
  • Fentanyl
  • Which of the following is an advantage of volatile anaesthetics?

    <p>Rapid onset and offset, easy to control, minimal cardiovascular effects</p> Signup and view all the answers

    What is the term for the combination of two or more anaesthetic agents to produce a greater effect?

    <p>Synergism</p> Signup and view all the answers

    What is the primary route of elimination for anaesthetic agents?

    <p>Exhalation</p> Signup and view all the answers

    Which of the following is a barbiturate anaesthetic agent?

    <p>Thiopental</p> Signup and view all the answers

    What is the term for the relationship between the dose of anaesthetic agent and the effect on the CNS?

    <p>Dose-response curve</p> Signup and view all the answers

    Which of the following is a dissociative anaesthetic agent?

    <p>Ketamine</p> Signup and view all the answers

    What is the term for the distribution of anaesthetic agents to the brain, heart, and other organs?

    <p>Distribution</p> Signup and view all the answers

    Study Notes

    Anaesthetic Agents

    Inhalational Anaesthetics

    • Volatile anaesthetics:
      • Desflurane
      • Sevoflurane
      • Isoflurane
      • Enflurane
      • Halothane
    • Mechanism of action: Act on the CNS, causing amnesia, analgesia, and immobility
    • Advantages: Rapid onset and offset, easy to control, minimal cardiovascular effects

    Intravenous Anaesthetics

    • Barbiturates:
      • Thiopental
      • Methohexital
    • Benzodiazepines:
      • Midazolam
    • Opioids:
      • Fentanyl
      • Alfentanil
    • Dissociative anaesthetics:
      • Ketamine
    • Mechanism of action: Act on the CNS, causing sedation, amnesia, and immobility
    • Advantages: Rapid onset, easy to control, can be used for induction and maintenance

    Pharmacology

    Pharmacokinetics

    • Distribution: Anaesthetic agents distribute to the brain, heart, and other organs
    • Metabolism: Anaesthetic agents are metabolized by the liver, except for sevoflurane which is metabolized by the kidneys
    • Elimination: Anaesthetic agents are eliminated through exhalation, urine, and faeces

    Pharmacodynamics

    • Dose-response curve: The relationship between the dose of anaesthetic agent and the effect on the CNS
    • MAC (Minimum Alveolar Concentration): The minimum concentration of anaesthetic agent required to prevent movement in 50% of patients
    • ED50 (Effective Dose 50): The dose of anaesthetic agent required to produce a desired effect in 50% of patients

    Interactions

    • Synergism: The combination of two or more anaesthetic agents to produce a greater effect
    • Antagonism: The combination of two or more anaesthetic agents to produce a lesser effect
    • Drug-drug interactions: The interaction between anaesthetic agents and other medications, which can affect the efficacy and safety of the anaesthetic

    Anaesthetic Agents

    Inhalational Anaesthetics

    • Volatile anaesthetics include Desflurane, Sevoflurane, Isoflurane, Enflurane, and Halothane
    • Act on the CNS to cause amnesia, analgesia, and immobility
    • Rapid onset and offset, easy to control, and minimal cardiovascular effects

    Intravenous Anaesthetics

    • Barbiturates include Thiopental and Methohexital
    • Benzodiazepines include Midazolam
    • Opioids include Fentanyl and Alfentanil
    • Dissociative anaesthetics include Ketamine
    • Act on the CNS to cause sedation, amnesia, and immobility
    • Rapid onset, easy to control, and can be used for induction and maintenance

    Pharmacology

    Pharmacokinetics

    • Anaesthetic agents distribute to the brain, heart, and other organs
    • Metabolism occurs in the liver, except for Sevoflurane, which is metabolized by the kidneys
    • Elimination occurs through exhalation, urine, and faeces

    Pharmacodynamics

    • Dose-response curve shows the relationship between the dose of anaesthetic agent and the effect on the CNS
    • MAC (Minimum Alveolar Concentration) is the minimum concentration of anaesthetic agent required to prevent movement in 50% of patients
    • ED50 (Effective Dose 50) is the dose of anaesthetic agent required to produce a desired effect in 50% of patients

    Interactions

    • Synergism occurs when two or more anaesthetic agents combine to produce a greater effect
    • Antagonism occurs when two or more anaesthetic agents combine to produce a lesser effect
    • Drug-drug interactions occur between anaesthetic agents and other medications, affecting efficacy and safety

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    Description

    This quiz covers different types of anaesthetic agents, including inhalational and intravenous anaesthetics, their mechanism of action, and advantages.

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