Pharmacokinetics of General Anesthetics
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Questions and Answers

What is the end point of an anesthetic act?

  • Wakefulness
  • Sleep (correct)
  • Consciousness
  • Drowsiness

In the two-compartment model of general anesthetics, what does the central compartment represent?

  • The CNS
  • The biophase (correct)
  • The rest of the body
  • The effect compartment

Why is a two-compartment model used despite not knowing rate constants for most general anesthetics?

  • Difficulties in CNS drug concentration examination in humans (correct)
  • Due to CNS concentration being easily measurable in humans
  • Because of high molecular weight of general anesthetics
  • High metabolism rate of general anesthetics

How do general anesthetics often leave the body?

<p>Via metabolism and excretion pathways (A)</p> Signup and view all the answers

What characteristic makes it challenging to determine rate constants for most general anesthetics?

<p>High CNS concentration (D)</p> Signup and view all the answers

Which compartment in the two-compartment model represents the rest of the body?

<p>Second compartment (D)</p> Signup and view all the answers

Which type of drug elimination is primarily affected by a reduction in blood flow to the liver or liver disease?

<p>Flow-limited elimination (C)</p> Signup and view all the answers

In which metabolism phase are drugs usually chemically altered in the liver and/or conjugated with glucuronic acid or sulphate for 'capacity-limited' elimination?

<p>Phase 2 (A)</p> Signup and view all the answers

What type of circulation does high lipid solubility favor, contributing to a prolonged duration of action of drugs?

<p>Enterohepatic circulation (A)</p> Signup and view all the answers

Which factor can cause delayed recovery from anesthesia in the post-operative period related to volatile agents or their metabolites?

<p>Potential toxicity of active metabolites (D)</p> Signup and view all the answers

What distinguishes drugs exhibiting 'flow-limited' elimination from those exhibiting 'capacity-limited' elimination?

<p>Passing through the liver in one transit (D)</p> Signup and view all the answers

Which factor influences the absorption of an inhaled anesthetic the most?

<p>Partial pressure in the alveoli (B)</p> Signup and view all the answers

What contributes to the rapid distribution of anesthesia to the brain, heart, kidney, and liver?

<p>High perfusion of tissues (A)</p> Signup and view all the answers

Which organ is mentioned as being less perfused and therefore having less anesthetic during distribution?

<p>Muscle (D)</p> Signup and view all the answers

What process terminates CNS effects by moving the drug from the site of action to other tissues?

<p>Redistribution (B)</p> Signup and view all the answers

Which type of metabolism can produce toxic metabolites among inhaled anesthetics?

<p>Oxidative metabolism (A)</p> Signup and view all the answers

Which intravenous anesthetic is processed through hydrolysis of the imidazole double bond for subsequent metabolism to inactive metabolites?

<p>Etomidate (B)</p> Signup and view all the answers

Which general anesthetic can result in hepatotoxicity due to oxidative metabolism by the hepatic p450 enzyme system?

<p>Halothane (B)</p> Signup and view all the answers

Which organ system plays a crucial role in facilitating fast drug recovery by conjugating intravenous anesthetics to inactive water-soluble metabolites?

<p>Renal system (D)</p> Signup and view all the answers

Which aspect of general anesthetics facilitates their elimination through the lungs?

<p>Volatile nature (B)</p> Signup and view all the answers

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