Valium (Diazepam) Indications and Contraindications Quiz
75 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a medical indication for Valium (Diazepam)?

  • Management of anxiety disorders (correct)
  • Alleviating dental anxiety in children
  • Skeletal muscle relaxation in psychosis
  • Treatment of acute narrow glaucoma

    • Which condition is a contraindication for both Valium (Diazepam) and Versed (Midazolam)?

  • Skeletal muscle relaxant
  • Alcohol withdrawal symptoms
  • Convulsive disorders
  • Pregnancy (correct)

    • What is a dental indication for Versed (Midazolam)?

  • Treatment of psychosis
  • Skeletal muscle relaxant
  • Providing I.V. sedation in oral surgery patients (correct)
  • Oral medication for preoperative dental anxiety

    • Which condition is NOT a contraindication for Valium (Diazepam)?

    <p>Alcohol withdrawal symptoms</p> Signup and view all the answers

    What is a common contraindication for both Valium (Diazepam) and Versed (Midazolam)?

    <p>Acute narrow glaucoma and wide angle glaucoma</p> Signup and view all the answers

    What is the main reason midazolam is considered more potent than diazepam?

    <p>It has a more rapid onset of action</p> Signup and view all the answers

    What is the clinical effect of administering midazolam at 0.1 - 0.2 mg/kg?

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

    What is a common reason for administering midazolam before ketamine?

    <p>To reduce emergence agitation and dysphoria</p> Signup and view all the answers

    In what ways can midazolam be administered as a pediatric premedication?

    <p>Intramuscularly, orally, intranasally</p> Signup and view all the answers

    What distinguishes barbiturates from other sedative drugs in dentistry?

    <p>They can produce various levels of sedation including general anesthesia</p> Signup and view all the answers

    What parts of the brain are depressed by barbiturates at therapeutic blood levels?

    <p>Cerebral cortex and limbic system</p> Signup and view all the answers

    Which system is crucial for the maintenance of sleep and wakefulness?

    <p>Reticular activating system</p> Signup and view all the answers

    How are barbiturates eliminated from the body?

    <p>Biotransformation in the liver and excretion through the kidneys</p> Signup and view all the answers

    Which of the following is NOT a contraindication for barbiturates?

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

    What is the primary classification criterion for barbiturates according to their clinical action duration?

    <p>Sedative effect duration</p> Signup and view all the answers

    Which of the following is a disadvantage of pentobarbital?

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

    What effect does pentobarbital have on cerebral metabolism?

    <p>Reduces it</p> Signup and view all the answers

    Which barbiturate is known for producing hangover as a side effect?

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

    What is a characteristic of barbiturates in terms of addiction potential?

    <p>Highly addictive with short-term use</p> Signup and view all the answers

    Why are barbiturates considered the drug of choice for cases with elevated ICP?

    <p>They induce hypotension</p> Signup and view all the answers

    What is the mechanism of action of opioid agonists?

    <p>Binds to opiate receptors in the CNS</p> Signup and view all the answers

    Which is a common side effect of opioid agonists?

    <p>Respiratory depression</p> Signup and view all the answers

    What is a contraindication for using opioid agonists?

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

    For which of the following is opioid agonists NOT indicated?

    <p>Asthma treatment</p> Signup and view all the answers

    Which system is primarily affected by opioid agonists leading to CNS depression?

    <p>Central nervous system</p> Signup and view all the answers

    What is a common side effect of Meperidine (Demerol)?

    <p>Serotonin syndrome</p> Signup and view all the answers

    What is a contraindication for using Fentanyl (Sublimaze)?

    <p>Patients with a history of serotonin syndrome</p> Signup and view all the answers

    In what way can Fentanyl (Sublimaze) administration result in respiratory distress?

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

    Which medication can be considered as a substitute for codeine in treating moderate-severe pain in patients allergic to codeine?

    <p>Meperidine (Demerol)</p> Signup and view all the answers

    What adverse effect might occur during rapid intravenous infusion of Fentanyl (Sublimaze)?

    <p>Impaired ventilation</p> Signup and view all the answers

    Which symptom is NOT associated with serotonin syndrome caused by opioid agonists?

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

    Which enzyme is responsible for the metabolism of Remifentanil?

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

    What is a potential adverse effect of administering large doses of Remifentanil?

    <p>Muscle rigidity</p> Signup and view all the answers

    What is the reversal agent for opioids like Flumazenil?

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

    What is a contraindication for the use of Naloxone Hydrochloride as an opioid antagonist?

    <p>Opioid dependence</p> Signup and view all the answers

    What is the maximum total dose of Flumazenil recommended for reversal in adults?

    <p>1.0 g</p> Signup and view all the answers

    Which inhalational anesthetic is known for its rapid emergence from anesthesia?

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

    What is a characteristic disadvantage of Isoflurane?

    <p>Possible hepatotoxicity</p> Signup and view all the answers

    Which inhalational anesthetic has the highest minimum alveolar concentration (MAC)?

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

    Why is Desflurane not recommended for induction in anesthesia?

    <p>It undergoes complete biotransformation in the body</p> Signup and view all the answers

    What is a notable advantage of Sevoflurane compared to other inhalational anesthetics?

    <p>Low solubility</p> Signup and view all the answers

    Which inhalation anesthetic is known for its rapid induction and recovery, pleasant odor, and nonirritating properties?

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

    Which inhalation anesthetic should be avoided in patients with severely compromised renal function due to its disadvantages of myocardial depression and progressive hypotension?

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

    Which inhalation anesthetic has the rare disadvantage of sensitizing the myocardium to the actions of catecholamines?

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

    Which inhalation anesthetic is nonexplosive and nonflammable, has a MAC of 1.58%, but may cause shivering on emergence?

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

    Which inhalation anesthetic, introduced in 1956, is known for its disadvantages of myocardial depression, cardiac dysrhythmias, and potent uterine relaxant?

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

    Which inhalation anesthetic should be used cautiously due to causing CNS irritation at higher concentrations and possible liver damage?

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

    Which type of state is produced by the administration of a neuroleptic drug and an opioid analgesic together?

    <p>Neuroleptic state</p> Signup and view all the answers

    What are the key characteristics of neuroleptanesthesia?

    <p>Sleepiness and psychological indifference</p> Signup and view all the answers

    Which drugs are required for the production of neuroleptanesthesia?

    <p>Droperidol and Fentanyl</p> Signup and view all the answers

    Which of the following is a characteristic of neuroleptanesthesia?

    <p>Satisfactory amnesia</p> Signup and view all the answers

    What is one of the effects of neuroleptanesthesia on voluntary movements?

    <p>Paralysis of voluntary movements</p> Signup and view all the answers

    What is a key characteristic of dissociative anesthesia produced by Ketamine?

    <p>Preservation of muscle tone</p> Signup and view all the answers

    Which condition serves as a contraindication for the use of Ketamine?

    <p>Elevated intracranial pressure</p> Signup and view all the answers

    How does Ketamine affect the airway in patients under dissociative anesthesia?

    <p>Maintains a patent airway</p> Signup and view all the answers

    What is a significant advantage of Ketamine compared to other anesthetics on blood vessels and tissues?

    <p>Preserves muscle tone</p> Signup and view all the answers

    Which statement accurately describes the level of awareness in patients under dissociative anesthesia with Ketamine?

    <p>Unaware of the environment</p> Signup and view all the answers

    What is a notable disadvantage of using Ketamine as an anesthetic in patients?

    <p>Confusion, unpleasant dreams, and frightening hallucinations</p> Signup and view all the answers

    Which medication can be considered to lessen the dysphoric emergence associated with Ketamine?

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

    What is a primary side effect of Propofol on injection?

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

    Which patients might benefit from the bronchodilating properties of Ketamine?

    <p>Patients with asthma</p> Signup and view all the answers

    What is a unique characteristic of Ketamine compared to other anesthetics in terms of availability?

    <p>It lacks any antagonist for reversal</p> Signup and view all the answers

    Which statement accurately describes the cardiovascular effects of Propofol?

    <p>Minimal cardiovascular effects</p> Signup and view all the answers

    What is the mechanism of action of Nondepolarizing Block muscle relaxants?

    <p>Preventing acetylcholine from attaching to receptors</p> Signup and view all the answers

    What is the purpose of preparing a written record for each patient during the administration of sedative or anesthetic drugs?

    <p>Documenting patient response to the drugs and procedures</p> Signup and view all the answers

    Which type of muscle relaxant block involves a prolong period of acting similar to acetylcholine?

    <p>Depolarizing Block</p> Signup and view all the answers

    What is the primary function of muscle relaxant drugs known as Deficiency Block?

    <p>Blocking acetylcholine synthesis or transmission</p> Signup and view all the answers

    Why is a written record essential during the administration of sedative or anesthetic drugs?

    <p>To help remember patient vital values and responses to drugs</p> Signup and view all the answers

    Which muscle relaxant block involves both depolarization and nondepolarizing phases?

    <p>Dual Block</p> Signup and view all the answers

    What is a key consideration when administering IV moderate sedation in the dental office?

    <p>The possibility of patients entering a deeper level of sedation</p> Signup and view all the answers

    What is a notable advantage of IV moderate sedation over the oral route?

    <p>Higher and more consistent success rate</p> Signup and view all the answers

    What is the primary concern when a patient undergoing sedation enters a deeper level of sedation?

    <p>Respiratory depression and unconsciousness</p> Signup and view all the answers

    What is highlighted as a potential challenge related to the use of drugs in sedation?

    <p>The role of the user in managing drug toxicity</p> Signup and view all the answers

    In which scenario does IV moderate sedation in the dental office pose a risk?

    <p>When patients may experience respiratory depression and unconsciousness</p> Signup and view all the answers

    What is crucial for dental practitioners during procedures involving IV moderate sedation?

    <p>Maintaining awareness of patients' consciousness levels</p> Signup and view all the answers

    More Like This

    Statistika põhiküsimused: tööleht nr.1
    23 questions

    Statistika põhiküsimused: tööleht nr.1

    HappierHeliotrope2488 avatar
    HappierHeliotrope2488
    الصبي وال акvárium
    5 questions

    الصبي وال акvárium

    DiversifiedTucson avatar
    DiversifiedTucson
    Psychology Flashcards: CNS Depressants
    27 questions

    Psychology Flashcards: CNS Depressants

    LuminousGadolinium avatar
    LuminousGadolinium
    Common Orthopaedic Deformities Quiz
    29 questions

    Common Orthopaedic Deformities Quiz

    ImpressiveRational1615 avatar
    ImpressiveRational1615
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser