Medical Pharmacology: Local Anesthetics Practice
Questions
Click on the correct answer.
This local anesthetic is considered unique in the amino-amide agents given that not only does the compound exhibit a thiophene ring but also an additional ester group which is a substrate for plasma esterases.
Benzocaine
Articaine
Bupivacaine
Chloroprocaine
This agent, used in dental anesthesia, has likely eclipsed lidocaine as the likely standard drug.
Articaine
Mepivacaine
Prilocaine
Chloroprocaine
Bupivacaine-choose the INCORRECT statement(s):
Commonly used ester-typelocal anesthetic
Similar structure to lidocaine
Capable of producing extended anesthesia
Exhibits a property of providing more sensory compared to motor blockade
A & B
C & D
Lidocaine is less cardiotoxic than bupivacaine at equally-effective dose levels.
True
False
Bupivacaine blocks cardiac sodium channels during systole and dissociates from these channels more slowly compared to lidocaine during diastole.this property may contribute to bupivacaine cardiotoxicity.
True
False
Bupivacaine cardiotoxicity may also be mediated by the CNS given that bupivacaine injection to the medulla may induce malignant ventricular rhythm disorders.
True
False
Spinal anesthesia with bupivacaine is especially well-suited for outpatient/ambulatory surgical settings given its duration of action.
Benzocaine is essentially used only as a topical anesthetic.
Current use of benzocaine has been decreasing due to possible induction of methemoglobinemia.
Both
Neither
Primary advantages of chloroprocaine include/includes:
Rapid onset
Short duration of action
Both
Neither
Large doses of chloroprocaine may be associated with extended sensory and motor block following epidural or subarachnoid administration. This effect has reduced the support for chloroprocaine clinical use.