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8 Cards in this Set

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What is the MOA of dissociative anesthetics?
noncompetitive antagonist of NMDA receptors, which prevents glutamate from binding
What are the systemic effects of dissociative anesthetics?
increased intraoccular and intracranial pressure
apnystic breathing
increased respiratory and salivary secretions
muscle twitching (NOT relaxation)
hallucinogenic effects
increased HR and BP
How are dissociative anesthetics metabolized?
via liver, excreted by kidney
emergence due to redistribution to muscle, fat
*damage to liver or kidney can increase duration of action
What are the dissociative anesthetics?
Ketamine, Tiletamine, Phencyclidine
Are dissociative anesthetics controlled substances?
Yes, Schedule III or higher!
Human abuse problem
How is Tiletamine formulated?
with zolazepam
What is the relative potency of the different dissociative anesthetics?
Ketamine is the least potent, then Tiletamine, then Phencyclidine
What is ketamine commonly combined with?
guaifenesin and xylazine