PHARMA AND VENI LESSON 2

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1
What do analgesics do?
They control pain, reduce fever, and some decrease inflammation.
2
Why should some analgesics be avoided in kidney disease?
They reduce blood flow to the kidneys.
3
Which analgesic is a mild pain reliever?
Paracetamol (Acetaminophen).
4
Which NSAID is used for pain relief?
Ibuprofen (Advil, Motrin).
5
Which opioid analgesic is used in trauma imaging?
Morphine.
6
Which potent opioid is used for pain relief in interventional radiology?
Fentanyl.
7
What are local anesthetics also called?
Numbing agents.
8
How do local anesthetics work?
They block nerve impulses that relay pain signals.
9
Which local anesthetic is most commonly used?
Lidocaine (Xylocaine).
10
Which local anesthetic is long-lasting and used for nerve blocks?
Bupivacaine (Marcaine).
11
Which local anesthetic is similar to lidocaine but lasts slightly longer?
Mepivacaine (Carbocaine).
12
Which local anesthetic is long-lasting with fewer heart-related side effects?
Ropivacaine (Naropin).
13
Which local anesthetic is short-acting and less common in radiology?
Procaine (Novocain).
14
What do general anesthetics do?
They induce and maintain unconsciousness.
15
What type of amnesia do general anesthetics cause?
Anterograde amnesia (patients do not remember events after administration).
16
Which general anesthetic is most commonly used for pediatric sedation in MRI/CT?
Sevoflurane.
17
Which inhalation anesthetic is used for longer procedures?
Isoflurane.
18
Which inhalation anesthetic is fast-acting and used in interventional radiology?
Desflurane.
19
What does nitrous oxide (laughing gas) do?
It acts as a mild sedative, sometimes used for anxious patients.
20
Which IV anesthetic is most commonly used for sedation in MRI, CT, and interventional procedures?
Propofol (Diprivan).
21
Which IV anesthetic is used in critically ill patients for short procedures?
Etomidate.
22
Which IV anesthetic provides anesthesia and pain relief, useful in trauma imaging?
Ketamine.
23
Which IV anesthetic is less commonly used today in radiology settings?
Thiopental (Pentothal).
24
What do paralytics do?
They induce complete muscle relaxation for intubation and surgery.
25
Which paralytic is used for rapid sequence intubation in emergency radiology cases?
Succinylcholine.
26
Which paralytic is commonly used for intubation and muscle relaxation during MRI/CT under anesthesia?
Rocuronium (Zemuron).
27
Which paralytic is preferred for critically ill patients undergoing CT/MRI?
Cisatracurium (Nimbex).
28
What do reversal drugs do?
They reverse the muscle relaxation effects of paralytics before discontinuing anesthesia.
29
Which drug combination reverses non-depolarizing paralytics?
Neostigmine + Atropine.
30
Which reversal drug specifically reverses rocuronium and vecuronium?
Sugammadex (Bridion).
31
What do anxiolytics do?
They reduce anxiety and relax the body.
32
What happens when anxiolytics are taken in high doses?
They can induce sleep.
33
Which anxiolytic is short-acting and used for sedation and anxiety relief in MRI, CT, and interventional procedures?
Midazolam (Versed).
34
Which anxiolytic is long-acting and used for anxiety relief in claustrophobic MRI patients?
Diazepam (Valium).
35
Which anxiolytic is intermediate-acting and used for pre-procedure sedation and anxiety?
Lorazepam (Ativan).
36
What do SSRIs treat?
They are antidepressants used to treat anxiety and obsessive-compulsive disorder (OCD).
37
Which SSRI may impact how a patient tolerates contrast agents?
Sertraline (Zoloft).
38
Which SSRI can cause sedation and drowsiness, affecting cooperation during imaging?
Paroxetine (Paxil).
39
Which SSRI is often used for OCD?
Fluvoxamine (Luvox).
40
Which SSRI is prescribed for depression, anxiety, and OCD, and may affect sedation?
Fluoxetine (Prozac).
41
Which SSRI is a more potent form of citalopram?
Escitalopram (Lexapro).
42
Which SSRI may interact with medications used in radiology?
Citalopram (Celexa).
43
What do SNRIs treat?
They treat depression, anxiety, and some chronic pain conditions.
44
Which SNRI might heighten pain sensitivity during imaging?
Duloxetine (Cymbalta).
45
Which SNRI is primarily used for depression and anxiety but may increase blood pressure?
Venlafaxine (Effexor).
46
What do TCAs do?
They are antidepressants that increase neurotransmitter levels in the brain.
47
Which TCA can affect a patient’s ability to cooperate during imaging due to its sedative effects?
Amitriptyline (Elavil).
48
Which TCA is a metabolite of amitriptyline and used for depression and chronic pain?
Nortriptyline (Pamelor).
49
Which TCA may cause sedation and drowsiness, affecting imaging procedures?
Imipramine (Tofranil).
50
What do benzodiazepines do?
They reduce physical symptoms of anxiety and promote relaxation.
51
Which benzodiazepine is used for severe anxiety regarding imaging procedures?
Alprazolam (Xanax).
52
Which benzodiazepine may be used in radiology settings for patient comfort or sedation?
Clonazepam (Klonopin).
53
What do antipsychotic drugs treat?
They treat psychosis-related conditions and symptoms.
54
What is psychosis?
A collection of symptoms where the brain doesn’t process information correctly.
55
What are the main symptoms of psychosis?
Hallucinations and delusions.
56
What are first-generation antipsychotics also called?
Typical antipsychotics.
57
Which first-generation antipsychotic is used in emergency settings where sedation is needed for imaging?
Haloperidol (Haldol).
58
Which first-generation antipsychotic has sedative properties useful for managing agitated patients?
Chlorpromazine (Thorazine).
59
What are second-generation antipsychotics also called?
Atypical antipsychotics.
60
Which second-generation antipsychotic is used for schizophrenia and severe anxiety?
Olanzapine (Zyprexa).
61
Which second-generation antipsychotic may cause sedation and affect coordination?
Risperidone (Risperdal).
62
Which second-generation antipsychotic is often prescribed for bipolar disorder and depression?
Quetiapine (Seroquel).
63
Which second-generation antipsychotic is used for treatment-resistant schizophrenia?
Clozapine (Clozaril).
64
What do antihistamines do?
They block histamine release to treat allergies and cold symptoms.
65
Which sedative antihistamine is most commonly used for mild allergic reactions to contrast media?
Diphenhydramine (Benadryl).
66
Which sedative antihistamine is sometimes used for contrast-related allergies?
Chlorpheniramine.
67
Which sedative antihistamine is used for anxiety and allergic reactions?
Hydroxyzine (Vistaril, Atarax).
68
Which non-sedative antihistamine is used for mild allergic reactions in alert patients?
Loratadine (Claritin).
69
Which antiarrhythmic drug class blocks sodium channels?
Class I.
70
Which beta blocker is used to control tachyarrhythmias?
Metoprolol.
71
What do anticoagulants do?
They prevent blood from clotting too easily.
72
Which anticoagulant is a direct thrombin inhibitor?
Dabigatran (Pradaxa).
73
Which anticoagulant is a direct factor Xa inhibitor?
Rivaroxaban (Xarelto).
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