Pharmacology and physiology in anesthetic practice

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1. Verfasser: Stoelting, Robert K. (VerfasserIn)
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Veröffentlicht: Philadelphia [u.a.] Lippincott-Raven 1999
Ausgabe:3. ed.
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adam_text Contents Preface xv Section I. Pharmacology 1. Pharmacokinetics and Pharmacodynamics of Injected and Inhaled Drugs 3 Stereochemistry, 3 Description of Drug Response, 4 Pharmacology of Injected Drugs, 4 Pharmacodynamics of Injected Drugs, 17 Pharmacokinetics of Inhaled Anesthetics, 20 Pharmacodynamics of Inhaled Anesthetics, 30 2. Inhaled Anesthetics 36 History, 36 Clinically Useful Inhaled Anesthetics, 37 Comparative Pharmacology, 39 Central Nervous System Effects, 40 Circulatory Effects, 43 Ventilation Effects, 53 Hepatic Effects, 57 Renal Effects, 61 Skeletal Muscle Effects, 64 Obstetric Effects, 65 Resistance to Infection, 65 Genetic Effects, 66 Bone Marrow Function, 66 Peripheral Neuropathy, 67 Total Body Oxygen Requirements, 67 Metabolism, 67 3. Opioid Agonists and Antagonists 77 Structure Activity Relationships, 77 Mechanism of Action, 77 Opioid Receptors, 78 Neuraxial Opioids, 79 Opioid Agonists, 83 Opioid Agonist Antagonists, 104 Opioid Antagonists, 106 Anesthetic Requirements, 108 4. Barbiturates 113 Commercial Preparations, 113 Structure Activity Relationships, 113 Mechanism of Action, 113 V vi / Contents Pharmacokinetics, 114 Clinical Uses, 118 Side Effects, 120 5. Benzodiazepin.es 126 Structure Activity Relationships, 126 Mechanism of Action, 126 Side Effects, 127 Midazolam, 128 Diazepam, 132 Lorazepam, 136 Oxazepam, 137 Clonazepam, 137 Flurazepam, 137 Temazepam, 137 Triazolam, 137 Quazepam, 137 Flumazenil, 138 6. Nonbarbiturate Induction Drugs 140 Propofol, 140 Etomidate, 145 Ketamine, 148 Eltanolone, 155 7. Local Anesthetics 158 Commercial Preparations, 158 Structure Activity Relationships, 158 Mechanism of Action, 160 Minimum Concentration, 161 Pharmacokinetics, 161 Side Effects, 167 Uses of Local Anesthetics, 171 Cocaine Toxicity, 178 ! 8. Neuromuscular Blocking Drugs 182 Pharmacodynamics, 182 Pharmacokinetics, 184 History, 185 : Clinical Uses, 185 Structure Activity Relationships, 186 Neuromuscular Junction, 187 Depolarizing Neuromuscular Blocking Drugs, 189 Nondepolarizing Neuromuscular Blocking Drugs, 194 Long Acting Nondepolarizing Neuromuscular Blocking Drugs, 202 Intermediate Acting Nondepolarizing Neuromuscular Blocking Drugs, 205 Short Acting Nondepolarizing Neuromuscular Blocking Drugs, 216 ORG 9487, 219 9. Anticholinestemse Drugs and Cholinergic Agonists 224 Mechanism of Action, 224 Classification, 224 Structure Activity Relationships, 226 Pharmacokinetics, 226 Pharmacologic Effects, 229 Clinical Uses, 231 Overdose of Anticholinesterase Drugs, 235 Synthetic Cholinergic Agonists, 235 Contents / vii 10. Anticholinergic Drugs 238 Structure Activity Relationships, 238 Mechanism of Action, 238 Pharmacokinetics, 240 Clinical Uses, 241 Central Anticholinergic Syndrome, 245 Overdose, 245 Decreased Barrier Pressure, 246 11. Nonsteroidal Antiinflammatory Drugs 247 Mechanism of Action, 247 Pharmacokinetics, 247 Adverse Reactions, 249 Perioperative Use of Nonsteroidal Antiinflammatory Drugs, 250 Aspirin (Acetylsalicylic Acid), 251 Acetaminophen, 253 Diflunisal, 254 Indomethacin, 254 Sulindac, 254 Tolmetin, 254 Propionic Acid Derivatives, 255 Phenylbutazone, 255 Piroxicam, 255 Ketorolac, 255 Miscellaneous Antiarthritis Drugs, 256 12. Sympathomimetics 259 Clinical Uses, 259 Structure Activity Relationships, 259 Mechanism of Action, 262 Metabolism, 264 Route of Administration, 264 Naturally Occurring Catecholamines, 264 Synthetic Catecholamines, 268 Synthetic Noncatecholamines, 270 Selective Betaj Adrenergic Agonists, 274 13. Digitalis and Related Drugs 278 Clinical Uses, 278 Structure Activity Relationships, 278 Mechanism of Action, 278 Pharmacokinetics, 280 Cardiovascular Effects, 281 Electrocardiographic Effects, 281 Digitalis Toxicity, 281 Preoperative Prophylactic Digitalis, 283 Drug Interactions, 283 Selective Phosphodiesterase Inhibitors (Noncatecholamine, Nonglycoside Cardiac Inotropic Agents), 284 Nonselective Phosphodiesterase Inhibitors, 285 Calcium, 286 Glucagon, 286 14. Alpha and Beta Adrenergic Receptor Antagonists 288 Alpha Adrenergic Receptor Antagonists, 288 Beta Adrenergic Receptor Antagonists, 290 Combined Alpha and Beta Adrenergic Receptor Antagonists, 300 viii / Contents 15. Antihypertensive Drugs 302 Sympatholytics, 302 Angiotensin Converting Enzyme Inhibitors, 307 Angiotensin Receptor Blockers, 309 Calcium Channel Blockers, 310 Vasodilating Drugs, 310 Diuretics, 311 16. Peripheral Vasodilators 313 Nitric Oxide, 313 Sodium Nitroprusside, 315 Nitroglycerin, 322 Isosorbide Dinitrate, 325 Dipyridamole, 325 Papaverine, 326 Trimethaphan, 326 Diazoxide, 327 Purines, 328 Sildenafil, 329 17. Cardiac Antidysrhythmic Drugs 331 Classification, 331 Decision to Treat Cardiac Dysrhythmias, 333 Quinidine, 333 Procainamide, 334 Disopyramide, 335 Lidocaine, 335 Mexiletine, 336 Tocainide, 337 Phenytoin, 337 Moricizine, 337 Flecainide, 337 Propafenone, 338 Propranolol, Metoprolol, and Esmolol, 338 Amiodarone, 339 Sotalol, 341 Bretylium, 341 Verapamil and Diltiazem, 341 Digitalis, 342 Adenosine, 342 Prodysrhythmic Effects, 343 18. Calcium Channel Blockers 344 Classification, 344 Mechanism of Action, 344 Pharmacologic Effects, 348 Risks of Chronic Treatment, 348 Clinically Available Drugs, 348 Drug Interactions, 351 19. Drugs Used for Psychopharmacologic Therapy 357 Antidepressants, 357 Anxiolytics, 367 Lithium, 368 Antipsychotic (Neuroleptic) Drugs, 369 20. Prostaglandins 377 Nomenclature and Structure Activity Relationships, 377 Contents / ix Synthesis, 377 Mechanism of Action, 378 Metabolism, 378 Effects on Organ Systems, 378 21. Histamine and Histamine Receptor Antagonists 385 Histamine, 385 Histamine Receptor Antagonists, 388 Proton Pump Inhibitors, 396 Cromolyn, 397 22. Renin, Plasma Kinins, and Serotonin 398 Renin, 398 Plasma Kinins, 401 Serotonin, 403 23. Hormones as Drugs 409 Anterior Pituitary Hormones, 409 Thyroid Gland Hormones, 410 Drugs That Inhibit Thyroid Hormone Synthesis, 410 Ovarian Hormones, 411 Androgens, 414 Corticosteroids, 415 Melatonin, 422 Posterior Pituitary Hormones, 422 Chymopapain, 425 24. Insulin and Oral Hypoglycemics 427 Insulin, 427 Structure Activity Relationships, 427 Oral Hypoglycemics, 430 Biguanides, 433 Intestinal Glycosidase Inhibitors, 434 25. Diuretics 435 Thiazide Diuretics, 435 Loop Diuretics, 437 Osmotic Diuretics, 440 Potassium Sparing Diuretics, 442 Aldosterone Antagonists, 442 Carbonic Anhydrase Inhibitors, 443 26. Antacids and Gastrointestinal Prokinetics 444 Antacids, 444 Drug Interactions, 445 Sucralfate, 447 Gastrointestinal Prokinetics, 447 27. Anticoagulants 453 Heparin, 453 Low Molecular Weight Heparin, 459 Oral Anticoagulants, 459 Thrombolytic Drugs, 461 Antithrombotic Drugs, 463 28. Antimicrobials 465 Antimicrobial Prophylaxis for Surgical Procedures, 465 Penicillins, 465 Cephalosporins, 470 x / Contents Other Beta Lactam Antimicrobials, 471 Aminoglycoside Antimicrobials, 472 Tetracyclines, 474 Macrolides, 475 Clindamycin, 476 Chloramphenicol, 476 Vancomycin, 476 Polymyxin B and Colistimethate, 477 Bacitracins, 478 Sulfonamides, 478 Metronidazole, 480 Fluoroquinolones, 480 Nitrofurantoin, 481 Drugs for Treatment of Tuberculosis, 481 Antifungal Drugs, 484 Antiviral Drugs, 485 29. Chemotherapeutic Drugs 490 Classification, 490 Alkylating Drugs, 490 Antimetabolites, 495 Plant Alkaloids, 498 Antibiotics, 499 Enzymes, 503 Synthetics, 503 Hormones, 504 30. Antiepileptic Drugs 506 Principles of Dosing, 506 Plasma Concentrations, 506 Drug Interactions, 509 Mechanism of Seizure Activity, 509 Mechanism of Drug Action, 509 Major Antiepileptic Drugs, 510 New Antiepileptic Medications, 514 31. Drugs Used for Treatment of Parkinson s Disease 515 Levodopa, 515 Peripheral Decarboxylase Inhibitors, 517 Synthetic Dopamine Agonists, 518 Anticholinergic Drugs, 518 Amantadine, 518 Selegiline, 519 Nonpharmacologic Treatment, 519 32. Drug Treatment ofLipid Disorders 520 Drugs for Treatment of Increased Plasma Low Density Lipoprotein Cholesterol Concentrations, 520 Drugs for Treatment of Increased Plasma Triglyceride Concentrations, 523 33. Central Nervous System Stimulants and Muscle Relaxants 525 Central Nervous System Stimulants, 525 Centrally Acting Muscle Relaxants, 528 34. Vitamins 532 Water Soluble Vitamins, 532 Fat Soluble Vitamins, 537 Contents / xi 35. Minerals and Electrolytes 541 Calcium, 541 Potassium, 547 Hypokalemic Drug Effects, 547 Phosphate, 548 Magnesium, 549 Iron, 550 Copper, 552 Zinc, 552 Chromium, 552 Selenium, 552 Manganese, 552 Molybdenum, 553 36. Blood Components and Substitutes 554 Blood Components, 554 Topical Hemostatics, 560 Blood Substitutes, 561 37. Hyperalimentation Solutions 565 Enteral Nutrition, 565 Parenteral Nutrition, 566 38. Antiseptics and Disinfectants 570 Alcohols, 570 Quaternary Ammonium Compounds, 570 Chlorhexidine, 570 Iodine, 570 Hexachlorophene, 571 Formaldehyde, 571 Glutaraldehyde, 571 Pasteurization, 572 Cresol, 572 Silver Nitrate, 572 Mercury, 572 Ethylene Oxide, 572 Section II. Physiology 39. Cell Structure and Function 575 Cell Anatomy, 575 Transfer of Molecules across Cell Membranes, 578 Transfer of Molecules through Cell Membranes, 578 Electrical Potentials across Cell Membranes, 581 Intracellular Communication, 583 40. Body Fluids 586 Blood Volume, 586 Measurement of Compartmental Fluid Volumes, 587 Constituents of Body Fluid Compartments, 587 Osmosis, 588 Changes in Volumes of Body Fluid Compartments, 589 41. Central Nervous System 591 Cerebral Hemispheres, 591 Brainstem, 594 xii / Contents Spinal Cord, 596 Pathways for Peripheral Sensory Impulses, 598 Pathways for Peripheral Motor Responses, 599 Anatomy of Nerve Fibers, 600 Neurotransmitters, 601 Electrical Events during Neuronal Excitation, 603 Cerebral Blood Row, 604 Electroencephalogram, 605 Evoked Potentials, 606 Cerebrospinal Fluid, 607 Vision, 608 Hearing, 611 Equilibrium, 612 Chemical Senses, 612 Body Temperature, 612 Nausea and Vomiting, 617 42. Autonomic Nervous System 619 Anatomy of the Sympathetic Nervous System, 619 Anatomy of the Parasympathetic Nervous System, 619 Physiology of the Autonomic Nervous System, 620 Interactions of Neurotransmitters with Receptors, 625 Residual Autonomic Nervous System Tone, 626 Adrenal Medulla, 626 43. Pain 628 Types of Pain, 628 Pain Receptors, 628 Transmission of Pain Signals, 629 Reaction to Pain, 631 Preemptive Analgesia, 631 Description of Pain, 631 Embryologic Origin and Localization of Pain, 633 44. Systemic Circulation 634 Components of the Systemic Circulation, 634 Physical Characteristics of the Systemic Circulation, 634 Physical Characteristics of Blood, 639 Determinants of Tissue Blood Flow, 640 Control of Tissue Blood Flow, 640 Regulation of Systemic Blood Pressure, 642 Regulation of Cardiac Output and Venous Return, 645 Fetal Circulation, 647 45. Capillaries and Lymph Vessels 649 Capillaries, 649 Lymph Vessels, 652 Edema, 653 46. Pulmonary Circulation 654 Anatomy, 654 Intravascular Pressures, 654 Interstitial Fluid Space, 655 Pulmonary Blood Volume, 655 Pulmonary Blood Flow and Distribution, 656 Pulmonary Edema, 658 Events That Obstruct Pulmonary Blood Flow, 658 Contents / xiii 47. Heart 660 Cardiac Physiology, 660 Coronary Blood Flow, 663 Dynamics of Heart Sounds, 666 Conduction of Cardiac Impulses, 667 Circulatory Effects of Heart Disease, 669 Myocardial Infarction, 670 Angina Pectoris, 671 Cardiac Failure, 671 48. The Electrocardiogram and Analysis of Cardiac Dysrhythmias 672 Electrocardiogram, 672 Cardiac Dysrhythmias, 675 49. Lungs 682 Anatomy, 682 Mechanics of Breathing, 683 Surface Tension and Pulmonary Surfactant, 685 Compliance, 685 Lung Volumes and Capacities, 685 Minute Ventilation, 687 Control of Ventilation, 687 Effects of Sleep on Breathing, 690 Apneic Periods during Sleep, 690 Periodic Breathing, 690 Nonventilatory Functions of the Lungs, 691 50. Pulmonary Gas Exchange and Blood Transport of Gases 692 Pulmonary Gas Exchange, 692 Blood Transport of Oxygen and Carbon Dioxide, 694 Changes Associated with High Altitude, 699 Changes Associated with Excessive Barometric Pressure, 700 51. Acid Base Balance 702 Mechanism for Regulation of Hydrogen Ion Concentration, 702 Acid Base Disturbances, 705 Gastric Intramucosal pH, 707 52. Endocrine System 708 Mechanism of Hormone Action, 708 Pituitary Gland, 708 Thyroid Gland, 712 Parathyroid Glands, 714 Adrenal Cortex, 714 Reproductive Glands, 716 Pancreas, 718 53. Kidneys 722 Nephron, 722 Renal Blood Flow, 722 Glomerular Filtrate, 726 Renal Tubular Function, 726 Tubular Transport Maximum, 727 Regulation of Body Fluid Characteristics, 728 Atrial and Renal Natriuretic Factors, 730 Acute Renal Failure, 730 Chronic Renal Failure, 732 Transport of Urine to the Bladder, 734 xiv / Contents 54. Liver and Gastrointestinal Tract 736 Liver, 736 Gastrointestinal Tract, 739 55. Skeletal and Smooth Muscle 748 Skeletal Muscle, 748 Smooth Muscle, 750 56. Erythrocytes and Leukocytes 752 Erythrocytes, 752 Blood Groups, 753 Leukocytes, 755 Inflammation, 757 Immunity, 758 Tissue Typing, 760 57. Hemostasis and Blood Coagulation 762 Hemostatic Mechanism, 762 Thromboembolism, 764 Disseminated Intravascular Coagulation, 765 58. Metabolism of Nutrients 766 Carbohydrate Metabolism, 766 Lipid Metabolism, 768 Protein Metabolism, 769 Obesity, 771 Drug Index 773 Subject Index 777
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Pharmacology and physiology in anesthetic practice Robert K. Stoelting
3. ed.
Philadelphia [u.a.] Lippincott-Raven 1999
XIV, 814 S. Ill., graph. Darst.
txt rdacontent
n rdamedia
nc rdacarrier
Literaturangaben
Anesthesie gtt
Farmacologie gtt
Fysiologie gtt
Anesthetics Physiological effect Handbooks, manuals, etc
Anesthetics pharmacology
Physiology
Pharmakologie (DE-588)4045687-0 gnd rswk-swf
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spellingShingle Stoelting, Robert K.
Pharmacology and physiology in anesthetic practice
Anesthesie gtt
Farmacologie gtt
Fysiologie gtt
Anesthetics Physiological effect Handbooks, manuals, etc
Anesthetics pharmacology
Physiology
Pharmakologie (DE-588)4045687-0 gnd
Anästhetikum (DE-588)4001839-8 gnd
subject_GND (DE-588)4045687-0
(DE-588)4001839-8
title Pharmacology and physiology in anesthetic practice
title_auth Pharmacology and physiology in anesthetic practice
title_exact_search Pharmacology and physiology in anesthetic practice
title_full Pharmacology and physiology in anesthetic practice Robert K. Stoelting
title_fullStr Pharmacology and physiology in anesthetic practice Robert K. Stoelting
title_full_unstemmed Pharmacology and physiology in anesthetic practice Robert K. Stoelting
title_short Pharmacology and physiology in anesthetic practice
title_sort pharmacology and physiology in anesthetic practice
topic Anesthesie gtt
Farmacologie gtt
Fysiologie gtt
Anesthetics Physiological effect Handbooks, manuals, etc
Anesthetics pharmacology
Physiology
Pharmakologie (DE-588)4045687-0 gnd
Anästhetikum (DE-588)4001839-8 gnd
topic_facet Anesthesie
Farmacologie
Fysiologie
Anesthetics Physiological effect Handbooks, manuals, etc
Anesthetics pharmacology
Physiology
Pharmakologie
Anästhetikum
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