All are false about N20 except-
Ans. is 'a' i.e., Little effect on respiration Nitrous oxide N2O o It is colourless, odourless, heavier than air, nonirritating and noninflammable gas. o It is also called laughing gas. o MAC is 105% (least potent) - even pure N20 at 1 atmospheric pressure can not produce adequate anaesthesia, o It has good analgesic but poor muscle relaxant activity. o It is supplied under pressure in blue coloured steel cyclinders. o It has very low blood solubility - induction is quick and smooth with rapid recovery, o Second gas effect and diffusion hypoxia occur with NzO only. o N2O is generally used as a carrier and adjuvant to other anaesthetics - A mixture of 70% N2O + 25 - 30% O2 + 0.2-2% another potent anaesthetic is employed for most of the surgical procedures, o Entonox is a mixture of 50% N2O and 50% O2. o It has little effect on respiration, heart and BP. o It can cause bone marrow depression and vit B12 deficiency. o N2O is the only anaesthetic reported to produce hematologic toxicity and neurotoxicity with long term administration. o Both toxicides are the result of the interaction of N2O with vit B12. o Complete bone marrow failure can be expected after several days of continuous exposure, o Bone marrow changes are preventable by pretreating patients with large doses of folinic acid. o Other manifestations of vit B12 deficiency eg. megaloblastic anemia, subacute combined degeneration of cord may also occur. o Methemoglobinemia and laryngospasm may occur. o It is contraindicated in patients with air cavities like pneumothorax, pneumoperitoneum and volvulus - expansion and increase in pressure occur.
Little effect on respiration
Good muscle relaxant
Lighter than air
No diffusion hypoxia
Miscellaneous General Anesthesia