Question 17 · LDEK · Local anesthetics

In the inflammatory infiltrated tissue, the local anesthetic:

  1. A. undergoes dissociation to the cation form.
  2. B. has elongated latency time.
  3. C. quickly reaches the sodium channel, but leaves it slowly.
  4. D. it blocks only the potassium channel.
  5. E. it starts working faster, but works shorter than in healthy tissues.
Hint

Think about how the lower tissue pH of inflammation shifts the base-cation equilibrium of an anaesthetic with a given pKa.

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