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39 Cards in this Set
- Front
- Back
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Midazolam
Caution |
Hepatic Disease, Elderly, Synergy w / Narcotics
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Propofol
Caution |
Bacterial growth, soy / egg allergy
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Etomidate
Caution |
Pain on injection, Myoclonus, PONV, 35% propylene glycol--BURNS
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Ketamine
Caution |
Emergence Delirium, Drug Interactions-- dec.
amnt inhaled agent needed, potentiates NMB |
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Sodium Thiopental
Caution |
Drug Interaction (add acidic drug w / it-->Precip.); Apnea
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Succinylcholine
Caution |
Bradycardia, Hyperalkemia, open globe injury (increases cerebral, intraabdominal and intraoccular pressure)
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Rocuronium
Caution |
Renal failure (b / c excreted via kidneys)
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Vecuronium
Caution |
Renal / Hepatic Dysfunction(elim.
Via these routes), Peds / Elderly (larger / smaller dose resp.) |
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Cisatracurium
Caution |
Neuromuscular Blocking Drugs
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Pancuronium
Caution |
↑ HR (tachycardia), MAP, CO; Clearance ↓ up to 50% w / renal failure
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Atracurium
Caution |
Neuromuscular Blocking Drugs
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Morphine
Caution |
Depression of ventilation; PONV, Biliary spasm, Itching, Histamine release
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Fentanyl
Caution |
75-125x more potent than morphine
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Meperidine
Caution |
Neurotoxic(active metab.
Accumulates--> seizures, esp in pt w / renal disease), Renal Disease; Histamine Release |
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Hydromorphone
Caution |
8x as potent as morphine
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Naloxone
Caution |
causes N / V, pain, tachycardia, increased SNS output (all b / c taken away analgesia), DILUTE 0.4mg vial in 10mL and give 1-2ml over 2-3 minutes
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Isoflurane
Caution |
Highly Potent, A / W irritant, trickles to fat and prolongs emergence, min metabolism 0.2%(breathe out most of what we just breathed in)
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Desflurane
Caution |
Pungent-A / W irritant(avoid w / reactive airways / pt w / asthma or smoking history even), Carbon Monoxide formation in CO2 absorber
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Sevoflurane
Caution |
Compound A formation(use high flows), metabolized 2-5%, renal tubular injury, Prompt Recovery
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Nitrous Oxide
Caution |
Enclosed spaces, Diffusion Hypoxia (can replace O2 in aveoli w / N20, attenuate w / O2 through canula / facemask)
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Epinephrine
Caution |
Sympathomimetics
Vasoactive Drugs |
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Ephedrine
Caution |
Tachyphylaxis (tolerance), depletion of norepinephrine
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Phenylephrine
Caution |
Increased afterload(heart pumping against high P), Reflex Bradycardia (↑BP but ↓HR)
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Norepinephrine
Caution |
Sympathomimetics
Vasoactive Drugs |
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Esmolol
Caution |
↓HR / Contractility / BP, CHF (exacerbate pts w / this); Asthma
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Metoprolol
Caution |
↓HR / Contractility / BP, CHF (exacerbate pts w / this); Asthma
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Labetolol
Caution |
Avoid in asthmatic pt--works in lungs
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Sodium Nitroprusside
Caution |
Non-selective (Venous dilation=arterial), cyanide toxicity (byproduct), Methemoglobinemia
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Nitroglycerin
Caution |
Principal Venous Dilator, ↓ Ventric Wall Tension
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Hydralazine
Caution |
Principal Arterial Dilator, Tachycardia, Headache Angina, Flushing Rash
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Neostigmine
Caution |
BLUDS , Hypotension
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Glycopyrrolate
Caution |
Glaucoma, Parturients
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Atropine
Caution |
Glaucoma, Parturients
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Ondansetron
Caution |
Antiemetics
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Doperidol
Caution |
Parkinson's Disease, Prolonged QT interval (can cause arrhythmias), Elderly (euphoria)
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Lidocaine
Caution |
Hepatic Disease (metab.
In liver) |
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Diphenhydramine
Caution |
causes sedation
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Heparin
Caution |
occular / intracranial sg, spinal / epidural
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Ketorolac
Caution |
Renal pt, may cause bleeding, ↓ platelet fx, nausea
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