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39 Cards in this Set
- Front
- Back
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Midazolam
Notes |
Onset 2-5m
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Propofol
Notes |
Pain on injection, emulsion, elim via redist., ↓ PONV & BP
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Etomidate
Notes |
Induction Drugs
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Ketamine
Notes |
lasts 1 hour, "Special K", deriv.
of PCP |
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Sodium Thiopental
Notes |
Will burn b / c high pH of 10 v.
pH of blood 7.4; Garlic Taste |
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Succinylcholine
Notes |
Onset: 60sec
Duration: 3-5 min Causes Fasciculations |
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Rocuronium
Notes |
Onset: 1-2 min
Duration: 20-35min |
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Vecuronium
Notes |
onset 3-5 m
Duration: 20-35 min |
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Cisatracurium
Notes |
Onset: 3-5 min
Duration: 20-35 min Hoffman Elim.,not metab in liver / kidneys, use for pt w / renal disease |
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Pancuronium
Notes |
Onset: 3-5 min
Duration: 60-90 min Long duration, Hepatic / Renal Elim. |
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Atracurium
Notes |
Onset: 3-5 min; Duration 20-35 min
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Morphine
Notes |
IV / IM, low lipid solubility-->slower onset(15-30m), Potency 1, 2-10mg peak effect 45-90m, duration 3-4h, metab.
in liver / kidnerys, active metabolite almost as potent as morphine, so will accumulate & last longer in pt w / kidney / renal disease. |
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Fentanyl
Notes |
VERY lipid soluble & protein bound, can do IV,transdermal or PO, Peak effect 3-5m, duration 30-60m, 75% undergoes 1st pass pulmonary uptake / metab., Hemodynamic stability(doesn't cause histamine release), Drug interactions (can dec.
inhalation / induction agent dose req'd), can cause postop depression |
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Meperidine
Notes |
Less potent than morphine (0.1 = potency)
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Hydromorphone
Notes |
synth heroine, long-term postop pain relief
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Naloxone
Notes |
Quick onset--1min
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Isoflurane
Notes |
Very stable CV changes-minimal at 1 Mac, smells bad
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Desflurane
Notes |
Highly insoluble-prompt recovery / emergence, Easily titratable due to high MAC
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Sevoflurane
Notes |
sweet smelling, least a / w irritant, used for inhalational inductions, particularly in pediatrics
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Nitrous Oxide
Notes |
Analgesic properties, sweet smelling, easy to breathe, remember ~ hypoxic mixture stuff; decrease amnt of inhaled anesthetic when using N2O b / c MACs additive, ↑ PONV???
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Epinephrine
Notes |
Sympathomimetics
Vasoactive Drugs |
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Ephedrine
Notes |
works @ symp.
N terminal & releases norepinephrine to ↑BP |
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Phenylephrine
Notes |
binds to α receptors to vasoconstrict "pipe"
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Norepinephrine
Notes |
Sympathomimetics
Vasoactive Drugs |
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Esmolol
Notes |
Degraded by pseudocholinesterases, so fast off; selective for β1 receptors, Duration minutes
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Metoprolol
Notes |
pretty much same as Esmolol but Duration = hours
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Labetolol
Notes |
α1 and nonselective β1 & β2 antagonist; β:α = 7:1
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Sodium Nitroprusside
Notes |
short acting; light sensitive
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Nitroglycerin
Notes |
Dec Preload, dilate coronary arteries, fast on / fast off
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Hydralazine
Notes |
Onset 20m (slow), Duration 6-8 hours (time to raise bp back up in give too much),↑bld flow 2 head--> headache
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Neostigmine
Notes |
NMB Reversal Drugs
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Glycopyrrolate
Notes |
good for reversal b / c don't get a big ↑ in HR
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Atropine
Notes |
NMB Reversal Drugs
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Ondansetron
Notes |
1x dose, give 30m prior to end of case
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Doperidol
Notes |
1x dose, give 30m prior to end of case; works on Dopamine Receptors, so contraindicated in Parkinson pt
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Lidocaine
Notes |
Hepatic Clearance
Toxic Dose: 5mg / kg alone 7 mg / kg with Epi |
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Diphenhydramine
Notes |
Hepatic Elimination
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Heparin
Notes |
Hepatic Elimination
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Ketorolac
Notes |
Renal Clearance, Postop Analgesic; avoid w / NSAID Allergy or recent hx GI bleeding
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