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11 Cards in this Set
- Front
- Back
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propofol (diprivan)
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a. commonly used hypnotic agent for induction.
b. also used for maintenence and of anesthesia and sedation. c. very fast acting d. short duration e. relaxes muscles of pharynx and larynx. f. superior to etomidate or thiopental g. major disadvantage is hypotension 1. negative inotrpoic effect resulting in decreased stroke volume, cardiac output, SVR |
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etomidate (amidate)
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a. rapid onset
b. rapid recovery from a single dose c. does not effect HR, MAP, stroke volume, C.O. d. major disadvantage is adrenal suppression 1) decrease steroid production 2) increased mortality in sepsis |
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ketamine
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a. Does not effect responsiveness to CO2.
1) preserves central respiratory drive b.central nervous effect 1) increases ICP, CPP and cerebral metabolic oxygen consumption. 2)may pretreat with benzodiazepines to minimize vivid dreams |
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succinylcholine
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depolorizing neuromuscular agent
a. causes rapid muscle contractions, know as fasciculations. b. 30 sec onset c. 5-10min duration complications: 1.Hyperkalemia 2.arrhythmias 3.bradycrdia 4.increased intraocular pressures 5. increased ICP 6. potential to trigger malignant hyperthermia |
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rocuronium
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non-depolarizing neuromuscular blocking agents
a. 60-90 sec onset b. 30-60 min duration c. best alternative when succinylcholine is contraindicated for intubation |
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pancuronium
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non-depolarizing neuromuscular
60- 120 min duration |
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cisatracurium
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non-depolarizing neuromuscular
30-60 min duration |
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vecuronium
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non-depolarizing neuromuscular
a. 30-60 min duration |
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D-tubocurarine (curare)
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non-depolarizing neuromuscular
a.60-120 min duration b. causes histamine release, so has potential to cause bronchospasm. |
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Reversal agents
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1.anticholinesterase- neostigmine, edrophonium, pyridostigmine
2. anticholinergic- atropine, glycopyrrolate. |
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non-depolarizing neuromuscular side effects
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1. bradycardia
2. tachycardia 3. hypo- hypertension 4. increased secretions 5. respiratory depression |
