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What premed and what's the point?
PREanaesthetic MEDication.
1. Calm and control patient (produces smoother induction)
2. Reduce total dose of anaesthetic agents
3. Counter or reduce possible adverse side effects
4. Smooth recovery period due to residual sedation and pain relief
5. Provide analgesia
6. Reduce muscle tone
Classes of premeds
Sedatives, analgesics, anticholinergics
Some sedatives
ACP, ACE, Medetomidine (domitor), diazepam, midazolam
Some analgesics
Opioids: morphine, buprenorphine (temgesic), butorphanol, pethidine, fentanyl
REVERSED BY Naloxone
Anticholinergics
(Nerve blocker) Atropine
Common induction agents
Injectables: propofol, alfaxalone, ketamine, medetomidine (domitor)
(diazepam and midazolam with other agents)
Gases: isoflurane, SevoFlurane
Common post op pain relief
Opioids: fentanyl, morphine
NSAI: metacam
Propofol
Injectable induction agent (IV only)
Can cause bradycardia
Respiratory depression
Domitor
A2 agonists
Fentanyl
Opioid analgesic agent
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