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11 Cards in this Set

  • Front
  • Back

sedatives

sodium thiopental


etomidate


propofol


ketamine

sodium thiopental

3-5 mg/kg


hypotension in hypovolemia


dose adjustment in renal and hepatic failure


etomidate

0.1-0.3 mg/kg


lower dose in elderly and hypovolemia


myoclonus


even 1 dose can cause renal suppression due to structural similarities to hormones


unlikely to have prolong side effects



propofol

2-3 mg/kg iv


heartblock and brady cardia


hypotension in systolic hf


unlikely to have prolonged organ damage

ketamine

1-4 mg/kg iv. 5-10 mg/kg im


sympathic simulation


requires atropine to negate salivation and midazolam for dysphoria


contraindicated in loss of autoregulation and closed head injury

midazolam

short acting (1-3 min onset). 45 - 60 min duration


minimal hemodynamic effect


but strong respiratory suppression


flumazenil antagonist

fentanyl

fentanyl

synthetic opioid.


100 times stronger than morphin


mu 1= analgesia


mu 2= respiratory depression and nausea and vomiting


onset immediately


duration 60 min


half life 2-4 saat


naloxone

succinylcholine

1-2 mg/kg iv. 4 mg/kg im


inj 50 mg/ml (10 ml) va 100 mg/ml


avoid in hyperthermia, less than 24hrs of a burn or trauma accident, uppermotor neuron injury, preexiating hyperkalemia

rocuronium

0.6 - 1.2 mg/kg. highest dose for rapid effect


hemodynamically stable


10 % renal elimination

vecuronium

0.1 mg/kg


hemo stable


10% renal elimi