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31 Cards in this Set

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Nitrous Oxide

Trade name
Type
Entonox
Inhalation anesthetics
Nitrous Oxide

USES
-Mild to moderate pain control, esp musculoskeletal
-Very low anesthetic potency, very high analgesic potency.

-INVERT CANISTER!
Nitrous Oxide

Admin
-Self admin

-conc: 50%→N2O:O2

-surgical: conc 70%
Nitrous Oxide

CONTRAINDICATIONS:
• Pneumothorax
• Bowel obstruction
• Inability follows commands
• Head injury
- Intoxication
Nitrous Oxide

CAUTION:
• Cardiac pain

• Fixed wing medevac
Midazolam

Trade
Type
Versed©

Intravenous anesthetics
Benzodiazepines
Midazolam

USED
-used as induction agent,
-for conscious sedation combined with opioid: sedation, analgesia, amnesia & lack of anxiety
Midazolam

MAO
-produce anesthetic effects by enhancing effects of GABA
Midazolam

Dose
Pre-hospital dose

Induction 0.1mg/kb IVP (max single 5mg)

Maintenance 0.05mg/kg IVP q 10 min prn

Prep 1mg/ml – 5ml Vial
Midazolam

Adverse
-cardiovas & resp depression
Midazolam

Contra
-myasthenia gravis
-hypotension
-hypersensitivity
Midazolam

Cautions
-Versed: minimal analgesic effects & not used for induction without opioid in pre-hospital
Propofol

trade
type
Diprivan©

Sedative-Hypnotic
Intravenous anesthetics
Propofol

USES
-classified: Sedative-Hypnotic
-used for sedation or anesthesia
-enhances effects of GABA
-has rapid onset & short duration, however an infusion is used for maintenance

-refrigerate
Propofol

ADVERSE:
• Respiratory depression
• Hypotension
• Pain at inj site
• Carries high risk of sepsis (soybean oil, glycerol, egg lecithin)
Propofol

onset / duration
Rapid Induction (60s)

Short duration (3-5m)
Propofol

CONTRA:
• Allergy
Etomidate

trade
type
Amidate©

Intravenous anesthetics
Potent hypnotic agent
Etomidate

USES
Induction of General Anesthesia
Potent hypnotic agent

Considered quite safe
Etomidate

dose
Induction: 0.3mg/kg IVP
Etomidate

EFFECTS
-GABA-like properties
-little effect on cardiovascular system, great for hypotension
Etomidate

ADVERSE:
• N&V
Ketamine

trade
type
Ketalar©

Intravenous anesthetics
Ketamine

Uses:
-alternative for pain control
-pain control in hypotensive pts
-procedural sedation
-induction of: pediatric, resp, hypotensive pts
-induction of pts in which loss of resp effort would pose significant risk
Ketamine

General Info
-IV anesthetic with least amount of resp ↓
-negative psychological effects are least likely seen in children
Ketamine

dose
Induction: 1.5mg/kg IVP

Maintenance: 0.5mg/kg IVP q 10 min PRN

Pain Control: 0.2mg/kg IVP

Supplied: 10mg/ml-20ml Vial
Ketamine

Effects
• dissociative anesthesia
• catalepsy
• amnesia
• depersonalization with hallucinations
• bronchodilation & ↑ CO
• Profound analgesia
Ketamine

CONTRA
• HTN, or when ↑BP harmful
• hypersensitivity
Thiopental Sodium

trade
type
Pentothal

Intravenous anesthetics
Barbiturates
Thiopental Sodium

USES
-to induce anesthesia, not to maintain
-cause anesthetic effects by mimicking GABA, →chloride influx into cells of CNS
- Little muscle relaxation or analgesic effects
Thiopental Sodium

ADVERSE:
• cardiovas/resp ↓