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16 Cards in this Set

  • Front
  • Back
Induction agents: amnestic, hemodynamically stable
Benzodiazepines
Use caution with induction when using narcotic technique plus benzodiazepines as induction doses of benzodiazepines may produce profound :
Peripheral vasodilation and hypotension
K release, rapid onset/recovery, may cause dysrhythmias (bradycardia/tachycardia, extrasystoles)
Succinylcholine
Short-intermediate acting, hemodynamically stable
Rocuronium
Intermediate acting, very hemodynamically stable
Vecuronium
Tachycardia (vagolytic) greatest with volatile technique, long acting
Pancuronium
Histamine release, extra-hepatic/renal metabolism
Atracurium
No histamine release, Hoffman elimination
Cisatracurium
All volatile agents cause:
Myocardial suppression
_____ can cause tachycardia, so it is not usually the volatile chosen (but this is usually at high doses)
Des
Volatile may be used at ½ mac or less just to keep the pt ______, then a lot of narcotic is used
Amnestic
Inhalation agent that is a negative in-otrope, decreases O2 supply and demand, may produce ischemia (controversial), increases gas volume in closed spaces
N2O
Decrease both O2 supply and demand, decrease contractility, decrease SVR
Volatile agents
Hemodynamically stable but do not provide amnesia or muscle relaxation, may delay awakening, requires p/o ventilations
High dose narcotics
High supply, high demand when used without hypnotic/amnestic
Narcotic
Reasonable indicator of LV filling in the presence of good LV function, the absence of PHTN, or presence of MV disease
CVP