Etomidate

Question 1

ETOMIDATE- Name

Answer 1

Amidate

Question 2

ETOMIDATE- Class

Answer 2

Anesthetic

Non-barbiturate Sedative/hypnotic

Question 3

ETOMIDATE- MoA

Answer 3

Non-barbiturate that prolongs the effect of GABA

Depresses the activity and reactivity of the brain stem reticular system

Question 4

ETOMIDATE- Indication

Answer 4

General anesthesia

Premedication for RSI

Adjuncts for low potency anesthetics (Nitronox)

Question 5

ETOMIDATE- Contra

Answer 5

Immunosuppressed patients

Status asthmaticus

Question 6

ETOMIDATE- S/E

Answer 6

Cardiovascular: dysrhythmias

Respiratory: hypoventilation, apnea, laryngospasms

Question 7

ETOMIDATE- Route

Answer 7

IV, IO

Question 8

ETOMIDATE- A. Dose

Answer 8

0.2-0.6 mg/kg

over 1 minute

Question 9

ETOMIDATE- P. Dose

Answer 9

0.1 mg/kg

Question 10

ETOMIDATE- EXTRAS

Answer 10

Precautions: Use with caution when in the presence of other CNS depressants

Interactions: Verapamil may potentiate the anesthetic and respiratory depressant effects Diuretics, calcium channel blockers and antihypertensive medications may increase risk for hypotension

Onset is immediate and may last 3-5 minutes