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Neurology > Ancillary Anesthetics > Flashcards

Flashcards in Ancillary Anesthetics Deck (17):
1

What are some drugs used for sedation in a pre-surgical situation

Bezodiazepines (Diazepam and Lorezepam both have long duratins of action)

First Generation antihistamines (Hydroxyzine, Diphenhydramine, Promethazine)

2

Analgesia pre-surgery?

Opiates (Morphine, Codeine, Fentanyl)

NSAIDs (ketorolac and ibuprofen)

3

What are the adverse effects of opioids that make doctors leary of using them for pre-op analgesia

orthostatic hypotension, constipation, N/V, respiratory depression/coma

4

What is aspiration pneumonitis

can occur when pts inhale gastric contents during surgery

5

How do you treat or prevent aspiration pneumonitis

1) Neutralize the acid with H2 blockers (cimetidine and Ranitidine)

2) Antacids

3) Dopamine Blocker

4) Water- activates gastric stretch receptors and encourages natural emtying

6

What are the antacids that are commonly used to prevent aspiration pneumonitis

Bicitra and Polycitra

7

What is the problem with using H2 blockers to neutralize acid

They prevent new acid but they don't get rid of the old

8

What is the dopamine blocker that can be used to prevent aspiration pneumonitis

metoclopramide

9

Prophylaxis of allergic rxn treated how?

Cimetidine and Diphenhydramine....antihistamines

10

Prophylaxis of infxn

Cefazolin (staph and strep). Cefotetan/cefoxitin (Gi anaerobes)

11

Prophylaxis of mrsa

vancomycin

12

Why give anticholinergics

- dry secretions
- prevent reflex bradycardia, sedate/amnesia

13

Atropine is an anticholinergic used to treat>

bradyc

14

Glycopyrrolate used to treat

secretions

15

Why Lidocaine prior to intubation

prevents rise in ICP and bronchospasm

16

Vecuronium prior to intubation>

prevents rise in

17

Preventing HYPOTN

fluids, epinephrine, phenylesphrine, ephedrine (alpha agonists)