Pre-medicants

Question 1

What are the 7 reasons that we use Pre-meds?

Answer 1

1. Calm the patient
2. Reduce anxiety during the pre-op period
3. Provide sedation + reduced anxiety, creating a smooth induction + smooth recovery
4. Provide analgesia prior to the procedure (pre-emptive analgesia)
5. Reduce the dose of induction + maintenance agents - improving safety (Balanced ana)
6. Reduce some adverse effects of anaesthetic agents
7. Reduce adverse effects associated with/procedures (Vagal Stimulation)

Question 2

Is there such thing as a safe drug?

Answer 2

No

Question 3

What will Vagal stimulation do to a patient, physiologically?

Answer 3

1. Drowsiness
2. Reduce HR + RR
3. Reverse Adrenaline release
4. Dry mouth
5. Inc salivation, arrthymias + bronchi secretions

Question 4

True or False.

Gas can sting the eyes + smell funny to the patient, which increases stress to the patient physiologically and behaviourally.

This can reduced the smoothness of induction + recovery.

Answer 4

True

Question 5

What are the 4 Golden rules when providing a pre-med?

Answer 5

1. Correct dose, tailored to each individual (Species, breeds etc)
2. Quiet environment
3. Enough time for drug to take affect
4. Select the most appropriate route of admin, as this will affect peak time of effect + duration of action

Question 6

True or False.

All analgesics are POM-Vs.

Answer 6

True

Question 7

What main major hormone an counter-act the the time an anaesthetic will take to reach peak effect?

Answer 7

Adrenaline/Nor-adrenaline

Question 8

If a patient is dehydrated, what route of admin for drugs, such as Anaesthetics or Analgesics is not suitable?

Answer 8

SC!