Sedation Meds for Intubation

Question 1

Propofol Hint: 4

Answer 1

1) Crosses BBB
2) Takes effect in 40 sec & lasts 6 min
3) No analgesia
4) Can be used long term sedation

Question 2

List 2 indications for giving propofol

Answer 2

1) Cardioversions
2) Peds cases

Question 3

Etomidate Hint: 3

Answer 3

1) Safe for those w ICP, hypotension
2) No analgesia
3) Rapid onset

Question 4

Benzodiazepines Hint: 3

Answer 4

1) Midazolam can last 15-30 min
2) Romazicon → antidote to reverse ALL benzos
3) Can be combined w Fentanyl

Question 5

Ketamine Hint: 4

Answer 5

1) Used mostly in kids
2) Maintain respiratory drive
3) Causes sedation, analgesia, & amnesia
4) Can be combined with propofol

Question 6

Fentanyl Hint: 1

Answer 6

1) Provides pain relief

Question 7

Dexmedetomidine (Precedex) Hint: 2

Answer 7

1) Sedation w preserved muscle tone & respiratory effort, spontaneous movement, & easy arousal, allows pt to obey simple instructions
2) Given as infusion

Question 8

Dexmedetomidine is usually well tolerated but can cause?

Answer 8

Not frequently but can cause hypotension & bradycardia