sedatives Flashcards Preview

sedatives > sedatives > Flashcards

Flashcards in sedatives Deck (45)
Loading flashcards...
1

ramsay scale 1

anxious/agitated

2

ramsay 2

cooperative/oriented/tranquil

3

ramsay 3

responds only to verbal commands

4

ramsay 4

asleep with brisk response to stimulation

5

ramsay 5

asleep with sluggish response to stimulation

6

ramsay 6

asleep with no response to stimulation

7

level 1 sedation

anti anxiety; can respond to verbal commands

8

level 2 sedation

moderate sedation/analgesia; can respond to verbal commands

9

level 3 sedation

deep sedation/analgesia; can impair airway, responds to painful stimuli

10

level 4 sedation

general anesthesia; pt can't be aroused

11

what do barbiturates have

sedatives, hyponitcs, some amnesia

12

what is the sedative of choice in head trauma/icp/ status epilepticus

barbiturates

13

what side effects do barbiturates have

not good for pts with lung disease, causes broncho/laryngospasm; not good for asthmatics, causes hypovolemia/tension and so use 1/2 dose

14

methohexital

anesthetic, hypnotic, sedative; causes loss of spent ventilations, quick onset/duration, histamine release

15

pentothal

sedative/hyponotic, short acting/rapid onset, decreases cerebral metabolic rate and ICP, negative inotrop

16

propofol

non barbiturate; deep sedation with less airway reactivity, decreases cerebral metabolic rate and ICP; not excreted by kidneys or liver; can cause metabolic acidosis; good for antiseizure

17

etomidate

not barbiturate; good for intubations, not good for seizure patients, short duration, not continuous infusion

18

benzodiazepines

sedative/hypnotic/anxiolysis agents; anticonvulsant with amnesia affects, causes decreased ventilations, no analgesic

19

diazepam

benzo; rapid onset/duration 2-4 hours

20

lorazepam (ativan)

benzo; longer term sedation, peaks in 20-30 min

21

midozolam (versed)

benzo; good procedural drug, short acting, anxiolysis; duration 60-90 min

22

what is the benzo reversal agent

flumuzenil or romazican

23

chloral hydrate

sedative/hypnotic, used in children for long procedures, no analgesic, can cause respiratory depression if combined with other sedative

24

meperidine-demeral

analgesic - narcotic - duration 2-3 hours (in b/w fentanyl/morphine) causes increased HR, and seizures, watch in pts with renal failure

25

fentanyl

analgesic - narcotic - potent short duration of action, preferred drug for short procedures, alternate to morphine in trauma with hemodynamic compromise

26

morphine

analgesic - narcotic - most frequently used and excreted renal; duration 3-4 hours preferred for trauma and prolonged injuries

27

ketamine

nonopiod analgesic - causes trancelike stae; rapid sedation, preserves respiratory drive; helps maintain BP, helps prevent bronchospasm, increases pressures in body, causes laryngospasm, and excessive secretions

28

nitrous oxide

mixed with 50% o2; anxiolytic, analgesic, used in minor procedures or with other analgesic for severe pain

29

what do NSAIDS do

analgesic, antipyretic, no sedation or antianxiety

30

keterolac

NSAID given with outpatient with other opioid analgesic

31

depolarizing does what

promotes/maintains depolarized state

32

non depolarizing does what

prevents depolarization/blocks acetycholine

33

what are the 4 non depolarizing

pan/roc/vec/trac

34

pan

20-60 min

35

roc

20-35 min

36

vec

20-35 min

37

what reverses non depolarizing

neostigmine - or anticholinergic/cholinesterase inhibitor

38

use caution with what for non depolarizing

hepatic/renal disease, asthma, cold, and obesity

39

depolarzing agent

succinylcholne - 5-10 min with mild histamine release

40

when do u use caution with succ

neuromuscular disease; causes hyperkalemia; and respiratory depression

41

TAC

tetraccine/epi/cocaine

42

LET

lidocaine/epi/tetracine

43

onset of topical anesthetics

30-45 min

44

EMLA

lidocaine/priolociaine 3-5 mm depth with 1-2 hour onset

45

ela max

liposomal/lidocaine - 30 min onset