probably the most common IV anesthetic used now; a white liquid that is a short-acting hypnotic and anesthetic; also produces amnesia
Propoful (Diprivan)
Produces unconsciousness, then supplemented by inhalation Powerful respiratory depression*Decreases buzzing, dizziness*Can cause skeletal muscular rigidity and respiratory impairment
Neuromuscular blockers
muscle relaxers
Neuromuscular blockers
Pavulon, succinylcholine (Anectine)
Succinylcholine
bradycardia and dysrhythmias (depolarizing)
Neuromuscular blockers
do not provide analgesia, but in effect, paralyze the muscles, ncluding muscles of respiration
Tagamet, Zantac
Histamine-2 receptor antagonist
Dantrolene sodium;sodium bicarbonate
skeletal muscle relaxant; given to relax the muscles and correct acidosis (esp. Malignant Hyperthermia)
heparin
HEPARIN SODIUM: anticoagulant*subcutaneous injections should be given in the abdominal fat layer* different site should be used for each subcutaneous injection to prevent the development of a massive hematoma
CLOPIDOGREL HYDROGEN SULFATE: platelet aggregation inhibitor, inhibitor of adp-induced aggregation *Prophylaxis against thrombotic events in patients undergoing percutaneous coronary intervention *oral drug||thrombotic thrombocytopenic purpura *GI ulcer
Nebutal
pentobarbital: sedation yet may cause severe respiratory depression, laryngospasm, hypotension; an alkaline (ergo local pain reaction); don't mix with other drugs in syringe or in IV soln/Lines; hepatic/depression, suicidal contraindications
Valium
diazepam: relieves anxiety, promotes calmness and sleep; sedative-hynotic/skeletal muscle relaxant; monitor respirations every 5-15mins and before each repeated IV dose; Bradycardia*RESPIRATORY DEPRESSION, phlebitis at injection site
Versed
midazolam hydrochloride: preoperative sedative, drug for consious sedation; adjunct to general anesthesia || continuous monitoring of respiratory and cardiac function is required (ie, pulse oximetry); Causes AMNESIA!
DURAMORPH/MORPHINE SULFATE EXTRA-FORTE
MORPHINE SULFATE:Analgesia, following major surgery ||allergic reaction*confusion*histamine release*hypotension*respiratory depression; COUGH reflex respiratory ACIDOSIS; aspiration pneumonia;constipation, nausea, urinary retention, vomiting*dizziness
when used for postoperative prophylaxis, administered the first dose 2 hours prior to surgery||adverse=hemorrhage *thrombocytopenia *elevations in SGOT and SGPT
KETALAR
ketamine hydrochloride: anesthetic adjunct *as sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation*induction prior to the administration of other general anesthetic agents*Analgesia/sedation
PANCURONIUM BROMIDE:neuromuscular blocker *Skeletal muscle relaxation; during surgery as an adjunct to general anesthesia and to facilitate endotracheal intubation or mechanical ventilation in the ICU ||salivation *hypertension *prolonged muscle weakness
ANECTINE
SUCCINYLCHOLINE CHLORIDE:neuromuscular blocker, depolarizing *Intubation, tracheal *Neuromuscular blockage in surgery or mechanical ventilation ||apnea, respiratory depression
Anectine (succinylcholine chloride)
prolonged muscle pain and stiffness *bradycardia (especially in children), cardiac arrhythmias (especially in children), tachycardia *hyperkalemia *malignant hyperthermia *prolonged muscle relaxation *cardiac arrest
INAPSINE
DROPERIDOL:antiemetic *Perioperative nausea and vomiting, second-line therapy ||QT interval prolongation *respiratory depression *torsades de pointes *hypotension *tachycardia *drowsiness *anxiety
SUBLIMAZE more potent (75-100 times) but shorter action than morphine
Can be very uncomfortable and interfere with rest and pain control Phenothiazine meds (including prochlorperazine (Compazine) and promethazine (Phenergan) are frequently ordered PRN
IVC Lesson 11
