What are the main drugs used to treat Status Eplilepicus?
Benzodiazapine> Phenytoin> Barbituates
What is it?
- It is an ultra short acting Barbiturate.
Consciousness regained within 10-20 mins by redistribution to skeletal muscle.
Does not increase the ICT
Eliminated slowly from the body by metabolism and produce hang over.
It can be used for rapid control of seizures.
commonly used IV anesthetic for both induction and maintenance.
Recovery is rapid and clearer than thiopenthal.
Anti-emetic in action.
Suited for day care surgery
What does it not do?How do you fix this?
What is a common side effect?
Is not an Analgesic, so give Opioids with it to alleviate pain
-Pain on injection. Mild myoclonic movements are common
What is Etomidate?
What is its only advantage?
Short acting Anesthetic
decrease the production of steroids from the adrenal gland.
-Is a Pro-convulsant and emetic.
What is Ketamine?
Dissociative anesthesia (soul from body)
-Profound analgesia, cataleptic state, immobility, amnesia with light sleep.
- Increased HR and BP due to increased Sympathetics
-Patients respond to commands and their eyes are open.
What is Ketamine useful in?
What are some side effects?
What is a danger of this drug?
Burn Dressing and Trauma surgery
Emergence delirium, hallucinations and involuntary movements occur in 50% of cases.
- Dangerous Hypertension
What is Fentanyl?
What is it used for?
What drugs can be given to prevent its toxiciy?
-It is an opioid.
-It is the DOC for Open heart surgery due to lack of cardiac depression.
- Antagonists Nalmefene and Naloxone reverse an overdose.
What is the One disadvantage of Opioids?
Can cause respiratory Depression.
What are they used for?
What are some drugs that can reverse its overdose?
What is Midazolam?
DOC for controlling and preventing Seizures.
-Used for induction and short procedures.
-Flumazenil can reverse its overdose.
-Has the Fastest onset of action, greatest potency and fastest elimination.
What are Neuroleptanalgesia?
What do they cause?
When is it used?
What is Innovar?
Causes psychic indifference and intense analgesia without total loss of consciousness-decreased motor functions, suppressed autonomic reflexes, cardiovascular stability with mild amnesia. Drowsy but respond to commands.