22 Anesthetics Flashcards
麻醉前給藥
Diazepam, Fentanyl, Atropine
引導麻醉
Thiopental, propofol, Etomidate
插管
Atracurium
Thiopental
極短效 Barbiturates, 不可用於 Porphyria 病人
Propofol
IV anesthetics, 用於維持麻醉深度
可能導致低血壓
可以止吐
Etomidate
IV anesthetics
比較不會呼吸、心跳抑制
但是容易有嘔吐、肌痙攣副作用
Ketamine
IV anesthetics, dissociative anesthetics
NMDA blocker
有強心作用
Nitrous oxide (N2O)
IH anesthetics
強度最弱,induction time 最快
有第二氣體效應(Halothane)
Desflurane
IH anesthetics
超短效,可用於門診手術
臭
Sevoflurane
IH anesthetics
無刺激,適合小孩、氣喘
但有腎毒性
Isoflurane
IH anesthetics
臭
Enflurane
IH anesthetics
ICP 增加
Halothane
IH anesthetics
易導致 Halothane hepatitis, Myocardial depression, Arrhythmia, Malignant hyperthermia
Methoxyflurane
IH anesthetics
強度最強,誘導時間最慢
Tetracaine
Ester local anesthetics, 長效
Cocaine
Ester local anesthetics , 中效
Procaine
Ester local anesthetics 短效
Bupivacaine
Amide local anesthetics , 長效
Lidocaine
Amide local anesthetics, 中效
也可用於治療 Ventricular tachycardia
Mepivacaine
Amide local anesthetics, 中效
Prilocaine
Amide local anesthetics, 中效
Disulfiram
抑制 Aldehyde dehydrogenase
助戒酒
減緩酒精戒斷症狀
BZD, Clonidine (α2 agonist, 還可以治療過動症、高血壓)
Fomepizole
抑制 alcohol dehydrogenase, 治療甲醇中毒,避免其代謝成有毒代謝物
Meperidine
Full µ agonist
術後止痛,鎮痛、呼吸抑制、成癮性均較 Morphine 弱
Morphine
Full µ agonist
癌末病人止痛
Fentanyl
Full µ agonist
強度是 Morphine 80 倍
Heroin
Full µ agonist
造成欣快感,已禁用
Methadone
Full µ agonist, 助戒毒
Naloxone
Morphine 解毒劑
Loperamide
µ2 agonist
止瀉,因為進不去BBB
Codeine
Weak µ agonist, 主要作用不在止痛,在止咳
Dextromethorphan
止咳