Anesthesia Drug List Flashcards
What are all 6 medications typically given for sedation during an RSI? (Generic & Brand names)
- Etomidate (Amidate)
- Ketamine (Ketalar)
- Methohexital (Brevital)
- Propofol (Diprivan)
- Midazolam (Versed)
- Dexmedetomidine (Precedex)
What is the brand name for Etomidate?
Amidate
What is the brand name for Ketamine?
Ketalar
What is the brand name for Methohexital?
Brevital
What is the brand name for Propofol?
Diprivan
What is the brand name for Midazolam?
Versed
What is the brand name for Dexmedetomidine?
Precedex
What is the generic name for Precedex?
Dexmedetomidine
What is the generic name for Versed?
Midazolam
What is the generic name for Diprivan?
Propofol
What is the generic name for Brevital?
Methohexital
What is the generic name for Ketalar?
Ketamine
What is the generic name for Amidate?
Etomidate
What is the drug class, MOA, and indication for Etomidate (Amidate)?
Class: Short acting non-barbiturate hypnotic
MOA: GABA mimic- binds to GABAa receptors & ^ receptor affinity for GABA. inhibits postsynaptic GABA, causing prolonged sedation. acts on RAS system.
Indication: sedation for induction of anesthesia
What is the drug class, MOA, and indication for Ketamine (Ketalar)?
Class: NMDA Antagonist, rapid-acting general anesthetic
MOA: binds noncompetitively to NMDA (glutamate) receptors > inhibits receptor (glut is excitatory) > decreases presynaptic glutamate & potentiates GABA release
Indication: sedation for induction of anesthesia
What is the drug class, MOA, and indication for Methohexital (Brevital)?
Class: Short-acting Barbiturate
MOA: binds to GABA receptors & ^ receptor affinity for GABA. inhibits postsynaptic GABA, causing prolonged sedation.
Indication: induces deep sedation
What is the drug class, MOA, and indication for Propofol (Diprivan)?
Class: sedative/hypnotic agent
MOA: modulates GABA receptor > ^ transmem. Cl- conduction > hyperpolar postsynapse = sedation
Indication: induction and maintenance of anesthesia, management of refractory status epilepticus
What is the drug class, MOA, and indication for Midazolam (Versed)?
Class: Benzodiazepine
MOA: binds to GABA receptor (enhances inhibition) > increased influx of chloride > hyperpolarization of postsynaptic cell = sedation
Indication: sedation for induction of anesthesia, anxiolytic, seizure disorder
What is the drug class, MOA, and indication for Dexmedetomidine (Precedex)?
Class: Alpha 2a agonist
MOA: binds to pre & postsynaptic alpha 2a receptors > decreases norepi = sedation & analgesia
Indication: Sedation and anxiolytic
What is the most common “theme” MOA of sedative agents?
Some alteration on GABA/receptor/ increased cl- channel open (increased chloride influx) that results in hyperpolarization of the postsynaptic cell which directly results in sedation
What is the supplied dose of Etomidate (Amidate)?
2mg/mL
What is the supplied dose of Ketamine (Ketalar)?
10mg/mL OR 50mg/mL
What is the supplied dose of Methohexital (Brevital)?
10mg/mL
What is the supplied dose of Propofol (Diprivan)?
10mg/mL
What is the supplied dose of Midazolam (Versed)
1mg/mL OR 5mg/mL
What is the supplied dose of Dexmedetomidine (Precedex)?
200mcg/2ml
What is the induction dose of Etomidate (Amidate)?
0.2-0.4mg/kg
70 kg dose: 7-14 mLs
What is the induction dose of Ketamine (Ketalar)?
1-2mg/kg IV OR 4-8mg/kg IM
70kg dose: 7-14 mL IV (10mg/mL)
1.4-2.8 mL IV (50mg/ml)
28-56 mL IM (10mg/ml)
5.6-11.2mL IM (50mg/mL)
What is the induction dose of Methohexital (Brevital)?
1mg/kg
70kg dose: 7 mLs
What is the induction dose of Propofol (Diprivan)?
2-2.5mg/kg
70kg dose: 14-17.5 mLs
What is the induction dose of Midazolam (Versed)
1-5mg OR 0.01-0.1mg/kg
70kg dose: 0.7-7 mL (1mg/mL con)
0.14-1.4 mL (5mg/mL con)
What is the induction dose of Dexmedetomidine (Precedex)?
loading dose: 1mcg/kg over 10 min
maintenance: 0.2-0.7mcg/kg/hr
70kg loading dose: 0.7 mL (200mcg/2mL)
Onset/PK/DOA of Etomidate (Amidate):
30s|1m|3-10m
Onset/PK/DOA of Ketamine (Ketalar):
30s|1m|5-15m
Onset/PK/DOA of Methohexital (Revital):
30s|30s|5-10m
Onset/PK/DOA of Propofol (Diprivan):
60s|1m|5-10m
Onset/PK/DOA of Midazolam (Versed):
1m|4m|15-20m
Onset/PK/DOA of Dexmedetomidine (Precedex):
NO INFO
What are other considerations r/t Etomidate (Amidate)?
CV stable, less myocardial depression that prop
S/E: myoclonus/pain w inject, epileptic foci
Metab: plasma esterase & hepatic enzymes
induct dose = inhibit Beta hydroxylase = sup adrenocortical
What are other considerations r/t Ketamine (Ketalar)?
hallucinations/^CO/^HR/^saliva/decr BP/ analgesia
Metab: redistribution
What are other considerations r/t Methohexital (Revital)?
porphyria (buildup of chemicals)
CI: asthma
What are other considerations r/t Propofol (Diprivan)?
pain w/ inject/antiemetic/decrease CV
Metab: liver & lungs
CI: egg/soy allergy
What are other considerations r/t Midazolam (Versed)?
decreased resp/amnesia
Metab: renal elim, 1/2 life 1-4hr, H2O sol
What are other considerations r/t Dexmedotomidine
Alpha A2 agonist
Which 3 sedatives are supplied in 10mg/ml concentrations?
- Ketamine (can also be 50mg/mL)
- Methohexital
- Propofol
What are the 7 Paralytic agents?
- Succinylcholine (Anectine)
- Mivacurium (Mivacron)
- Atracurium (Tracrium)
- Vecuronium (Norcuron)
- Rocuronium (Zemuron)
- Cisatracurium (Nimbex)
- Pancuronium (Pavulon)
What paralytic is a Depolarizing neuromuscular blocker, while all the others are Nondepolarizing?
Succinylcholine (Anectine)
What is the brand name for Succinylcholine?
Anectine
What is the generic name for Anectine?
Succinylcholine
What is the brand name for Mivacurium?
Mivacron
What is the generic name for Mivacron?
Mivacurium
What is the generic name for Tracrium?
Atracurium
What is the brand name for Atracurium?
Tracrium
What is the generic name for Norcuron?
Vecuronium
What is the brand name for Vecuronium?
Norcuron
What is the generic name for Zemuron?
Rocuronium
What is the brand name for Rocuronium?
Zemuron
What is the generic name for Nimbex?
Cisatracurium
What is the brand name for Cisatracurium?
Nimbex
What is the generic name for Pavulon?
Pancuronium
What is the brand name for Pancuronium?
Pavulon
What is the supplied dose of Succinylcholine (Anectine)?
20mg/mL (makes sense bc induction dose is largest of all paralytics)