Anesthetics Flashcards
propofol (diprivan) MOA
general anesthetic - reduction of sensory and motor CNS function
propofol (diprivan) indications
induction- transition from awake to fully under
maintenance of general anesthesia for surgery
require mechanical ventilation
propofol (diprivan) contraindications
allergy
pregnancy/lactation
glaucoma
malignant hypothermia
propofol (diprivan) AE/SE
hypotension- dose-dependent
propofol related infusion syndrome
propofol (diprivan) interactions
anti-hypertensives
beta-blockers
propofol (diprivan) nursing considerations/education/interventions
monitor vitals during/after quick onset/offset lipid-soluble can be used on renal/hepatic impairment low incidence post-op N/V
midazolam (versed) MOA
general anesthetic- CNS depression
midazolam (versed) indications
general- moderate sedation
hypnotic
conscious sedation
midazolam (versed) conraindications
allergy
pregnancy/lactation
glaucoma
malignant hypothermia
midazolam (versed) AE/SE
memory loss- amnesia but may be beneficial
cardiac/resp arrest
n/v
midazolam (versed) interactions
anti-hypertensives
beta-blockers
midazolam (versed) nursing considerations/education
monitor vital before/after
lidocaine (xylocaine) MOA
blocker peripheral nerve
lidocaine (xylocaine) amind
topical- transdermal
can mix with Epi
IV
lidocaine (xylocaine) indications
dental, surgical, dx procedures
lidocaine (xylocaine) contraindications
allergy
vicious lidocaine avoid under 3
lidocaine (xylocaine) AE/SE
hypotension from spinal anesthesia
conduction disorder
lidocaine (xylocaine) interactions
enflurane, halothane, EPI
lidocaine (xylocaine) nurse interventions/ education
most commonly used anesthetic
monitor vitals
report dizziness, paresthesia
succinylcholine (acnectine) MOA
prevent nerve transmission in skeletal and smooth muscle = paralysis
required mechanical ventilation
succinylcholine (acnectine) MOA indications
facilitates controlled ventilation during surgery/intubation
adjunct w/ general anesthesia
succinylcholine (acnectine) MOA contraindications
allergy
malignant hypothermia
glaucoma
crush injuries, CVA, burns
succinylcholine (acnectine) MOA AE/SE
muscle spasms/twitching
succinylcholine (acnectine) MOA interactions
aminoglycosides
tetracyclines
create additive effect
succinylcholine (acnectine) MOA nursing interventions/education
short duration 4-6 min
must be mechanically ventilated
monitor vital signs/resp. before/during/after
