Anesthetics - Ancillary

Question 1

drugs for sedation

Answer 1

diazepam, promethazine, diphenhydramine

Question 2

use of pentothiazines (promethazine)

Answer 2

has anti-DA/anti-Ach/anti-H action BUT lowers threshold for seizures.

Question 3

drugs for analgesia

Answer 3

morphine, codeine, fentanyl, ibuprofen

Question 4

drug for antimicrobial prophylaxis

Answer 4

cephalosporins & vanc

Question 5

drugs for RSI (rapid sequence intubation)

Answer 5

lidocaine, vecuronium, atropine, fentanyl

Question 6

lidocaine use in RSI

Answer 6

will ↓ICP & bronchospastic response

Question 7

fentanyl use in RSI

Answer 7

will ↓sympathetic response to intubation

Question 8

atropine use in RSI

Answer 8

mitigates bradycardia post succinylcholine (good for children < 10).

Question 9

vecuronium use in RSI

Answer 9

defasciculates and mitigates ICP response to Sch.

Question 10

pretreatment of anaphylaxis

Answer 10

cimetidine, diphenhydramine

Question 11

tx of anesthetic anaphylaxis

Answer 11

Stop Rx give epi. Aminophylline with persistent bronchospasm. Corticosteroids to ↓inflammatory response.

Question 12

drugs for aspiration pneumonia prophylaxis

Answer 12

Cimetidine, ranitidine, bicitra, polycitra, meoclorpramide

Question 13

use of glycopyrrolate

Answer 13

Glycopyrrolate has ↑antisialogogue and no sedation/amnesia effect.

Question 14

CV support during anesthesia

Answer 14

PE for spinal/epidural hypotension