Benzos Flashcards
Benzos Prototype
Diazepam / Valium
2-3 x potency of diazepam
midazolam / versed
midazolam / versed effect time at site equilibratioin
0.9-5.6 minutes
rapid redistribution and short duration
midazolam / versed
midazolam / versed E1/2t
1 - 6.5 hours
GABA binds to ________
the 2 beta sites
benzos bind to the _______
- gamma site
- GABA-A
GABA receptor has distinct binding sites for
GABA, Barbituates, Benzos, ETOH
GABA receptors are found on the ___________.
Post-synaptic memebranes in the CNS
Benzos have a built in ________ that prevents them form exceeding the _______________of GABA inhabition.
- Ceiling effect
- physiologic maximum
Benzos effects and precautions in anesthesia
- Dose dependant decrease in ventilation
- Hypoxemia and hypoventilation enhanced in presence of opioid
- Contraindicated in pregnancy
- Decreased SVR at induction doses
- very cardiac stable
Benzos do not directly cause ____________. They may do so if the pateint is ___________ or if their BP is elevated from _________
- Hypotension
- hypovolemic
- anxiety