Choosing premed Flashcards
Aims of premedication
To produce a calming effect, or sedation
To provide analgesia
To reduce doses of other agents required
To ‘smooth’ induction and recovery
To counteract unwanted effects of other anaesthetic drugs
Mechanisms of Anticholinergics
BLOCK effect of acetyl choline at receptors
BLOCKS parasympathetic effects
Example of an anticholinergic
Atropine
Uses of anticholinergic for premed
Reduce salivation & respiratory secretions
Pupillary dilation
Increase HR
Increase oxygen consumption
Decrease gut motility
Acepromazine combinations
ACP + buprenorphine
ACP + methadone
Alpha-2 agonists combinations
Medetomidine + butorphanol
Dexmedetomidine + methadone
Ketamine combination
Alpha-2 agonist + opioid + ketamine