Drugs Flashcards
What is the presentation of Propofol?
Highly lipid soluble/poorly water soluble white emulsion
Propofol dose (+maintenance plasma concentration for GA)?
1-2.5mg/kg. 5mcg/ml.
Propofol mechanism of action?
Positive allosteric modulator of the GABAa and glycine receptors. Inhibits nicotonic ACh receptor + 5-HT3 receptor.
Propofol metabolism?
Hepatic (extraction ratio 0.8-0.9)
Propofol excretion + half lives?
Renal excretion. Elimation half life is 8 hours, distribution is 2-8 minutes. Context sensitive at 8 hours is 40 minutes
Remifentanil MOA?
Mu-receptor full agonist
Remifentanil half life and excretion?
5 mins. Urinary excretion (no renal/hepatic concerns)
Metaraminol MOA?
Alpha-1 agonist, some B also