Etomidate

Question 1

Class

Answer 1

Non barbiturate hypnotic, anesthetic.

Question 2

Description

Answer 2

Short acting drug that may be given for conscious sedation to relive apprehension or impair memory before ET intubation or cardioversion.

Question 3

Onset and Duration

Answer 3

Onset = within 30 seconds
Duration = 3-5 minutes

Question 4

Indications

Answer 4

Pre-medication for ET intubation or cardioversion.

Question 5

Contraindications

Answer 5

Hypersensitivity to Etomidate

Labor/delivery

Question 6

Adverse reactions

Answer 6

Nausea and Vommiting, Dysrhythmias, Dyspnea, Hypotension, Hypertension, Involuntary muscle movement, Pain at injection site.

Question 7

Drug Interations

Answer 7

Effects may be enhanced when given with other CNS depressants.

Question 8

Adult Dose

Answer 8

0.2-0.6mg/kg IV over 30-60 seconds

Question 9

Pediatric dose

Answer 9

(over 10 years old) 0.2-0.4mg/kg for RSI.

Question 10

Special Considerations

Answer 10

Pregnancy class C (no studies in women. drug should only be given if benefit justifies risk to fetus), Carefully monitor vitals, Etomidate can suppress adrenal gland production of steroid hormones, which can cause temporary gland failure.