Etomidate

Question 1

etomidate- class

Answer 1

Sedative hypnotic

Question 2

etomidate- MOA

Answer 2

Short acting CNS depressant at the reticular activation system to produce anesthesia.

Question 3

Etomidate- indications

Answer 3

Anesthesia for intubation, cardioversion or transcutaneous pacing

Question 4

Etomidate- Contraindications

Answer 4

Hypersensitivity; marked hypotension, severe asthma, severe cardiovascular disease, adrenal suppression (septic shock), labor and delivery.

Question 5

Etomidate- Adverse reactions

Answer 5

Myoclonic skeletal muscle movement, apnea, hyperventilation, laryngospasm, nausea/vomiting, hypotension- due to decreased adrenal output lowering cathecolamine release

Question 6

Etomidate- Drug interactions

Answer 6

Alcohol and other CNS depressant medications may increase CNS depressant effects

Question 7

Etomidate- Dosage and administration

Answer 7

Adult: 0.3 mg/kg IV/IO over 15- 30 secs, decrease to 0.2 mg/kg for patients over 70 or patients with liver failure.

Ped: 0.3 mg/kg IV/IO over 15- 30 secs

Question 8

Etomidate- Duration of action

Answer 8

Onset; 15- 45 secs

Duration; 3-12 minutes

Question 9

Etomidate- Special considerations

Answer 9

Does not have any analgesic properties. Use an analgesic for painful procedures

Question 10

Etomidate- Pregnancy category

Answer 10

C

Question 11

Etomidate- How supplied

Answer 11

20 mg in 10 mL vial