Etomidate (Amidate) Analgesia/Sedation Flashcards
1
Q
Classification:
A
- Hypnotic
- Anesthesia induction agent
2
Q
Action:
A
- Exact mechanism is unknown, etomidate appears to have GABA like effects
3
Q
Indications:
A
- Induction for RSI and pharmacologic assisted intubation
- Induction of anesthesia
4
Q
Adverse Effects:
A
- Hypotension
- Respiratory depression
- Pain at the site of injection
- Temporary involuntary muscle movements
- Frequent nausea/vomiting on emergence
- Adrenal insufficiency
- Hyperventilation
- Hypoventilation
- Apnea of short duration
- Hiccups
- Laryngospasm
- Snoring
- Tachypnea
- HTN
- Cardiac arrhythmias
5
Q
Contraindications:
A
- Known sensitivity
- Use in pregnancy only if potential benefits justify potential risk of the fetus
- Do not use during labor and avoid in nursing mothers
6
Q
Dosage (Adult):
A
- 0.2 to 0.6 mg/kg slow IV, IO (Over 30-60 seconds); 0.3 mg/kg is used in many protocols/references
- Typical adult intubating dose of etomidate is 20 mg slow IV
- Consider less in older adults or Pts w/ cardiac conditions
7
Q
Dosage (Pediatric)
Older than 10 years:
A
- Same as adult dosing
8
Q
Dosage (Pediatric)
Younger than 10 years:
A
- Safety has not been established
9
Q
Special Considerations:
A
- Etomidate is used to prepare a Pt for orotracheal intubation. Both personnel and equipment must be present to manage Pt’s airway before administration