Exam 1: Drugs that... Flashcards
Drugs that release histamine:
Propofol
Morphine
Barbiturates (with rapid IV admin)
Meperidine
Drugs that are water soluble (in solution):
Midazolam
Ketamine
Dexmedetomidine
Midazolam
Drugs that are lipid soluble (in solution):
Propofol
Diazepam
Drugs that have active metabolites:
Propofol (4-hydroxypropofol) Ketamine (norketamine) Midazolam (1-hydroxymidazolam) Diazepam (desmethyldiazepam) Morphine (morphine-6-glucuronide) Meperidine (normeperidine) Fentanyl (norfentanyl) Sufentanil (desmethylsufentanil)
Drugs that potentiate NMBs:
Etomidate
Drugs that bronchodilate:
Profopol
Ketamine
Induction drugs in order of half-time (shortest to longest):
Propofol (0.5 - 1.5 hrs)
Ketamine (2 - 3 hrs)
Etomidate (3 - 5 hrs)
Highly protein-bound drugs:
Propofol Etomidate Dexmedetomidine All benzos All barbiturates (moderately; 70-85%) All opioids except morphine
Drugs that inhibit CYP450 system:
Dexmedetomidine
Drugs that induce CYP450 system:
Barbiturates
Drugs that are painful to inject:
Propofol
Etomidate
Diazepam
Lorazepam
Barbiturates in order of relative potency (least to most):
Thiopental: 1
Thiamylal/Surital: 1.1
Methohexital/Brevital: 2.5
Drugs that cause N/V:
Barbiturates
Etomidate/ketamine
Opioids
Drugs with renal metabolism:
Morphine
Drugs that undergo pulmonary uptake:
Meperidine
Fentanyl
Sufentanil