Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

sedatives > sedatives > Flashcards

sedatives Flashcards

1
Q

ramsay scale 1

A

anxious/agitated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ramsay 2

A

cooperative/oriented/tranquil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ramsay 3

A

responds only to verbal commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ramsay 4

A

asleep with brisk response to stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ramsay 5

A

asleep with sluggish response to stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ramsay 6

A

asleep with no response to stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

level 1 sedation

A

anti anxiety; can respond to verbal commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

level 2 sedation

A

moderate sedation/analgesia; can respond to verbal commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

level 3 sedation

A

deep sedation/analgesia; can impair airway, responds to painful stimuli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

level 4 sedation

A

general anesthesia; pt can’t be aroused

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what do barbiturates have

A

sedatives, hyponitcs, some amnesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the sedative of choice in head trauma/icp/ status epilepticus

A

barbiturates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what side effects do barbiturates have

A

not good for pts with lung disease, causes broncho/laryngospasm; not good for asthmatics, causes hypovolemia/tension and so use 1/2 dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

methohexital

A

anesthetic, hypnotic, sedative; causes loss of spent ventilations, quick onset/duration, histamine release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pentothal

A

sedative/hyponotic, short acting/rapid onset, decreases cerebral metabolic rate and ICP, negative inotrop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

propofol

A

non barbiturate; deep sedation with less airway reactivity, decreases cerebral metabolic rate and ICP; not excreted by kidneys or liver; can cause metabolic acidosis; good for antiseizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

etomidate

A

not barbiturate; good for intubations, not good for seizure patients, short duration, not continuous infusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

benzodiazepines

A

sedative/hypnotic/anxiolysis agents; anticonvulsant with amnesia affects, causes decreased ventilations, no analgesic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

diazepam

A

benzo; rapid onset/duration 2-4 hours

20
Q

lorazepam (ativan)

A

benzo; longer term sedation, peaks in 20-30 min

21
Q

midozolam (versed)

A

benzo; good procedural drug, short acting, anxiolysis; duration 60-90 min

22
Q

what is the benzo reversal agent

A

flumuzenil or romazican

23
Q

chloral hydrate

A

sedative/hypnotic, used in children for long procedures, no analgesic, can cause respiratory depression if combined with other sedative

24
Q

meperidine-demeral

A

analgesic - narcotic - duration 2-3 hours (in b/w fentanyl/morphine) causes increased HR, and seizures, watch in pts with renal failure

25
Q

fentanyl

A

analgesic - narcotic - potent short duration of action, preferred drug for short procedures, alternate to morphine in trauma with hemodynamic compromise

26
Q

morphine

A

analgesic - narcotic - most frequently used and excreted renal; duration 3-4 hours preferred for trauma and prolonged injuries

27
Q

ketamine

A

nonopiod analgesic - causes trancelike stae; rapid sedation, preserves respiratory drive; helps maintain BP, helps prevent bronchospasm, increases pressures in body, causes laryngospasm, and excessive secretions

28
Q

nitrous oxide

A

mixed with 50% o2; anxiolytic, analgesic, used in minor procedures or with other analgesic for severe pain

29
Q

what do NSAIDS do

A

analgesic, antipyretic, no sedation or antianxiety

30
Q

keterolac

A

NSAID given with outpatient with other opioid analgesic

31
Q

depolarizing does what

A

promotes/maintains depolarized state

32
Q

non depolarizing does what

A

prevents depolarization/blocks acetycholine

33
Q

what are the 4 non depolarizing

A

pan/roc/vec/trac

34
Q

pan

A

20-60 min

35
Q

roc

A

20-35 min

36
Q

vec

A

20-35 min

37
Q

what reverses non depolarizing

A

neostigmine - or anticholinergic/cholinesterase inhibitor

38
Q

use caution with what for non depolarizing

A

hepatic/renal disease, asthma, cold, and obesity

39
Q

depolarzing agent

A

succinylcholne - 5-10 min with mild histamine release

40
Q

when do u use caution with succ

A

neuromuscular disease; causes hyperkalemia; and respiratory depression

41
Q

TAC

A

tetraccine/epi/cocaine

42
Q

LET

A

lidocaine/epi/tetracine

43
Q

onset of topical anesthetics

A

30-45 min

44
Q

EMLA

A

lidocaine/priolociaine 3-5 mm depth with 1-2 hour onset

45
Q

ela max

A

liposomal/lidocaine - 30 min onset

sedatives (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions