Strong hypnotics :(

Question 1

Definition of strong hypnotics:

Answer 1

Hypnotic drugs, also known as sleep medications or soporifics, are a class of psychoactive substances primarily used to induce sleep or promote sleepiness.

Question 2

List a few strong hypnotics:

Answer 2

Methohexital
Propofol
Midazolam
Ketamine
Nitrous oxise
Dexmedatomadine

Question 3

What are the effects of strong hypnotics on the respiratory system?

Answer 3

Possibility of respiratory depression
Increased risk of sleep apnea
Impaired respiratory reflexes

Question 4

What are the effects of strong hypnotics on the haemodynamic level?

Answer 4

Hypotension
Possibility of cardiac depression

Question 5

Clinical use of strong hypnotics? Routes of administration?

Answer 5

• Oral, IV, transdermal patch, sublingual
• Various types of insmonia and sleep disorders
• Certain drugs such as midazolam can be used in anxiolysis
• Used for sedation of patients
• Certain drugs are used for induction and maintenence of anesthesia

Question 6

What should a doctor do when a patient is using strong hypnotics for general anesthesia?

Answer 6

Monitor the following: ECG, HR, BP, O2 saturation, respiratory rate, capnography etc.
May need to establish airway management for example endotracheal intubation
Calculate dosage
Provide pre-operative and post-operative care