Difference between revisions of "Anesthetics"
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Mfrdmanager (talk | contribs) (Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.03 ANESTHETICS=== ====Pontocaine Ophthalmic / Local anesthetic==== '''DESCRIPTION''' * Ophthalmic anesthetic. '''INDICATIONS''' * R...") |
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==Section 8 - MEDICATION GUIDELINES== | ==Section 8 - MEDICATION GUIDELINES== | ||
===8.03 ANESTHETICS=== | ===8.03 ANESTHETICS=== | ||
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*** [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect. | *** [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect. | ||
*** [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect. | *** [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect. | ||
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'''DOSAGE''' | '''DOSAGE''' | ||
* 2 mg/kg SLOW IVP OR 4 mg/kg IM, 1 dose | * 2 mg/kg SLOW IVP OR 4 mg/kg IM, 1 dose | ||
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'''Side Effects: ''' | '''Side Effects: ''' | ||
* Hypertension, emesis, laryngospasm, tachycardia, bronchodilation, increased salivation, emergence reaction (12%). | * Hypertension, emesis, laryngospasm, tachycardia, bronchodilation, increased salivation, emergence reaction (12%). | ||
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| + | ====Etomidate / Anesthetic==== | ||
| + | '''DESCRIPTION''' | ||
| + | * Etomidate is a hypnotic drug without analgesic activity. Intravenous injection of Etomidate produces hypnosis, characterized by a rapid onset of action. | ||
| + | '''INDICATIONS''' | ||
| + | * Use during Drug Assisted Intubations. | ||
| + | '''CONTRAINDICATIONS''' | ||
| + | * Sepsis, Hypovolemia, Trauma, Hepatic disease, Renal impairment, Labor/ pregnancy. | ||
| + | '''PRECAUTIONS''' | ||
| + | * The high likelihood of vomiting (7-30%) necessitates the presence of a working suction unit during intubation attempts. | ||
| + | '''DOSAGE''' | ||
| + | * 0.3mg/kg Slow IVP (30 sec. - 1 min). If needed, 2nd dose at 0.3mg/kg not to exceed 0.6mg/kg IVP. | ||
| + | * Refer to Handtevy System for pediatric specific dosages | ||
| + | |||
[[Category:Medication Guidelines|0803]] | [[Category:Medication Guidelines|0803]] | ||
Latest revision as of 07:12, 22 June 2018
Section 8 - MEDICATION GUIDELINES
8.03 ANESTHETICS
Pontocaine Ophthalmic / Local anesthetic
DESCRIPTION
- Ophthalmic anesthetic.
INDICATIONS
- Removal of foreign objects, tonometry.
CONTRAINDICATIONS
- It should not be administered in the presence potential penetrating eye injury. Allergy or sensitivity to PABA.
PRECAUTIONS
- Thorough history must be obtained to rule out penetrating injury.
DOSAGE
- 1-2 gtts - adult and children. Instill in lower conjunctival cornix.
Ketamine / Anesthetic
DESCRIPTION
- Dissociative anesthetic, Systemic. Schedule III controlled substance.
INDICATIONS
- Sedation in the extremely agitated patient
CONTRAINDICATIONS
- Hypersensitivity
- Penetrating eye injury.
- Pregnancy
- Due to sympathomimetic effects, contraindicated in patients with known, severe CAD (for example, patients currently experiencing STEMI).
PRECAUTIONS
- Have ventilatory support readily available
- There is no known antidote or reversal agent for Ketamine
- Emergence Reaction - Read "Special Note" at RxList - Ketamine
- If this occurs give Benzodiazepine.
- DIAZEPAM (VALIUM) 2 - 20 mg SLOW IVP or IM to desired effect.
- MIDAZOLAM (VERSED) 2 - 10 mg IV, IO or IN, titrated to effect.
- If this occurs give Benzodiazepine.
DOSAGE
- 2 mg/kg SLOW IVP OR 4 mg/kg IM, 1 dose
Onset of action:
- IM administration: 3 – 5 minutes
- IV administration: 1- 2 minutes
Duration of action:
- 20 – 40 minutes when dosed at 4mg/kg IM.
- 12 – 20 minutes when dosed at 2mg/kg IV.
Side Effects:
- Hypertension, emesis, laryngospasm, tachycardia, bronchodilation, increased salivation, emergence reaction (12%).
Etomidate / Anesthetic
DESCRIPTION
- Etomidate is a hypnotic drug without analgesic activity. Intravenous injection of Etomidate produces hypnosis, characterized by a rapid onset of action.
INDICATIONS
- Use during Drug Assisted Intubations.
CONTRAINDICATIONS
- Sepsis, Hypovolemia, Trauma, Hepatic disease, Renal impairment, Labor/ pregnancy.
PRECAUTIONS
- The high likelihood of vomiting (7-30%) necessitates the presence of a working suction unit during intubation attempts.
DOSAGE
- 0.3mg/kg Slow IVP (30 sec. - 1 min). If needed, 2nd dose at 0.3mg/kg not to exceed 0.6mg/kg IVP.
- Refer to Handtevy System for pediatric specific dosages
