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SUM'20 Drug Boxes > apex/valley > Flashcards

Flashcards in apex/valley Deck (20)
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1
Q

cardiovascular effects of the sedation dose of benzos

A

minimal effects

2
Q

cardiovascular effects “induction dose” for benzos

A

decreases BP

decreases SVR

3
Q

sedation- respiratory efforts benzos

A

minimal effects

4
Q

respiratory effects induction dose- benzos

A

respiratory depression

5
Q

respiratory effects opioids plus benzos

A

opioids potentiate the respiratory depressant effects even at doses used for sedation

6
Q

what is the concern for a COPD patient getting versed

A

more sensitive to the respiratory depressant effects

7
Q

induction dose of benzos effects on CMRO2 and CBF

A

decreases

8
Q

what type of amnesia do benzo cause

A

antegrade amnesia

9
Q

what are the side effects of etomidate

A

myoclonus
adrenocortical suppression
nausea and vomiting
acute intermittent porphyria

10
Q

tell me about myoclonus and etomidate

A

involuntary skeletal muscle contractions, dystonia or tremor

11
Q

etomidate
intracranial pressure
cerebral blood flow
cerebral oxygen consumption

A

decrease
decrease
decrease

12
Q

how is esmolol metabolized

A

in the plasma by non selective esterase of the red blood cell

13
Q

what is esmolol used to treat

A

intraoperative SVT
intraoperative HTN
blunt reflex cardiovascular responses to intubation
produce controlled hypotension

14
Q

Most common side effects of zoltan/ondansetron

A

headache and or diarrhea

15
Q

when should ondansetron be administered

A

30 min prior to emergence

16
Q

when should dexamethasone be administered

A

during induction

17
Q

what is the cardiac concern for 5HT3 antagonist and butyrophenones (droperidol)

A

can prolong the QT interval

18
Q

what medications can cause extrapyramidal symptoms and are contraindicated in patients with parkinsons

A

dopamine antagonist

19
Q

this medication is contraindicated in patients with bowel obstruction

A

metoclopramide

20
Q

transdermal scopolamine is best applied how many hours before surgery and left on how many hours

A

4 hours before surgery and left on 72 hours