DTP Methoxyflurane Flashcards

1
Q

Methoxyflurane drug class

A

Analgesic ( at low doses )

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2
Q

Pharmacology of methoxyflurane

A

Inhalation agent that provides analgesia at low doses.
More susceptible to metabolism than other halogenated ethers
Greater propensity to diffuse into fatty tissue.

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3
Q

Metabolism of methoxyflurane

A

By the liver and excreted mainly by the lungs

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4
Q

Indications for methoxyflurane

A

Pain

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5
Q

Contraindications for methoxyflurane

A
  1. KSAR
  2. Hx of malignant hyperthermia
  3. Hx of signicant liver or renal disease
  4. t monitor pain level and self administration
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6
Q

Precautions for methoxyflurane

A
  1. ALOC

2. Intoxicated or drug affected patients

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7
Q

Side effects of methoxyflurane

A
  1. Cough
  2. ALOC
  3. Hepatic or renal failure following repeated high doses
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8
Q

Presentation of methoxyflurane

A

3ml glass bottle

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9
Q

Duration of methoxyflurane

A

5-10mins

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9
Q

Schedule of methoxyflurane

A

S4 restricted drug

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10
Q

Onset of methoxyflurane

A

1-3mins

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12
Q

Doses of methoxyflurane for adults

A

3ml repeatable after 20 mins, max dose 6ml

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13
Q

Dose for Paediatrics

A

3 ml non repeatable

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14
Q

Special notes for methoxyflurane

A
  1. Deep sedation in pts < 5 yrs old
  2. At no time should unconsciousness be deliberately induced by administration
  3. At no time should a pt self administering be left unattended.
  4. The lowest dose should be used to achieve analgesia
  5. If the pt prefers simultaneous administration through nose and mouth a face mask can be connected prior to administration
  6. Total weekly dose should not exceed 15 mls
  7. Only 1 in the back of the vehicle, 2 per shift per officer
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