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Ch.15 Meds
Airway and Ventilation
38
Other
Not Applicable
09/23/2012

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Cards

Term
Used in airway management to reduce a patient's anxiety, induce amnesia, and decrease the gag reflex.
Definition
Sedation
p810
Term
________, can result in inadequate patient cooperation, complications of gagging, and incomplete amnesia of event.
Definition
Undersedation
p810
Term
_______, can result in uncontrolled general anesthesia, loss of protective airway reflexes, respiratory depression, complete airway collapse, and hypotension.
Definition
Oversedation
p810
Term
What is the primary contraindication to the use of sedative drugs?
Definition
Hypersensitivity
p810
Term
A patient's response to sedatives is _________.
Definition
Dose-dependent
p810
Term
Potent, effective sedatives; includes drug's such as Haloperidol(Haldol# and droperidol#Inapsine).
Definition
Butyrophenones
p810
Term
These medications are effective for calming agitated patients, trauma patients who are combative, patients who are experiencing alcohol withdrawl, and patients with acute psychoses.
Definition
Butyrophenones(Haldol and Inapsine)
p810
Term
They do not produce apnea and have little effect on the cardiovascular sysytem. They are not recommended for induction of anesthesia.
Definition
Butyrophenones(Haldol and Inapsine)
p810
Term
_______ is faster acting than ______ and is generally preferred in emergency situatins.
Definition
Droperidol, Haloperidol
p810
Term
Are sedative-hypnotic drugs.
Definition
Benzodiazepines
p810
Term
The relief of anxiety.
Definition
Anxiolysis
p810
Term
______ and _____ provide muscle relaxation and mild sedation and are used extensively as anxiolytic and antiseizure medications. Also provide anterograde amnesia.
Definition
Diazepan(Valium), Midazolam(Versed)
Benzodiazepines
p810
Term
An inability to remember events after the onset of amnesia.
Definition
Anterograde amnesia
p810
Term
Respiratory depression and slight hypotension are potensial side effects of?
Definition
Benzodiazepines administration
p810
Term
Is a benzodiazepine antagonist that can reverse the effects of diazepam and midazolam.
Definition
Flumazenil(Romazicon)
p810
Term
Why should benzodiazepines not be used as a induction agent?
Definition
Because large doses of midazolam are necessary to achieve the desired effect. Midazolam is 2-4 times as potent as diazepam.
p810
Term
Are sedative-hypnotic medications that have a long history of use.
Definition
Barbiturates
p811
Term
Is short acting and causes a rapid onset of profound sedation; no longer available in US.
Definition
Thiopental(Pentothal, Trapanal)
p811
Term
Is ultra short acting and twice as potent as thiopental.
Definition
Methohexital(Brevital)
p811
Term
Can cause significant respiratory depression and a drop of blood pressure of approx. 10% in normovolemic patients.
Definition
Barbituates
p811
Term
Are potent analgesics with sedative properties.
Definition
Opioids
p811
Term
Are used in emergency airway management as a premedication, during induction, and in maintenance of sedation or amnesia.
Definition
Narcotics
p811
Term
The 2 most commonly used narcotics for airway management are?
Definition
Fentanyl(Sublimaze) and Alfentanil(Alfenta)
p811
Term
____ is 70-150 times more potent than morphine.
Definition
Fentanyl(Sublimaze)
p811
Term
Can cause profound respiratory and central nervous system depression and produce severe hypotension and bradycardia, especially in hemodynamically unstable patients.
Definition
Opioids
Term
Can cause profound respiratory and central nervous system depression and produce severe hypotension and bradycardia, especially in hemodynamically unstable patients.
Definition
Opioids
Term
A narcotic antagonist.
Definition
Naloxone(Narcan)
Term
A nonnarcotic, nonbarbiturate hypnotic-sedative drug often used in the induction of general anesthesia.
Definition
Etomidate(Amidate)
p811
Term
This drug has little effect on pulse rate, blood pressure, and intracranial pressure(ICP) and does not cause the histamine release and bronchoconstriction that may occur with other agents.
Definition
Etomidate(Amidate)
p811
Term
This drug has little effect on pulse rate, blood pressure, and intracranial pressure(ICP) and does not cause the histamine release and bronchoconstriction that may occur with other agents.
Definition
Etomidate(Amidate)
p811
Term
Clenching of the teeth due to spasm of the jaw muscles.
Definition
Trismus
p811
Term
The rapid movement of electrolytes across a cell membrane that changes the cell's overall charge. This rapid shifting of electrolytes and cellular charges is the main catalyst for muscle contractions and neural transmissions.
Definition
Depolarization
Term
A chemical neurotransmitter of the parasympathetic nervous system.
Definition
Acetylcholine(ACh)
p811
Term
A drug that competitively binds with the acetycholine receptor sites but is not affected as quickly by acetylcholinesterase; succinylcholine is the only one.
Definition
Depolarizing neuromuscular blocker
p812
Term
_______ is the only depolarizing neuromuscular blocking agent.
Definition
Succinylcholine chloride(Anectine)
p812
Term
Succinylcholine Chloride(Anectine). How long does it take for the onset and how long does it last?
Definition
Rapid onset(60-90 sec) and lasts for (5-10 min)
p812
Term
What drug should be administered with succunylcholine to prevent succunylcholine-induced bradycardia, especially in pediatric patients?
Definition
Atropine sulfate.
p812
Term
Drugs that bind to acetylcholine receptor sites; they do not cause depolarization of the muscle fibers.
Definition
Nondepolarizing neuromuscular blockers
p812
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