Central Nervous System Stimulants

Sep 18, 2016 by in ANESTHESIA Comments Off on Central Nervous System Stimulants

Chemical Structure 23.1 Amphetamine (Adderall) Chemical Structure 23.2 Modafinil (Provigil) Chemical Structure 23.3 Armodafinil (Nuvigil) Chemical Structure 23.4 Caffeine Chemical Structure 23.5 Methylphenidate (Ritalin) Chemical Structure 23.6 Atomoxetine (Strattera) HCl…

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Chemotherapeutic Agents

Sep 18, 2016 by in ANESTHESIA Comments Off on Chemotherapeutic Agents

Fig. 31.1 Four phases of cell division (Source: Brunton et al. [3]. Copyright © McGraw Hill Companies, Inc) Antimetabolites (S-Phase) Antimetabolite drugs are also referred to as nucleic acid synthesis…

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Cardiac Surgery

Sep 18, 2016 by in ANESTHESIA Comments Off on Cardiac Surgery

Because the AT-III level recovery varies, thus 20 min after infusion of initial dose, recheck AT-III level and recalculate the additional dose necessary to correct AT-III deficiency. Then it is…

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Obstetrics

Sep 18, 2016 by in ANESTHESIA Comments Off on Obstetrics

Glycopyrrolate Heparin Insulin Nondepolarizing neuromuscular blocker Succinylcholine This chapter will also discuss many pharmacologic therapies for the pregnant patient. Local anesthetics and opioids are the foundation of most neuraxial techniques…

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New Vistas in Anesthetics, IV Induction Agents

Sep 18, 2016 by in ANESTHESIA Comments Off on New Vistas in Anesthetics, IV Induction Agents

  Group 1 Group 2 Group 3 Agents Etomidate, propofol Ketamine, nitrous oxide, xenon, cyclopropane Barbiturates, halo alkyls Actions Potent hypnotics Potent analgesics Potent hypnotics Weak immobilizers Weak hypnotics Potent…

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Liver Disease and Liver Transplantation

Sep 18, 2016 by in ANESTHESIA Comments Off on Liver Disease and Liver Transplantation

Drug Protein binding and hepatic extraction ratio Volume of distribution at steady state Clearance Elimination half-life Clinical significance in patients with liver disease Thiopental 85 % 0.2 Increased Decreased Prolonged…

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Antimicrobial Agents

Sep 18, 2016 by in ANESTHESIA Comments Off on Antimicrobial Agents

Drug Mechanism Indication Dosing options Drug interactions Side effects Monobactam (aztreonam) Inhibition of cell wall mucopeptide synthesis Strong activity against gram-negative bacteria; may be substituted for penicillins or cephalosporin IV,…

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Drug-Induced QT Prolongation

Sep 18, 2016 by in ANESTHESIA Comments Off on Drug-Induced QT Prolongation

Fig. 46.1 Characteristic short-long-short on ECG rhythm strip preceding episode of torsades de pointes (With kind permission from Springer Science + Business Media: Benson et al. [66], Figure 3, and…

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Understanding Anesthesia-Induced Memory Loss

Sep 18, 2016 by in ANESTHESIA Comments Off on Understanding Anesthesia-Induced Memory Loss

Fig. 54.1 Anesthesia has both desirable and undesirable end points. General anesthetics cause the therapeutic end points of amnesia, immobility, unconsciousness, and analgesia (shown in blue). Cardiovascular instability, convulsions, respiratory…

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