ANESTHESIA

Drugs Acting on the Autonomic Nervous System

Sep 18, 2016 by in ANESTHESIA Comments Off on Drugs Acting on the Autonomic Nervous System

Drug Bolus dose Infusion rate Phenylephrine 100 mcg 1 mcg/kg/min Methoxamine 10 mg NA Norepinephrine 16 mcg 0.1 mcg/kg/min Epinephrine 8 mcg 0.05 mcg/kg/min Metaraminol 5 mg NA Ephedrine 10…

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Benzodiazepines and Muscle Relaxants

Sep 18, 2016 by in ANESTHESIA Comments Off on Benzodiazepines and Muscle Relaxants

Drug Common dosing Half-life (h) Time to peak plasma concentration (h) Elimination Short- to intermediate-acting benzodiazepines Alprazolam (Xanax) 0.25–0.5 mg BID–TID for anxiety; maximum 4 mg/day 11.2 (6.3–26.9) 1–2 Renal…

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Herbal Medications and Vitamin Supplements

Sep 18, 2016 by in ANESTHESIA Comments Off on Herbal Medications and Vitamin Supplements

Supplement Typical usage Pharmacology Vitamin A Cataracts Fat-soluble vitamin which supports cell growth and immune function [12] Glaucoma Improving vision Skin conditions B vitamins Fatigue Supports various bodily functions (i.e.,…

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Novel Targets of Current Analgesic Drug Development

Sep 18, 2016 by in ANESTHESIA Comments Off on Novel Targets of Current Analgesic Drug Development

14. Richardson JD, Aanonsen L, Hargreaves KM. Antihyperalgesic effects of spinal cannabinoids. Eur J Pharmacol. 1998;345:145–53.PubMed 15. Liu C, Walker JM. Effects of a cannabinoid agonist on spinal nociceptive neurons…

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Serotonin Syndrome

Sep 18, 2016 by in ANESTHESIA Comments Off on Serotonin Syndrome

Inhibitors of serotonin reuptake Selective serotonin reuptake inhibitors (SSRIs): fluoxetine, paroxetine, sertraline, citalopram, fluvoxamine Serotonin-norepinephrine reuptake inhibitors (SNRIs): venlafaxine, desvenlafaxine, duloxetine, milnacipran Tricyclic antidepressants (TCAs): amitriptyline, nortriptyline, protriptyline clomipramine, imipramine,…

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Black Box FDA Warnings and Legal Implications

Sep 18, 2016 by in ANESTHESIA Comments Off on Black Box FDA Warnings and Legal Implications

Drug (date of most recent available labeling) Indication Reason for boxed warning Alternatives Antiemetics Droperidol (Inapsine®) 12/2001 Nausea and vomiting; neuroleptic anesthesia Prolonged QT interval, torsades de pointes Ondansetronb, metoclopramide…

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Blood, Blood Products, and Substitutes

Sep 18, 2016 by in ANESTHESIA Comments Off on Blood, Blood Products, and Substitutes

Blood product Indication Dosing Relative contraindication Whole blood Autologous donated units for elective surgery, large volume hemorrhage, neonatal exchange transfusion  Volume overload PRBC Increase oxygen carrying capacity to tissues, exchange…

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Pediatrics

Sep 18, 2016 by in ANESTHESIA Comments Off on Pediatrics

© Springer Science+Business Media New York 2015Alan David Kaye, Adam M. Kaye and Richard D. Urman (eds.)Essentials of Pharmacology for Anesthesia, Pain Medicine, and Critical Care10.1007/978-1-4614-8948-1_42 42. Pediatrics Vanessa Ng1  , Karina Gritsenko1   and Rebecca Lintner1   (1) Department of Anesthesiology,…

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