Anesthetics
Brand/Generic Drug Names
droperidol, fentanyl, ketamine, midazolam, thiopental, propofol, lidocaine, procaine, tetracaine, ropivacaine
General: premedicate for surgery, induce and maintain general anesthesia Local: local anesthesia for procedures
General: acts on central nervous system to produce tranquilization and sleep before procedures Local: inhibits conduction of nerve impulses from sensory nerves
cerebrovascular accident, increased intracranial pressure, severe hypertension, cardiac decompensation
General: elderly, cerebrovascular disease, renal disease, liver disease, Parkinson’s disease, children under 2 yrs Local: pregnancy
MAOIs, phenothiazines, tricyclics may cause severe hyper/hypotension in combination with local anesthetics Central nervous system depressants potentiate anesthetics
dystonia, akathisia, flexion of arms, fine tremors, drowsiness, restlessness, hypotension, chills, respiratory depression, laryngospasm
Assess vital signs every 10 min during intravenous administration, every 30 min after intramuscular injection Administer anticholinergic preoperatively to decrease secretions Ensure resuscitation equipment is readily available Provide quiet recovery environment to decrease psychotic symptoms Evaluate therapeutic response: anesthesia, decreased pain
August 06, 2002