General anesthetics

Goal of anesthesia

Create a controlled reversible state that allows medical procedures to be done safely and comfortably

The actual goals of anesthesia listed

Analgesia, amnesia, unconsciousness, muscle relaxation, and reflex suppression

Propofol indications

Induction of general anesthesia and maintaining balanced anesthesia when used with other agents

Action of propofol

Produces short acting hypnosis and amnesia

Propofol contraindications

Hypersensitivity to propofol, soybean oil, egg lecithin or glycerol

Propofol side effects

Bradycardia, hypotension,burning, pain, stinging, APNEA, INFUSION SYNDROME

Ketamine indications

Induction and maintenance of general anesthesia

Ketamine action

Blocks afferent impulses of pain perception. Suppresses spinal cord activity and affects CNS transmitter system systems.

Ketamine contraindications

Hyper sensitivity, psychiatric disturbances, uncontrolled hypertension, increased into cranial pressure

Ketamine side effects

Hypertension, tachycardia, emergence reactions

Vecuronium indications

Induction of skeletal muscle paralysis and facilitation of intubation after induction of anesthesia in surgical procedures. Facilitation of compliance during mechanical ventilation.

Vecuronium actions

Prevents neuromuscular transmission by blocking the effect of acetylcholine at the myoneural junction

Vecuronium contraindications

Hyper sensitivity and hyper sensitivity to bromides

Vecuronium side effects

Rash, bronchospasm, and ALLERGIC REACTIONS, INCLUDING ANAPHYLAXIS

Isoflurane uses

Inhaled volatile general anesthetic, also called Forane. Used for induction and maintenance of general anesthesia

Isoflurane action

Depresses the central nervous system, and produces unconsciousness (also causes vasodilation which lowers blood pressure)

Isoflurane side effects

Hypotension, airway irritation. RESPIRATORY DEPRESSION AND MALIGNANT HYPOTHERMIA.