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Premedication
Management of anesthesia begins withpreoperative psychological preparation of thepatient and administration of a drug or drugsselected to elicit specific pharmacologicresponsesThis initial psychological and pharmacologiccomponent of anesthetic management isreferred to as “Premedication”
Psychological Premedicationis provided bythe anesthesiologist’s preoperative visit andinterview with the patient and familymembersPharmacological Premedicationisadministration of drugs orally or intramuscularly 1 to 2 hours before theanticipated induction of anesthesia
Goals for Pharmacologic Premedication
Primary Goals for PharmacologicPremedication
2.Anxiety relief ( anxiolysis)3.Sedation4.Analgesia5.Amnesia6.Antisalogogoue effect7.Increase in gastric fluid pH8.Decreased in gastric fluid volume9.Attenuation of sympathetic nervous systemreflex responses10.Decrease in anesthetic requirements11.Prophylaxis against allergic reactions
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