Name of Student Nurse: Orias, Maria Kyla Joy B.

Date: May 26, 2023

Level/Block/Group:3BSN6 Hospital/Area: Operating Room Clinical instructor: Sir Jesus Cadaoas Rabe

MECHANISM OF
NAME OF DRUG CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
ACTION
Isoflurane is a potent - Known or suspected CV: Ventricular, nodal, or General: Malignant hyperthermia Used with caution in patients with coronary
GENERIC NAME
volatile, halogenated genetic susceptibility atrial arrhythmia artery disease.
general inhalational to malignant CV: Torsades de pointes,
anesthetic that alters hyperthermia. perioperative hyperkalemia Monitor blood pressure and temperature to
Isoflurane the activity of neuronal - History of confirmed GI: Nausea, vomiting, resulting in cardiac arrhythmias detect residual hypotension and the
ion channels, hepatitis due to retching possibility of malignant hyperthermia.
specifically the fast halogenated GI: Hepatic dysfunction
BRAND NAME synaptic inhalational General: Chills ataxia, Must be given with a licensed
neurotransmitter anesthetic or asthenia, fatigue anesthesiologist
receptors. It may unexplained
Forane, Terrell depress myocardial moderate to severe Labs: Increase WBC count,
contractility, lower hepatic dysfunction. increased blood glucose,
blood pressure by increased serum creatinine,
CLASSIFICATION decreasing systemic decreased BUN.
vascular resistance, and
reduce sympathetic
nervous activity.
General Anesthetics

INDICATION

Induction and maintenance of

general anesthesia
 DOSAGE AND
FREQUENCY
Inhalation induction: initial
0.5% v/v with oxygen or
oxygen and nitrous oxide
increase to 1.5 – 3 % v/v

Maintenance dose: 1- 2.5% v/v

with oxygen only.