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Premedication in Anesthesia

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40 views7 pages

Premedication in Anesthesia

Uploaded by

olivermugambim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Premedication In Anesthesia

By Muema
• Goals of Premedication are:
1. Anxiolysis
2. Amnesia
3. Analgesia
4. Nausea and Aspiration prophylaxis
5. Reduction of Airway secretions
6. Perioperative stress reduction
7. Blocking of Autonomic reflexes
1.Sedation/Anxiolysis
a) Pre hospital visit and Parental presence
during induction.
b) Benzodiazepines: Midazolam, Lorazepam,
Diazepam
c) Barbiturates: Pentobarbital, Thiopental

Drugs given 1hr preoperatively


2. Analgesia
a) Opioids: Morphine, Sulfentanil, Fentanyl
b) NSAIDS: PCM, Ibuprufen, Ketorolac
3. Aspiration Prophylaxis
a) Gastric PH increasing drugs:
I. H2 receptor antagonists: Ranitidine
II. PPI: Omeprazole
III. Antacids: Sodium Citrate
b) Prokinetic drugs:
• Metoclopramide
4. Anticholinergics
• Are administered to:
a) Prevent Bradycardia and hypotension:
laryngoscope, intubation, surgical manipulation
b) Reduce airway Secretions

• Include: Glycopyrrolate, atropine,


scopolamine
5. Antiemetics.
• This target PONV
• They include
– 5-HT Antagonist: Ondansetron
– Metoclopramide

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