IV Anesthesia Overview and Agents
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Questions and Answers

What is the primary reason for the unsuitability of Thiopental Sodium for prolonged use?

  • It has a long half-life. (correct)
  • It is a potent analgesic.
  • It has a rapid metabolism.
  • It causes significant salivation.

Which characteristic makes Ketamine particularly suitable for shocked patients?

  • It has a long recovery time.
  • It has a minimal impact on respiratory function.
  • It produces a rapid coma.
  • It increases blood pressure and heart rate. (correct)

What is a common complication associated with IV anesthetics such as Thiopental Sodium?

  • Respiratory failure.
  • Deep vein thrombosis.
  • Intra-arterial injection. (correct)
  • Myocardial infarction.

What is the treatment for perivenous injection or extravasation of IV anesthetics?

<p>Local injection of hyaluronidase. (A)</p> Signup and view all the answers

Which IV anesthetic is specifically noted for its rapid onset and recovery, making it the choice for day care surgeries?

<p>Propofol. (C)</p> Signup and view all the answers

Flashcards

IV anesthesia

A type of anesthesia administered intravenously, commonly used for induction due to its rapid and smooth onset.

Thiopental Sodium

A barbiturate used for anesthesia, known for its fast onset of coma within 30 seconds and long half-life.

Ketamine

An anesthetic agent that increases blood pressure and heart rate, making it suitable for shocked patients, and is also a bronchodilator ideal for asthma patients.

Propofol

A popular anesthetic choice for short procedures, known for its fast onset and recovery with minimal side effects, though it can cause apnea.

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Perivenous injection (extravasation)

A complication of IV anesthetic administration where the drug leaks into surrounding tissue, causing pain, blanching, and potential necrosis.

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Study Notes

IV Anesthesia Overview

  • IV anesthetics are commonly used for induction due to rapid onset.
  • Inhalational anesthetics are typically used for maintenance, allowing minute-by-minute control.
  • Consciousness returns during IV anesthesia due to drug redistribution from brain to blood/tissue.

Thiopental Sodium

  • Yellowish powder with a bitter taste and faint garlic smell.
  • Induces coma within 30 seconds of administration.
  • Long half-life, unsuitable for prolonged use due to potential accumulation and barbiturate coma.
  • Used to treat status epilepticus because of its potent anticonvulsant properties.

Ketamine

  • A potent analgesic.
  • Unique anesthetic that elevates blood pressure and heart rate, useful for shocked patients.
  • Causes salivation, needing anticholinergic premedication.
  • Commonly used in pediatric anesthesia.
  • Acts as a bronchodilator, suitable for status asthmaticus patients.

Propofol

  • Rapid onset and recovery with minimal side effects.
  • Preferred for day-care procedures like breast biopsies.
  • A potent cardiopulmonary depressant, potentially leading to more frequent and prolonged apnea.

Complications of IV Anesthetics

Intra-arterial Injection

  • Can cause crystal formation in capillaries.
  • Treatment: 5 ml procaine (local anesthetic) and 40 ml papaverine (vasodilator).

Perivenous Injection/Extravasation

  • Occurs when IV line breaks, releasing drug into surrounding tissue.
  • Symptoms: Blanching, pain, tissue necrosis.
  • Treatment: Hyaluronidase (breaks down the drug).

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Description

This quiz covers the overview of IV anesthesia and details about various agents including Thiopental Sodium, Ketamine, and Propofol. Learn about their properties, uses, and effects in clinical practice. Test your knowledge on these important anesthetic agents used for induction and maintenance.

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