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Author: Admin | 2025-04-28
Common MedicationsTo easily search for a specific medication try: Command+F (Mac) or CTRL+F (Windows) Absolute Mobility ContraindicationsMedically paralyzed: NimbexBurst suppressed: Propofol, Versed, Pentobarbital Antiarrhythmics Basic Purpose: Convert irregular heart rhythm to normal sinus rhythm; also used to prevent relapse into arrhythmiaConditions Treated: life-threatening arrhythmiaCommon Examples: Amiodarone (Cordarone), Adenosine (Adenocard)Precautions: Limit strenuous activity, monitor HR, and keep rate 100 or the recommended parameter set. Anticonvulsants Basic Purpose: Slows down impulses in the brain that cause seizures. Used for seizure prophylaxis and/or managementConditions Treated: Generalized convulsive status epilepticus & prevention/treatment of seizure during neurosurgeryCommon Examples: Fosphenytoin (Cerebyx), Levetiracetam (Keppra), Sodim Valproate (Depakote), Lacosamide (Vimpat) Antihypertensive Basic Purpose: Reduce brain damage caused by bleeding from a burst blood vessel; prevent vasospasmConditions Treated: Subarachnoid hemorrhageCommon Examples: Nimodipine, Nicardipine, Varapamil*Nicardipine is often used to help maintain a patient’s BP within goal* Antipsychotics Basic Purpose: Works to help restore balance of certain neurotransmitters in the brain. Can be used for behavioral management without sedation.Conditions Treated: Can decrease hallucinations and agitation; improve concentrationCommon Examples: Seroquel, Haldol, GeodonPrecautions: Can cause drowsiness, dizziness, lightheadedness Barbituates Basic Purpose: SedationConditions Treated: Trouble sleeping, anxiety, & drug withdrawalCommon Examples: Phenobarbital (Luminal)Precautions: Tend to heighten pain intensity/awareness. Side effects: cardiovascular depression, cerebrovascular vasoconstrictors and high potential for physiological and psychological dependence Benzodiazepines Basic Purpose: Central nervous system depressant, amnesiac; promote amnesia to painConditions Treated: Anxiety, agitation, muscle spasm, seizure, EtOH withdrawal. Versed can be a fallback option if Propofol or Precedex are contributing to hypotension or bradycardia Common Examples: Lorazepam (Ativan), Midazolam (Versed), Diazepam (Valium)Precautions: Cognition will be impaired. Hypotension can occur; monitor vitals. Side effects: delayed recovery secondary to accumulation of the drug in fat and a high potential for physiological and psychological dependence. Hypotension, tachycardia, decreased respiratory drive/apnea, hiccups, amnesia Purpose: continuous infusion used for anesthesia, sedation, and severe agitation. Generally
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