Sedative Drug Use

Sedative Drug Use is a topic covered in the Pocket ICU Management.

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Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

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First Things First (assess & treat for the following)

  • Does pt have any life-threatening causes of agitation that require immediate attention?
    • Hypoxemia
    • Hypercarbia
    • Severe metabolic acidosis/alkalosis
    • Severe electrolyte abnormalities
    • Hypotension
    • CNS infection
    • Hypoglycemia
    • Drug toxicity, alcohol/drug withdrawal
    • CVA, intracranial hemorrhage
    • MI
    • Pneumothorax
    • Pulmonary edema
    • Seizure
    • Abdominal pain secondary to perforation, abscess, pancreatitis
    • Endotracheal tube malposition
  • Does pt have any correctable causes of agitation?
    • Delirium/dementia
      • Hepatic encephalopathy
      • Renal failure, uremia
      • Meds/toxins
    • Ventilator dyssynchrony
      • Inadequate ventilation (hypercarbia)
      • Inadequate oxygenation
      • Inadequate tidal volume/flow
      • Obstruction of ETT
    • Endocrinopathies
      • Hypo/hyperadrenocortisolism
      • Hypo/hyperglycemia
    • Distended bladder
    • Sleep deprivation
    • Disorientation/fear
      • Inability to communicate
      • Noise
    • Pain
      • From procedures
      • Decubitus
      • Oral/nasal gastric tubes
      • Oral ulcerations
      • Invasive monitors

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Last updated: May 5, 2010