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Premedication Management of anesthesia begins with preoperative psychological preparation of the patient and administration of a drug or drugs selected to elicit specific pharmacologic responses This initial psychological and pharmacologic component of anesthetic management is referred to as “Premedication”
Psychological Premedication  is provided by the anesthesiologist’s preoperative visit and interview with the patient and family members ,[object Object]
Goals for Pharmacologic Premedication   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Drugs and Doses used for Pharmacologic Premedication before Inaction of Anesthesia   PO,IM PO 2-4 15-30 Lorazepam   Temazepam  IM PO,IM 2.5-5 5-10 Midazolam Diazepam   Benzodiazepine   IM IM 5-15 50-100 Morphine Meperidine   Opioids   PO,IM PO,IM 50-150 50-150 Secobarbital  Pentobarbital   Barbiturates  Route of Administration   Typical  Adult Dose (mg )  Drug   Classification
PO,IM,IV  10-20  metoclopramide  Stimulates of gastric motility  PO PO  15-30 ml 10-20ml  Particulate Nonparticulate  Antacids  PO,IM,IV PO,IM PO  300 150 20-40  Cimetidine Ranitidine Famotidine  H2 antagonists  IM IM IM  0.3-0.6 0.3-0.6 0.2-0.3  Atropine Scopolamine Glycopyrrolate  Anticholinergics  PO IV 0.3-0.4 0.4-0.5  Clonidine Dexmedetomidine  Alpha-2 agonists  PO,IM IM 25-75 25-75 Diphenhydramine Promethazine  Antihistamines
Anesthetic Drugs General anesthesia Supportive drugs Local analgesics
General anesthesia Inhalational agents IV agents Muscle Relaxants
[object Object]

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anaesthesia.Premedication.(dr.amer)

  • 1. Premedication Management of anesthesia begins with preoperative psychological preparation of the patient and administration of a drug or drugs selected to elicit specific pharmacologic responses This initial psychological and pharmacologic component of anesthetic management is referred to as “Premedication”
  • 2.
  • 3.
  • 4.
  • 5. Drugs and Doses used for Pharmacologic Premedication before Inaction of Anesthesia PO,IM PO 2-4 15-30 Lorazepam Temazepam IM PO,IM 2.5-5 5-10 Midazolam Diazepam Benzodiazepine IM IM 5-15 50-100 Morphine Meperidine Opioids PO,IM PO,IM 50-150 50-150 Secobarbital Pentobarbital Barbiturates Route of Administration Typical Adult Dose (mg ) Drug Classification
  • 6. PO,IM,IV 10-20 metoclopramide Stimulates of gastric motility PO PO 15-30 ml 10-20ml Particulate Nonparticulate Antacids PO,IM,IV PO,IM PO 300 150 20-40 Cimetidine Ranitidine Famotidine H2 antagonists IM IM IM 0.3-0.6 0.3-0.6 0.2-0.3 Atropine Scopolamine Glycopyrrolate Anticholinergics PO IV 0.3-0.4 0.4-0.5 Clonidine Dexmedetomidine Alpha-2 agonists PO,IM IM 25-75 25-75 Diphenhydramine Promethazine Antihistamines
  • 7. Anesthetic Drugs General anesthesia Supportive drugs Local analgesics
  • 8. General anesthesia Inhalational agents IV agents Muscle Relaxants
  • 9.