Nicardipine bolus anesthesia
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Stanley TH, Bailey PL: Fentanyl and sufentanil anesthesia revisited: establish an effective plasma concentration and achieve it at the right time. Anesthesiology 1991, 74: 388-390. 350.
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INITIAL MEDICATIONS: aspirin 81x4 chewable, clopidogrel (Plavix) 300mg loading then 75mg daily thereafter (only give Plavix after talking to Cardiology), nitroglycerin sublingual, heparin bolus + drip, atorvastatin 80mg or rosuvastatin 40mg, metoprolol 6.25mg q6 (titrate to HR 60), enalapril 2.5mg q12 (titrate to BP 120).
[DOC File]RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
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LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION USING I.V. BOLUS PLAIN LIDOCAINE VERSUS I.V. CLONIDINE”. ... which not only have exact role for induction and maintenance of anesthesia but also can cause harmful complications. ... S.Charuluxananan et al compared Nicardipine versus lidocaine for attenuating the cardiovascular response to endotracheal ...
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Nicardipine is measured in milligrams (mg) and dosed in milligrams per hour (mg/hr.) Nicardipine infusions should be titrated to achieve the desired blood pressure reduction. Dosages should be individualized depending on the blood pressure to be obtained and the response of the patient. Nicardipine therapy is typically initiated at 5 mg/hr.
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Aug 04, 2011 · b. IV nicardipine 5 mg per hr, increase at 5 minute intervals to maximum of 15 mg per hr (preferred in renal failure) Laboratory Studies 21. At admission to ICU (if not sent at code): a. CBC, coagulation profile, BMP, ABG, lactate, troponin, phosphorous, magnesium. b. Repeat ABG 10 minutes after paralysis achieved (if applicable) c. EKG. d. CXR ...
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Dosing: given as IV bolus of 6 mg and if needed, 12 mg / duration 15-30 second (although metabolism inhibited by dipyramidole) Side effects: brief asystole [very frightening to patient], flushing, chest pain. Treatment of Specific Cardiovascular Conditions. HTN crisis (see other) Labetalol (for added blockade) Nitroprusside. Procardia (most potent)
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Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research …
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Emergence from general anesthesia and tracheal extubation is often accompanied with tachycardia and hypertension[1]. These responses may produce myocardial ischemia or infarction in susceptible patients[2]. Drugs like lignocaine, verapamil[3], esmolol, nicardipine[4] etc have been proved to attenuate these responses.
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