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Pre-Anaesthetic Medication
PRE-ANAESTHETIC MEDICATION

It   is    the   term   applied   to    the
administration of certain drugs        prior
to general anaesthetic agent so as to
make anaesthesia safer            for the
patient.
Objectives of Pre – Anaesthetic Medication
a.    Sedation/Relief of anxiety.
b.    Relief of Pre-operative& Post-operative pain.
c.    Inhibition of Parasympathetic NS:
 (1) To decrease salivary & bronchial secretions
                         (a
      and hence prevent reflex laryngospasm.
                         )
 (2) To prevent cardiac arrest due to vagal sti.
d. Anti emetic
e. To decrease gastric acid secretion.
f. For Synergic effect with General
   Anaesthetics & hence to decrease
   their adverse effects .
g) drugs for patients having some
   specific      illness            e.g
   pheochromocytoma,
   thyrotoxicosis,arrythmias etc
SEDATIVES/ANXIOLYTICS
   Benzodiazepine
        diazepam
         lorazepam
          midazolam
   Butyrophenones
          droperidol
   Phenothiazines
            promethazine
Barbiturates
OPIOID ANALGESIC
           morphine
           pethidine
ANTICHOLINERGIC DRUGS
             Aropine
             hyoscine
              glycopyrrolate
ANTIEMETIC
         Metoclopramide
          promethazine
Anticholinergic Drugs
   They decrease secretions of air passages
S0 prevent chocking
Prevent laryngospasm
Prevent cardiac arrest due to excessive
    vagal stimu as seen with Halothane
i)Atropine Sulphate
2) Scopolamine (also causes amnesea)
3)Glycopyrrolate(
Drugs for prophylaxis of gastric
            acid aspiration
   TO DECREASE ACID PRODUCTION
   Antacid.
   H2 Receptor Antagonist: Ranitidine.
   Proton pump inhibitors   Omeprazole.
   TO PREVENT REFLUXOF STOMACCONTENS
   Metoclopramide(prokinetic agent).

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Pre anaesthetic medication

  • 2. PRE-ANAESTHETIC MEDICATION It is the term applied to the administration of certain drugs prior to general anaesthetic agent so as to make anaesthesia safer for the patient.
  • 3. Objectives of Pre – Anaesthetic Medication a. Sedation/Relief of anxiety. b. Relief of Pre-operative& Post-operative pain. c. Inhibition of Parasympathetic NS: (1) To decrease salivary & bronchial secretions (a and hence prevent reflex laryngospasm. ) (2) To prevent cardiac arrest due to vagal sti.
  • 4. d. Anti emetic e. To decrease gastric acid secretion. f. For Synergic effect with General Anaesthetics & hence to decrease their adverse effects . g) drugs for patients having some specific illness e.g pheochromocytoma, thyrotoxicosis,arrythmias etc
  • 5. SEDATIVES/ANXIOLYTICS  Benzodiazepine  diazepam  lorazepam  midazolam  Butyrophenones  droperidol  Phenothiazines  promethazine
  • 6. Barbiturates OPIOID ANALGESIC morphine pethidine ANTICHOLINERGIC DRUGS Aropine hyoscine glycopyrrolate ANTIEMETIC Metoclopramide promethazine
  • 7. Anticholinergic Drugs  They decrease secretions of air passages S0 prevent chocking Prevent laryngospasm Prevent cardiac arrest due to excessive vagal stimu as seen with Halothane i)Atropine Sulphate 2) Scopolamine (also causes amnesea) 3)Glycopyrrolate(
  • 8. Drugs for prophylaxis of gastric acid aspiration  TO DECREASE ACID PRODUCTION  Antacid.  H2 Receptor Antagonist: Ranitidine.  Proton pump inhibitors Omeprazole.  TO PREVENT REFLUXOF STOMACCONTENS  Metoclopramide(prokinetic agent).