Methohexital: Difference between revisions
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==Pediatric Dosing== | ==Pediatric Dosing== | ||
*>1mo: 6.6-10 mg/kg IM administered as a 5% (50 mg/mL) solution | |||
==Special Populations== | ==Special Populations== | ||
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: | *[[Drug Ratings in Pregnancy|Pregnancy Rating]]: B | ||
*[[Lactation risk categories|Lactation risk]]: | *[[Lactation risk categories|Lactation risk]]: Excreted in breastmilk | ||
*Renal Dosing | *Renal Dosing: Caution | ||
*Hepatic Dosing: Caution | |||
*Hepatic Dosing | |||
==Contraindications== | ==Contraindications== | ||
*Allergy to class/drug | *Allergy to class/drug | ||
*Porphyria | |||
*Relative: cardiovascular disease, hypotension, respiratory disease | |||
*Caution if: severe anemia, extreme obesity, debilitated patients, renal/hepatic/endocrine/circulatory dysfunction, obstructive pulmonary disease, severe HTN, status asthmaticus | |||
==Adverse Reactions== | ==Adverse Reactions== | ||
===Serious=== | ===Serious=== | ||
*Laryngospasm | *Laryngospasm | ||
*Apnea, respiratory depression | |||
*Hypotension | |||
*Myocardial depression | |||
*Seizures | |||
===Common=== | ===Common=== | ||
*Hiccups, muscle twitching, coughing | |||
*Shivering | |||
*Salivation | |||
*Emergence reaction | |||
*Anxiety, restlessness | |||
*Headache | |||
*Nausea/vomiting, abdominal pain | |||
*Erythema, pruritus, urticaria | |||
*Rhinitis | |||
*Thrombophlebitis | |||
*Injection site pain | |||
==Pharmacology== | ==Pharmacology== | ||
*Half-life: | *Half-life: 3-6h | ||
*Metabolism: | *Metabolism: Hepatic | ||
*Excretion: | *Excretion: Urine | ||
*Mechanism of Action: | *Mechanism of Action: ultra short acting barbituate | ||
*Onset < 1 minute; Duration 10 minutes | *Onset < 1 minute; Duration 10 minutes | ||
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==See Also== | ==See Also== | ||
*[[Procedural sedation]] | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Pharmacology]] | [[Category:Pharmacology]] | ||
Latest revision as of 23:21, 22 September 2019
General
- Type: Sedative agents
- Dosage Forms:
- Common Trade Names: Brevital
Adult Dosing
- Dose 1-1.5mg/kg
Pediatric Dosing
- >1mo: 6.6-10 mg/kg IM administered as a 5% (50 mg/mL) solution
Special Populations
- Pregnancy Rating: B
- Lactation risk: Excreted in breastmilk
- Renal Dosing: Caution
- Hepatic Dosing: Caution
Contraindications
- Allergy to class/drug
- Porphyria
- Relative: cardiovascular disease, hypotension, respiratory disease
- Caution if: severe anemia, extreme obesity, debilitated patients, renal/hepatic/endocrine/circulatory dysfunction, obstructive pulmonary disease, severe HTN, status asthmaticus
Adverse Reactions
Serious
- Laryngospasm
- Apnea, respiratory depression
- Hypotension
- Myocardial depression
- Seizures
Common
- Hiccups, muscle twitching, coughing
- Shivering
- Salivation
- Emergence reaction
- Anxiety, restlessness
- Headache
- Nausea/vomiting, abdominal pain
- Erythema, pruritus, urticaria
- Rhinitis
- Thrombophlebitis
- Injection site pain
Pharmacology
- Half-life: 3-6h
- Metabolism: Hepatic
- Excretion: Urine
- Mechanism of Action: ultra short acting barbituate
- Onset < 1 minute; Duration 10 minutes
Comments
- No analgesic effect