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Old 02-26-2011
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Drug Which drug was given.

A patient on the trauma-burn unit receives a drug to ease the pain of debridement and dressing changes. The patient experiences good, prompt analgesia. He appears awake at time because the eye periodically open.
His heart rate and blood pressure rises considerably and skeletal muscle tone progressively increases. As drug effects wear off, the patient hallucinates and behaves in a very agitated fashion. Which of the following drug was most likely given.

A. Fentanyl
B. Ketamine
C. Midazolam
D. Succinylcholine
E. Thiopental
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Old 02-26-2011
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Ketamine.

Three clues in the Q.

For burns dressing.
patient awake: dissociative anaesth.
Side effect: hallucination and agitation. this is why ket is also an abuse drug.
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Old 02-26-2011
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Default agreed ketamine

Quote:
Originally Posted by drahmednawaz View Post
Ketamine.
Three clues in the Q.
  • For burns dressing.
  • patient awake: dissociative anaesth.
  • Side effect: hallucination and agitation. this is why ket is also an abuse drug.
Also, analgesia (could only be ketamine or fentanyl) + heart rate stimulation (so not fentanyl) -> ketamine
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Old 02-26-2011
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In addition to drahmednawaz & Mondoshawan

Ketamine has a wide range of effects in humans, including analgesia, anesthesia, hallucinations, elevated blood pressure, and bronchodilation. Ketamine is primarily used for the induction and maintenance of general anesthesia, usually in combination with a sedative. Other uses include sedation in intensive care, analgesia (particularly in emergency medicine), and treatment of bronchospasm. It has been shown to be effective in treating depression in patients with bipolar disorder who have not responded to other anti-depressants
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