Barbiturate receptor
ionotropic GABAa
Barbiturate MOA
enhanced affinity for GABA -> prolonged Cl channel opening -> cell hyperpolarization
Barbiturate indication
induction anesthesia, sedation
Barbiturate contraindication
Porphyria
Barbiturate distribution
peak 2-3 min
Barbiturate biotransformation
hepatic phase 1 CYP450, Phase 2 conjugation
Barbiturate elimination
Renal half time 4 hrs
saturates fat compartment
Barbiturate side effects
myocardial depression, vasodilation, resp depression
Methohexital dose
1-2 mg/kg IV
Methohexital onset
1 min
Methohexital peak
2-3 min
methohexital duration
5-7 mi