Name ( Etomidate )
Amidate
Class ( Etomidate )
Nonbarbituarte hypnotic, anesthesia inducing agent
Indication ( Etomidate )
Premedication for medication facilitated intubation or procedural sedation
MOA ( Etomidate )
Ultra short acting hypnotic that produces rapid sedation with minimal cardivascular respiratory depression
(SEDATE BEFORE YOU INTUBATE)
Side effect ( Etomidate )
HHHH
Hypotension hypertension hypoventilation hyperventilation
Apnea of short duration, respiratory depression, hypoventilation, hyperventiliation ,nystagmus( eyes switch back and forth ), dysrhythmia, hypotension, hypertension, nausea, vomiting. Twitches ( transient skeletal muscle twitch movements )
Contraindiction ( Etomidate )
Known hypersensitivity, labor/delivery, or septic shock particularly in children
Dose ( Etomidate )
Adult procedural: 0.2 TO 0.4 MG/KG iv OVER 30 TO 60 seconds max 20 mg
Pediatric : 0.2 TO 0.4 MG/KG IV IO over 30 to 60 seconds maximum 20 mg
Duration ( Etomidate )
Onset 30 to 60 seconds peak: 1 minute Duration: 5 to 10 mins
Drug interaction ( Etomidate )
Effects may be enhanced when given with other CNS depressant
Special consideration ( Etomidate )
Pregnancy class C