rptEntry Form Print - US Pharmacopeial Convention
rptEntry Form Print - US Pharmacopeial Convention
rptEntry Form Print - US Pharmacopeial Convention
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THIOPENTAL<br />
Catalog Number: 1661002 Revision Date: December 24, 2009<br />
Common Name: Thiopental<br />
<strong>Form</strong>ula: C11H18N2O2S<br />
Synonym: Thiopentone; Pentothiobarbital<br />
Chemical Name:<br />
CAS: 76-75-5<br />
RTECS Number: CQ6300000<br />
SECTION 4 - FIRST AID MEASURES<br />
SECTION 5 - FIREFIGHTING MEASURES<br />
Extinguisher Media: Water spray, dry chemical, carbon dioxide, or foam as appropriate for surrounding fire and materials.<br />
Fire and Explosion Hazards: This material is assumed to be combustible. As with all dry powders, it is advisable to ground mechanical<br />
equipment in contact with dry material to dissipate the potential buildup of static electricity.<br />
Firefighting Procedures:<br />
4,6(1H,5H)-Pyrimidinedione, 5-ethyldihydro-5-(1-methylbutyl)-2-thioxo-<br />
Chemical Family: 5,5-Disubstituted pyrimidinedione<br />
Therapeutic Category: Anesthetic (intravenous); anticonvulsant<br />
Composition: Pure Material<br />
Inhalation:<br />
Eye:<br />
May cause irritation. Remove to fresh air.<br />
May cause irritation. Flush with copious quantities of water.<br />
Skin: May cause irritation. Flush with copious quantities of water.<br />
Ingestion:<br />
May cause irritation. Flush out mouth with water.<br />
General First Aid Procedures: Remove from exposure. Remove contaminated clothing. For treatment advice, seek guidance from an<br />
occupational health physician or other licensed health-care provider familiar with workplace chemical<br />
exposures. In the United States, the national poison control center phone number is 1-800-222-1222. If<br />
person is not breathing, give artificial respiration. If breathing is difficult, give oxygen if available.<br />
Persons developing serious hypersensitivity (anaphylactic) reactions must receive immediate medical<br />
attention.<br />
Overdose Treatment:<br />
Note to Physicians<br />
Treatment of overdose should be symptomatic and supportive and may include the following:<br />
1. Administer charcoal as a slurry. Ipecac-induced vomiting is not recommended due to the potential for CNS<br />
depression. Consider gastric lavage after ingestion of a potentially life-threatening amount of poison if it can be<br />
performed soon after ingestion (generally within 1 hour). Protect airway by placement in Trendelenburg and left<br />
lateral decubitus position or by endotracheal intubation, controlling any seizures first.<br />
2. Manage patient with supportive respiratory and cardiovascular care (most patients may be safely managed<br />
this way).<br />
3. For hypotension, infuse isotonic fluid. If hypotension persists, administer dopamine or norepinephrine; titrate<br />
to desired response.<br />
4. Forced alkaline diuresis is of no value, however, hemodialysis has been used successfully in short-acting<br />
barbiturate intoxication. Charcoal or resin hemoperfusion is more effective and should be considered in patients<br />
with hypotension not responsive to supportive care.<br />
5. Treat withdrawal symptoms with phenobarbital or the original addicting substance in a program of gradual<br />
reduction over 3 weeks.<br />
6. Monitor vital signs and level of consciousness. Monitor pulse oximetry and/or blood gasses in patients with<br />
significant CNS depression. [Meditext 2009]<br />
As with all fires, evacuate personnel to a safe area. Firefighters should use self-contained breathing<br />
equipment and protective clothing.<br />
SECTION 6 - ACCIDENTAL RELEASE MEASURES<br />
Copyright © 2009 The United States <strong>Pharmacopeial</strong> <strong>Convention</strong>, Inc. All Rights Reserved. n/f = not found Page 2 of 6