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Intravenous anaesthetic-hypnotic drugs Propofol Pentothal ...

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25/11/2010<br />

Barbiturates / Pharmacodynamics (1)<br />

a. Central nervous system (CNS)<br />

1. Produce unconsciousness but cause<br />

hyperalgesia in sub<strong>hypnotic</strong> doses.<br />

2. Produce a dose-dependent decrease in<br />

cerebral metabolism and blood flow and,<br />

at high doses, may produce an isoelectric<br />

electroencephalogram.<br />

Barbiturates / Pharmacodynamics (2)<br />

b. Cardiovascular system<br />

1. Decrease arterial blood pressure and<br />

cardiac output in a dose-dependent<br />

manner.<br />

2. May increase heart rate via baroceptor<br />

reflexes.<br />

c. Respiratory system<br />

Produce a dose-dependent decrease<br />

in respiratory rate and tidal volume.<br />

Apnea may result for 30 to 90 sec after<br />

a sleep dose.<br />

23

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