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Etomidate (Amidate) Class
Sedative / Hypnotic
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Etomidate (Amidate) Actions
- Rapid induction of anesthesis with minimal cardiovascular and respiratory effects.
- Onset: 10-20seconds
- Duration: 3-5 minutes
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Etomidate (Amidate) Indications
- 1. Sedation induction prior to intubation
- 2. Sedation of intubated patients
- 3. Preferred method of prehospital sedation in the head injury and CVA patient because it does not increase intercranial pressure due to vasodilator properties
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Etomidate (Amidate) contraindications
Allergy
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Etomidate (Amidate) Precautions
- 1. Use with caution in patients with hypotension, asthma, or severe cardiovascular disease
- 2. Verapamil may cause prolongd respiratory depression
- 3. No analgesic properties
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Etomidate (Amidate) Side effects
- Side effects are rare but may incluce:
- CNS: Myoclonic skeletal muscle movement
- Respiratory: Apnea, Hyper/Hypo-ventilation, laryngospasm
- CV: Hyper/hypo-tension, tachy/brady-cardia
- GI: Nausea/Vomitting
- Other: Hiccups, snoring, adrenal insufficiency
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Etomidate (Amidate) Dosage
0.3 mg / kg IV push over 15 to 30 seconds
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Etomidate (Amidate) Route
Slow IV Push only
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Etomidate (Amidate) How supplied
Vial: 20mg / 10mL
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Etomidate (Amidate) Pediatric Dosage
0.3mg/kg IV push over 15-30 seconds
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