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Barbiturate

Hemmung der Formatio reticularis
Senkung des Hirndrucks

Dosisabhängige Atemdepression
Histaminausschüttung
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Anschlagzeit: 3 min
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Benzodiazepin Antidot
Dantrolen (#R: 0; #F: 0)
therapeutische Mittel der Wahl gegen maligne Hyperthermie.
Normaldruck-Hydrozephalus (#R: 0; #F: 0)
Erweiterung der inneren Liquorräume
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Hakim-Trias:
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CT/MRT
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Trizyklische Antidepressiva
- Amitriptylin
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- Clomipramin
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Antikonvulsiva
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Zwischen Lig. flavum und Dura mater
Woodbridge-Tubus (#R: 1; #F: -1)
Integrierte, flexible Metallspirale, daher keine Abknickung (z.B. Operationen in Bauchlage). Zur orotrachealen Intubation mit Führungsstab
Magill-Tubus (#R: 1; #F: -1)
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Mallampati I Uvula und weicher Gaumen komplett einsehbar
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Mallampati IV Nur der harte Gaumen ist zu erkennen
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Antagonisten von Rocuronium
Extubationskriterien (#R: 1; #F: -1)
Ausreichende Spontanatmung
Vorhandene Schutzreflexe (Schluck- und Hustenreflex)
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Interaktion mit Atemkalk → Bei zu niedriger Frischgaszufuhr entstehen nephrotoxische Abbauprodukte, die als Compound A - E bezeichnet werden
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Die Aufnahme des Inhalationsanästhetikums aus dem Alveolarraum ins Blut erfolgt entlang eines Partialdruckgefälles bis ein Ausgleich zwischen den beiden Räumen erreicht ist. Dabei hängt die Geschwindigkeit des Ausgleichs vom Partialdruckgefälle und von der individuellen physikalischen Löslichkeit des Anästhetikums im Blut ab. Der Blut/Gas-Verteilungskoeffizient gibt das Verhältnis der Konzentrationen an, bei der sich das Gleichgewicht einstellt. Eine geringe Löslichkeit und ein hoher Partialdruck führen zu einer zügigen Aufnahme ins Blut.
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Wirkdauer: 10 min

Bindung an Acetylcholin-Rezeptor an der motorischen Endplatte → Depolarisation (Muskelzittern) → Fehlender Abbau durch Acetylcholinesterase → Dauerhafte Depolarisation mit fehlender Erregbarkeit (Depolarisationsblock)

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Nebenwirkung: Wichtigste Triggersubstanz der malignen Hyperthermie!
CK-Erhöhung (Myoglobinämie bis zur Rhabdomyolyse)
Herzrhythmusstörungen
Hyperkaliämie
Mivacurium (#R: 1; #F: -1)
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Wirkdauer: 20 min

Optimal bei Nieren- und Leberinsuffizienz

Organgebundene Elimination (Hofmann-Abbau)
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kurzwirksam

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Akute paranoide Episoden
Muskelrelaxierung
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Alkoholentzugssyndrom

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Spannungszustände
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Muskelrelaxierung
Epilepsien
Alkoholentzugssyndrom

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Flunitrazepam (#R: 1; #F: -1)
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langwirksam

Angst- und Panikattacken
Spannungszustände
Akute paranoide Episoden
Muskelrelaxierung
Epilepsien
Alkoholentzugssyndrom

hohes Abhängigkeitspotential
h9s1N5 http://www.LnAJ7K8QSpfMO2wQ8gO.com (#R: 1; #F: -1)
h9s1N5 http://www.LnAJ7K8QSpfMO2wQ8gO.com
Koanalgetika - Hirndruck und Nervenkompression (#R: 1; #F: -1)
Glukokortikoide
- Dexamethason
Mainzer Stadiensystem der Schmerzchronifizierung (#R: 2; #F: -1)
Achse I: Zeitliche Aspekte des Schmerzes
Achse II: Räumliche Aspekte des Schmerzes
Achse III: Medikamenteneinnahmeverhalten
Achse IV: Inanspruchnahme des Gesundheitswesens
Imipramin - Antidot (#R: 1; #F: -1)
Bei Imipramin handelt es sich um ein trizyklisches Antidepressivum, dessen Antidot Physostigmin ist. Flumazenil wiederum ist das Antidot der Benzodiazepine.
ZURÜCK