I GROENEWALD

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IRNA GROENEWALD

Blog 8

20 Mar 2021, 22:24 Publicly Viewable

Compile a table, listing the major effects on every system (cardiovascular, CNS, renal, hepatic and uterus) for all the inhalation anaesthetics. This table is important when it comes to the selection of drugs in certain individuals.

Inhalation anaesthetics

Drug

Systems

Cardiovascular

CNS

Renal

Hepatic

Uterus

Nitrous Oxide

None

Weak anesthetic

Potent analgesic

amnesia

None

None

None

Desflurane

Relaxant

Induction

Increase cerebral blood flow

Muscle relaxant.

May promote hepatotoxicity

Decrease muscle contractions

Sevoflurane

Relaxes non depolarising muscles

Induction and maintenance

Muscle relaxant.

Metabolise

Decrease muscle contractions

Isoflurane

Muscle relaxant but do not sensitize myocardium

Induction

Muscle relaxant.

May promote hepatotoxicity

Decrease muscle contractions

Enflurane

Muscle relaxant

Does not sensitize myocardium

Smooth muscle induction may cause convulsions

Muscle relaxant.

May promote hepatotoxicity.

Decrease muscle contractions

Halothane

Sensitize myocardium and decrease blood pressure

Fast smooth muscle induction

Increase cerebral blood flow

Muscle relaxant.

Rare hepatotoxicity.

Decrease muscle contractions

Methoxy-flurane

Muscle relaxant

Muscle induction

Muscle relaxant.

May promote hepatotoxicity.

Decrease muscle contractions

 

 

 

 

 

 

 

Name the major acute toxic effects of the inhalation drugs:

  • Bradycardia.
  • Increase intracranial pressure.
  • May cause convulsions.
  • Irretention of airways.