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Macam-Macam Gas Anastesi,Gas Medis, Obat Induksi, danObat Premedikas


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AGENDA

Anasthetic Gas

Medical Gas

Induction Drugs

Premedication Drugs


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Anasthetic Gas

Definition

Drugs Example

Dosage Side Effect


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A Gas or A Liquid ith !apor Pressure

Sufficient to Produce General Anasthesia"hen #reathed


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$alothane % &luothane

Dieth'l Ether

Enflurane

Isoflurane

Se(oflurane

Nitous )xide % N*+


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Indication

Indicated for the

induction andmaintenance of

general anesthesia

ContraIndication

Not ,ecommended for

)-stetrical Anasthesiaexcept hen uterine

relaxation is required

Patients ith a-normal

heart rh'thm. a-normall'

lo pressure. li(er

pro-lem. high pressure

ithin the s/ull

$alothane % &luothane


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Indication

,elia-le and potent

anesthetic inhalationthat is particularl'

useful hen

ela-orate apparatus

is not a(aila-le andcost is an important

consideration

ContraIndication

Se(ere li(er disease

,aised cere-rospinalfluid pressure

Dieth'l Ether


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Indication

Ma' -e used for


general anesthesia0

Ma' -e used to

pro(ide analgesia for

(aginal deli(er'

ContraIndication

Disease affecting

muscles and ner(es Malignant h'perthermia

$igh amount of

potassium in the -lood

Enflurane


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Indication

Ma' -e used for


general anesthesia0

ContraIndication

A-normall' lo -lood

pressure Li(er pro-lem

Malignant h'perthermia

$igh amount of

potassium in the -lood

Isoflurane


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Indication

Indicated for


general anesthesia

in adult and pediatric

patient

ContraIndication

Malignant h'perthermia

$'persensiti(it'. lac/ of(entilator' support

Se(oflurane


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Indication

A ea/ inhalational

anesthetic Include anxiet'. lo

pain tolerance.

underl'ing

ps'chiatric disorders

and mental

retardation

ContraIndication

N*+ is contraindicated in

patients ith significantrespirator' compromise

Patient ith

pneumothorax.

pulmonar' -le-s. airem-olism. -oel

o-struction

Nitrous )xide % N*+


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Dosage

Anasthetic Gas Dosage

$alothane % &luothane Inhalation Induction 1 *234 (%( in )*or

mixtures of N*+ and )*Maintenance 1 +05 6 *4 (%(

Dieth'l Ether 7Enflurane Inhalation Induction 1 * 6 3054

Maintenance 1 +05 6 84

Isoflurane Inhalation Induction 1 905 6 84Maintenance 1 9 6 *054 ith N*+

Se(oflurane Inhalation Induction 1 903 6 8084 in )*+05 6 84 ith or ithout N*+

Nitrous )xide % N*+ Not Exceeding *+ppm


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Side Effect

In:ur' at the in:ection site

Infection

#reathing pro-lems Short term damage to ner(es

Allergic reaction. for example1 asthma attac/

$eart attac/ #rain damage

Paraplegia

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