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This is the 2nd lesson covering sedation in ICU patients. In the last lesson we talk about what sedation was, as well as covered the various different reasons that we would use sedation, and finally covered the ways in which we monitor our patients on sedation in the ICU including the RASS scale.
In this lesson we take a look at all the medications and categories of medications that we use for ICU sedation. We start out talking about the 4 different categories that these medications fall in to. The first, being the benzodiazepams. These medications are all GABA receptor agonists and share a lot of unique traits. The 3 medications all very in the length of their duration, Midazalam (Versed) being short acting, Lorazapam (Ativan) being intermediating acting, and Diazepam (Valium) being long acting. Valium is also the only one that we don’t give continuous IV, and Versed is one of our most common ICU drips for sedation.
Next we quickly talk about the neuroleptics, which are not used as continuous IV drips, but do fall in this class of sedation medications. We quickly mention about Haloperidol (Haldol) and Quetiapine (Seroquel) and how they are good options for treating delirium.
The next category that we talk about is the barbiturates. These aren’t a commonly used group of medications, but they hold a special place when it comes to helping patients with high ICPs or unmanageable seizure activity. The one medication that we use here in a drip form is a medication called Pentobarbital and so we cover this and its associated doses.
The final category that we talk about is a group of 3 medications that are all quite different from one another and we call them the “other” or “miscellaneous” medications. The meds in this category are Propofol (Driprovan), Dexmetatomadine (Precedex) and Ketamine. We talk about the unique properties of each of these medications, show the special cases which make each of these different medications ideal in certain cases.
Hopefully after watching this lesson you will have a good basis of understanding of the different categories of ICU sedation medications, as well as the medications that are a part of each category and some of the defining characteristics of each and how they all differ from one another, yet are often used for the same purposes.
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Don't forget to check out the playlist for this series of lessons here: • ICU Drips
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