The lecture has been given on Feb. 8th, 2011 by Dr. Aamir.

1. Premedication Management of anesthesia begins with preoperative psychological preparation of the patient and administration of a drug or drugs selected to elicit specific pharmacologic responses This initial psychological and pharmacologic component of anesthetic management is referred to as “Premedication”

5. Drugs and Doses used for Pharmacologic Premedication before Inaction of Anesthesia PO,IM PO 2-4 15-30 Lorazepam Temazepam IM PO,IM 2.5-5 5-10 Midazolam Diazepam Benzodiazepine IM IM 5-15 50-100 Morphine Meperidine Opioids PO,IM PO,IM 50-150 50-150 Secobarbital Pentobarbital Barbiturates Route of Administration Typical Adult Dose (mg ) Drug Classification

6. PO,IM,IV 10-20 metoclopramide Stimulates of gastric motility PO PO 15-30 ml 10-20ml Particulate Nonparticulate Antacids PO,IM,IV PO,IM PO 300 150 20-40 Cimetidine Ranitidine Famotidine H2 antagonists IM IM IM 0.3-0.6 0.3-0.6 0.2-0.3 Atropine Scopolamine Glycopyrrolate Anticholinergics PO IV 0.3-0.4 0.4-0.5 Clonidine Dexmedetomidine Alpha-2 agonists PO,IM IM 25-75 25-75 Diphenhydramine Promethazine Antihistamines

7. Anesthetic Drugs General anesthesia Supportive drugs Local analgesics

8. General anesthesia Inhalational agents IV agents Muscle Relaxants