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CENTRAL NERVOUS

SYSTEM MNEMONICS
(RIFAO)

SEDATIVE HYPNOTICS

-BENZODIAZEPENES THAT ARE NOT USED IN LIVER FAILURE (LOT)

LORAZEPAM , OXAZEPAM , TEMAZEPAM

-CNS EFFECTS (BZs AND BARBITURATES)

SHAAMM-Tk

SEDATION….HYPNOSIS….ANAESTHESIA….ANTICONVULSANT ACTION….MUSCLE
RELAXTION….MEDULLARY DEPRESSION….TOLERANCE AND DEPENDENCE

-TOXICITY (BENZODIAZEPENES)

PAOOn

(remember shaam tk chal k paoon thk jain ge )


PSYCHOMOTOR DYSFUNCTION

ADDITIVE CNS DEPRESSION

OVERDOSAGE

OTHER ADVERSE EFFECTS

-FOR BENZODIAZEPENES ANOTHER WAY TO REMEMBER USES AND TOXICITY

(DIAzEPaM)

USES :

DELIRIUM….INSOMNIA….ANXIETY….(Z)….EPILEPSY….PREANAESTHETIC….(A)…..MUSCLE RELAXANT

SIDE EFFECTS:

DROWZINESS/DIZZINESS….INCREASED REACTION TIME…..ATONIA/ATAXIA….(Z)….EPISODIC


PAIN…..PARADOXICAL CNS STIMULATION ….(a)……MEMORY LOSS

-REMEMBER

BUSPIRONE IS USED FOR GAD BUT ISNT USED IN PANIC DISORDERS

RAMELETON ACTIVATES MELATONIN RECEPTORS


-DIFFERENCES B/W BENZO DIAZEPENES AND BARBITURATES

BENZODIAZEPENES BARBITURATES
HIGH THERAPEUTIC INDEX LOW THERAPEUTIC INDEX
LESS ABUSE LIABILITY HIGH ABUSE LIABILITY
ANTAGONIZED BY FLUMAZENIL NOT ANTAGONIZED BY FLUMAZENIL
NOT EXACERBATE PORPHYRIA EXACERBATES PORPHYRIA
HYPNOTIC DOSE DOESNOT EFFECT HYPNOTIC DOSE EFFECTS RESPIRATION
RESPIRATION
FLATTER CURVE STEEPER CURVE
INCREASE CHLORIDE CHANNEL CONDUCTANCE INCREASE DURATION OF CHLORIDE CHANNEL
OPENING
SAFER TO USE LESS SAFE

ALCOHOLS
-CHRONIC EFFECTS OF ALCOHOL USE

START FROM HEAD AND FACE

CNS…GIT…ENDOCRINE…..CARDIOVASCULAR SYSTEM….LIVER EFFCTS…...FETAL ALCOHOL


SYNDROME(REMEMBER UTERUS)…..TOLERANCE AND DEPENDANCE…..NEOPLASIA……IMMUNE SYSTEM

-TREATMENT OF ACUTE ALCOHOLISM

(Vadte)

VITAL SIGNS MAINTAINANCE

ASPIRATION PREVENTION AFTER VOMITING

DEXTROSE

THIAMINE( WERNICKE-KORSAKOFF SYNDROME)


ELECTROLYTE IMBALANCE CORRECTION

-TREATMENT OF CHRONIC ALCOHOLISM

(Do Not be ALCOHOLIC)

DISULFIRAM

NALTREXONE

ACAMPROSATE

-PHENYTOIN ADVERSE EFFECTS

P450 INDUCER

HIRSUTISM

ENLARGED GUMS (GINGIVAL HYPERPLASIA)

NYSTAGMUS

YELLOW/BROWN SKIN DISCOLORATION

TERATOGENIC

OSTEOMALACIA

INTERFERE WITH FOLIC ACID  ANEMIA

NEUROPATHY

-CARBAMAZEPINE (CBPZ)

USES (CB) ….CRANIAL NERVE PALSY (V)….BIPOLAR DISORDER

SIDE EFFECTS (PZ) …..P450 INDUCER ….SEI’Z’URE


GENERAL ANAESTHETICS

-INHALED ANAESTHETICS (SHINE)

SEVOFLURANE

HALOTHANE

ISOFLURANE

NO

ENFLURANE

-INTRAVENOUS ANAESTHETICS (BBKDOPE)

BARBITURATES

BENZODIAZEPENES

KETAMINE(DISSOCIATIVE)

OPIOIDS

PROPOFOL
ETOMIDATE

-SIDE EFFECTS

HALOTHANE…HEPATOTOXIC/ARRHYTHMOGENIC SO CAUSES POST OPERATIVE HEPATITIS

ISOFLURANE…ARRHYTHMOGENIC NAD CAUSES RENAL INSUFFICIENCY

ENFLURANE….MYOCARDIAL DEPRESSION AND DECREASED BREATHING

DESFLURANE….BRONCHOSPASM

-ANAESTHESIA PROTOCOLS

(ABO)

ANTACIDS..ANTICHOLINERGICS….ANTIEMETICS….ANTI HISTAMINES….BENZODIAZEPENES
(DIAZEPAM)..OPIOIDS

-STAGES OF ANAESTHESIA (ADAM)

ANALGESIA

DISINHIBITION

SURGICAL ANAESTHESIA

MEDULLARY DEPRESSION

-FACTORS EFFECTING ANAESTHESIA INDUCTION (SIVPA)

SOLUBILITY
INSPIRED GAS PARTIAL PRESSURE

VENTILLATION RATE

PULMUNARY BLOOD FLOW

ARTERIOVENOUS CONCENTRATION GRADIENT

-HALOTHANE

MERITS : RAPID ANAESTHESIA NAD RAPID RECOVERY….NON EXPLOSIVE…PLEASANT ODOUR ( CAN B


USED IN CHILDREN) ….NOT HEPATOTOXIC IN CHILDREN

DEMERITS: METABOLIC PRODUCTS ARE TISSUE


TOXIC…BRADYCARDIA…ARRHYTHMIAS….HEPATITIS….HYPERTHERMIA

ANTIPSYCHOTICS AND LITHIUM

-Antipsychotics uses

(MS BAATTS)

MANIA
SCHIZOPHRENIA

BIPOLAR DISORDER
ANTI EMETIC EFFECT
ANTI PRURITIC EFFECT
TOURUERRETES SYNDROME
TOXIC PSYCHOSES
SEDATION

-Antipsychotics adverse effects


PAGHAL DPT writes CVS in MSWord
Parkinson like syndrome
ATROPINE LIKE EFFECTS
GYNAECOMASTIA + INFERTILITY
HYPERPROLACTINEMIA + ammenirhea-glactorrhea synd
AGRANULOCYTOSIS (CLOZAPINE)
L SEXUAL DYSFUNCTION

Dystonia and akathasia


POSTURAL HYPOTENSION
TARDIVE DYSKINESIA

CARDIAC ARRHYTHMIAS (PROLONG QT)


VISUAL IMPAIRMENT
SEDATION

MALIGNANT HYPERTHERMIA
SEIZURES
WEIGHT GAIN AND HYPERGLYCEMIA

-Lithium S/E
(TTAASTE D)

TREMORS
TERATOGENIC EFFECT (EBSTEIN ANOMALY)
ATAXIA
APHASIA
SEDATION
THYROID ENLARGEMENT
EDEMA

DIABETES INSPIDUS

-LITHIUM USES

(BAREAM)

BIPOLAR DISORDER

ACUTE MANIA

RECURRENT DEPRESSION

EXCITED STATES

ALCOHOLIC HALLUCINATIONS

MANAGEMENT OF AGGRESSION
ANTI DEPRESSANTS
-TOXICITY (TCAs)

TREMORS

CVS—ARRHYTHMIAS AND POSTURAL HYPOTENSION

ANTICHOLINERGICS

SEDATION AND SEIZURES

-TOXICITY(SSRIs)

SEIZURES(STIMULATE CNS)

SEROTONIN SYNDROME

REPRODUCTIVE DYSFUNCTION…RAISED (PROLONGED QT)

INSOMNIA

-TOXICITY OF MAOIs (3 Hs)

HYPERTENSIVE

HYPERTHERMIA

HEPATOCELLULAR JAUNDICE
-REMEMBER MIRTAZAPINE CAUSES WEIGHT GAIN

OPIOIDS

-OPIOID RECEPTORS

MU—ENDORPHINS…RESPIRATION

KAPPA-DYNORPHINS…..DEC GI MOTILITY AND SEDATIVE

DELTA-ENKEPHLINS…..TOLLERANCE

-OPIOIDS EFFECTS

(MORPHINE)

MIOSIS

ORTHOSTATIC HYPOTENSION

RESPIRATORY DEPRESSION

HORMONES(ICREASED A&P , DECREASED L ) … HISTAMINE RELEASE

(I)

NO ..(ANTI TUSSIVE ANTI DIARRHEAL )….NAUSEA & VOMITING

EUPHORIA
SEDATION

ANALGESIA

JAZZAKALLAH UL KHAIR
DO REMEMBER ME IN YOUR PRAYERS
DONATE GENEROUSLY FOR THE ONES
WHO NEED UR HELP

REGARDS
AHMAD HASSAN
RIFAO

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