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Pain and Anxiety - Coggle Diagram

- - - - Benzodiazepine that increases activity of GABA neurotransmitter in brain
      - Can cause pt not to remember what happens while sedated
      - Flumazenil is antidote for overdose
  - - - Vapour - isoflurane
      - IV - propofol
  - - - Treatment complexity (1-4)
      - Anxiety (1-4)
      - Medical history (1-4)
    - - 5-6 Moderate need (LA)
      - 7-9 High need (sedation)
      - 3-4 Minimal need (LA)
      - 10-12 Very high need (sedation or GA)
- - - - Good post-operatively, effective for 8-10 hours
  - - - Adrenaline
        
        Contraindicated in unstable angina, hypertension, pt taking MAOIs
      - Felypressin (lower efficacy)
        
        Contraindicated in 3rd trimester of pregnancy
        
        Does not cause tachycardia, palpitations
  - - - Risk of benzocaine-induced methemoglobinemia
- - - - COX inhibition in CNS, decreasing prostaglandin production
    - - Non-selective COX-1 and COX-2 inhibitor
    - - Tramadol (moderate)
      - Morphine (strong)
      - Codeine (weak)