Piramal Critical Care Inc

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Piramal Critical Care Inc Drugs

Petrem

Petrem

There is currently no dosage information available for this product. We apologize for any inconvenience.
Isoflurane Usp

Isoflurane Usp

Caution: Operating rooms should be provided with adequate ventilation to prevent the accumulation of anesthetic vapors.

Premedication: A premedication regimen, which may be employed depending upon the patient status, to avert excitement during induction, might include an anticholinergic, a tranquilizer, a muscle relaxant, and a short-acting barbiturate.

Inspired Concentration: The delivered concentration of Isoflurane, USP should be known. Isoflurane may be vaporized using a flow-through vaporizer specifically calibrated for isoflurane. Vaporizers delivering a saturated vapor which is then diluted (e.g. Vernitrol® vaporizer) also may be used. The delivered concentration from such a vaporizer may be calculated using the formula:

% Isoflurane = 100 PVFV

FT (PA – PV)

where: PA = Pressure of atmosphere

PV = Vapor pressure of isoflurane

FV = Flow of gas through vaporizer (mL/min)

FT = Total gas flow (mL/min)

Isoflurane contains no stabilizer. Nothing in the drug product alters calibration or operation of these vaporizers.

Induction:

Horses: Inspired concentrations of 3.0% to 5.0% isoflurane alone with oxygen following a barbiturate anesthetic induction are usually employed to induce surgical anesthesia in the horse.

Dogs: Inspired concentrations of 2.0% to 2.5% isoflurane alone with oxygen following a barbiturate anesthetic induction are usually employed to induce surgical anesthesia in the dog.

These concentrations can be expected to product surgical anesthesia in 5 to 10 minutes.

Maintenance: The concentration of vapor necessary to maintain anesthesia is much less than that required to induce it.

Horses: Surgical levels of anesthesia in the horse may be sustained with a 1.5% to 1.8% concentration of isoflurane in oxygen.

Dogs: Surgical levels of anesthesia in the dog may be sustained with a 1.5% to 1.8% concentration of isoflurane in oxygen.

The level of blood pressure during maintenance is an inverse function of isoflurane concentration in the absence of other complicating problems. Excessive decreases, unless related to hypovolemia, may be due to depth of anesthesia and in such instances may be corrected by lightening the level of anesthesia. Recovery from isoflurane anesthesia is typically uneventful.2
Isoflurane Inhalant

Isoflurane Inhalant

Caution: Operating rooms should be provided with adequate ventilation to prevent the accumulation of anesthetic vapors.

Premedication: A premedication regimen, which may be employed depending upon the patient status, to avert excitement during induction, might include an anticholinergic, a tranquilizer, a muscle relaxant, and a short-acting barbiturate.

Inspired Concentration: The delivered concentration of isoflurane should be known. Isoflurane may be vaporized using a flow-through vaporizer specifically calibrated for isoflurane. Vaporizers delivering a saturated vapor which then is diluted. (eg, Verni-trol(R) vaporizer) also may be used. The delivered concentration from such a vaporizer may be calculated using the formula:                                             100 PVFV

% isoflurane                        -------------

                                                FT ( PA-FV)where: PA = Pressure of atmosphere

            PV = Vapor pressure of isoflurane

            FV = Flow of gas through vaporizer (mL/min)

            FT = Total gas flow (mL/min)

Isoflurane contains no stabilizer. Nothing in the drug product alters calibration or operation of these vaporizers.Induction: Horses: Inspired concentrations of 3.0% to 5.0% isoflurane alone with oxygen following a barbiturate anesthetic induction are usually employed to induce surgical anesthesia in the horse.

Dogs: Inspired concentrations of 2.0% to 2.5% isoflurane alone with oxygen following a barbiturate anesthetic induction are usually employed to induce surgical anesthesia in the dog.

These concentrations can be expected to produce surgical anesthesia in 5 to 10 minutes.Maintenance: The concentration of vapor necessary to maintain anesthesia is much less than that required to induce it.

Horses: Surgical levels of anesthesia in the horse may be sustained with a 1.5% to 1.8%

concentration of isoflurane in oxygen.

Dogs: Surgical levels of anesthesia in the dog may be sustained with a 1.5% to 1.8%

concentration of isoflurane in oxygen.

The level of blood pressure during maintenance is an inverse function of isoflurane

concentration in the absence of other complicating problems. Excessive decreases, unless

related to hypovolemia, may be due to depth of anesthesia and in such instances may be

corrected by lightening the level of anesthesia.

Recovery from isoflurane anesthesia is typically uneventful.2
Enflurane Inhalant

Enflurane Inhalant

The concentration of enflurane being delivered from a vaporizer during anesthesia should be known. This may be accomplished by using:1) vaporizers calibrated specifically for enflurane; 2) vaporizers from which delivered flows can be calculated. Preanesthetic Medication Preanesthetic medication should be selected according to the need of the individual patient, taking into account that secretions are weakly stimulated by enflurane and that enflurane does not alter heart rate. The use of anticholinergic drugs is a matter of choice. Surgical Anesthesia Induction may be achieved using enflurane alone with oxygen or in combination with oxygen-nitrous oxide mixtures. Under these conditions some excitement may be encountered. If excitement is to be avoided, a hypnotic dose of a short-acting barbiturate should be used to induce unconsciousness, followed by the enflurane mixture. In general, inspired concentrations of 2.0 to 4.5% enflurane produced surgical anesthesia in 7 to 10 minutes. Maintenance Surgical levels of anesthesia may be maintained with 0.5 to 3% enflurane Maintenance concentrations should not exceed 3%. If added relaxation is required supplemental doses of muscle relaxants may be used. Ventilation to maintain the tension of carbon dioxide in arterial blood in the 35 to 45 mm Hg range is preferred. Hyperventilation should be avoided in order to minimize possibleCNS excitation The level of blood pressure during maintenance is an inverse function of enflurane concentration in the absence of other complicating problems. Excessive decreases (unless related to hypovolemia) may be due to depth of anesthesia and in such instances should be corrected by lightening the level of anesthesia. Analgesia Enflurane 0.25 to 1% provides analgesia for vaginal delivery equal to that produced by 30 to 60% nitrous oxide These concentrations normally do not produce amnesia. See also the information on the effects of enflurane on uterine contraction contained in the CLINICAL PHARMOCOLOGY section. Cesarean Section Enflurane should ordinarily be administered in the concentration range of 0.5 to 1% tosupplement other general anesthetics. See also the information on the effects ofenflurane on uterine contraction contained in the CLINICAL PHARMACOLOGYsection
Terrell

Terrell

Premedication

Premedication should be selected according to the need of the individual patient, taking into account that secretions are weakly stimulated by Isoflurane, USP, and the heart rate tends to be increased. The use of anticholinergic drugs is a matter of choice.

Inspired Concentration

The concentration of isoflurane being delivered from a vaporizer during anesthesia should be known. This may be accomplished by using:

a.Vaporizers calibrated specifically for isoflurane;

b.Vaporizers from which delivered flows can be calculated, such as vaporizers delivering a saturated vapor, which is then diluted. The delivered concentration from such a vaporizer may be calculated using the formula:

% isoflurane = 100 PvFv

                        FT (PA PV)

Where:PA          =             Pressure of atmosphere

                PV          =             Vapor pressure of isoflurane

                FV           =             Flow of gas through vaporizer (mL/min)

                FT           =             Total gas flow (mL/min)

Isoflurane contains no stabilizer. Nothing in the agent alters calibration or operation of these vaporizers.

Induction

Induction with isoflurane in oxygen or in combination with oxygen-nitrous oxide mixtures may produce coughing, breath holding, or laryngospasm. These difficulties may be avoided by the use of a hypnotic dose of an ultra-short-acting barbiturate. Inspired concentrations of 1.5 to 3.0% isoflurane usually produce surgical anesthesia in 7 to 10 minutes.

Maintenance

Surgical levels of anesthesia may be sustained with a 1.0 to 2.5% concentration when nitrous oxide is used concomitantly. An additional 0.5 to 1.0% may be required when isoflurane is given using oxygen alone. If added relaxation is required, supplemental doses of muscle relaxants may be used.

The level of blood pressure during maintenance is an inverse function of isoflurane concentration in the absence of other complicating problems. Excessive decreases may be due to depth of anesthesia and in such instances may be corrected by lightening anesthesia.
Isoflurane Inhalant

Isoflurane Inhalant

PremedicationPremedication should be selected according to the need of the individual patient, taking into account that secretions are weakly stimulated by Isoflurane, USP, and the heart rate tends to be increased. The use of anticholinergic drugs is a matter of choice.Inspired ConcentrationThe concentration of isoflurane being delivered from a vaporizer during anesthesia should be known. This may be accomplished by using:a.Vaporizers calibrated specifically for isoflurane;b.Vaporizers from which delivered flows can be calculated, such as vaporizers delivering a saturated vapor, which is then diluted. The delivered concentration from such a vaporizer may be calculated using the formula:

% Isoflurane = 100 PVFV

FT (PA – PV)

where: PA = Pressure of atmosphere

PV = Vapor pressure of isoflurane

FV = Flow of gas through vaporizer (mL/min)

FT = Total gas flow (mL/min)

Isoflurane contains no stabilizer. Nothing in the drug product alters calibration or operation of these vaporizers.

InductionInduction with isoflurane in oxygen or in combination with oxygen-nitrous oxide mixtures may produce coughing, breath holding, or laryngospasm. These difficulties may be avoided by the use of a hypnotic dose of an ultra-short-acting barbiturate. Inspired concentrations of 1.5 to 3.0% isoflurane usually produce surgical anesthesia in 7 to 10 minutes.MaintenanceSurgical levels of anesthesia may be sustained with a 1.0 to 2.5% concentration when nitrous oxide is used concomitantly. An additional 0.5 to 1.0% may be required when isoflurane is given using oxygen alone. If added relaxation is required, supplemental doses of muscle relaxants may be used.The level of blood pressure during maintenance is an inverse function of isoflurane concentration in the absence of other complicating problems. Excessive decreases may be due to depth of anesthesia and in such instances may be corrected by lightening anesthesia.
Anti-aging Sunscreen Br...

Anti-aging Sunscreen Broad Spectrum Spf 30

The concentration of sevoflurane being delivered from a vaporizer during anesthesia should be known. This may be accomplished by using a vaporizer calibrated specifically for sevoflurane. The administration of general anesthesia must be individualized based on the patient's response. Replacement of Desiccated CO2 Absorbents: When a clinician suspects that the CO2 absorbent may be desiccated, it should be replaced. The exothermic reaction that occurs with sevoflurane and CO2 absorbents is increased when the CO2 absorbents become desiccated, such as after an extended period of dry gas flow through the CO2 absorbent canisters (see PRECAUTIONS). Pre-anesthetic Medication: No specific pre-medication is either indicated or contraindicated with sevoflurane. The decision as to whether or not to premedicate and the choice of pre-medication is left to the discretion of the anesthesiologist. Induction: Sevoflurane has a non-pungent odor and does not cause respiratory irritability; it is suitable for mask induction in pediatrics and adults. Maintenance: Surgical levels of anesthesia can usually be achieved with concentrations of 0.5 - 3 % sevoflurane with or without the concomitant use of nitrous oxide. Sevoflurane can be administered with any type of anesthesia circuit.
Table 9: MAC Values for Adults and Pediatric Patients According to Age Age of Patient(years) Sevofluranein Oxygen SevofluraneIn 65% N2O/35% O2 0 – 1 months # 3.3% 1 - <6 months 3.0% 6 months- <3 years 2.8% 2.0%@ 3 - 12 2.5% 25 2.6% 1.4% 40 2.1% 1.1% 60 1.7% 0.9% 80 1.4% 0.7% # Neonates are full-term gestational age. MAC in premature infants has not been determined. @ In 1 - <3 year old pediatric patients, 60%N2O/40%O2 was used.
Isoflurane

Isoflurane

Premedication Premedication should be selected according to the need of the individual patient, taking into account that secretions are weakly stimulated by isoflurane, and the heart rate tends to be increased. The use of anticholinergic drugs is a matter of choice.Inspired Concentration The concentration of isoflurane being delivered from a vaporizer during anesthesia should be known.This may be accomplished by using:a. vaporizers calibrated specifically for isoflurane;b. vaporizers from which delivered flows can be calculated, such as vaporizers delivering a saturated vapor which is then diluted. The delivered concentration from such a vaporizer may be calculated using the formula:% Isoflurane = 100 PVFV FT (PA – PV)where: PA = Pressure of atmosphere PV = Vapor pressure of isofluraneFV = Flow of gas through vaporizer (mL/min)FT = Total gas flow (mL/min)Isoflurane contains no stabilizer. Nothing in the agent alters calibration or operation of these vaporizers.Induction Induction with isoflurane in oxygen or in combination with oxygen-nitrous oxide mixtures may produce coughing, breath holding, or laryngospasm. These difficulties may be avoided by the use of a hypnotic dose of an ultra-short-acting barbiturate. Inspired concentrations of 1.5 to 3.0% isoflurane usually produce surgical anesthesia in 7 to 10 minutes.Maintenance Surgical levels of anesthesia may be sustained with a 1.0 to 2.5% concentration when nitrous oxide is used concomitantly. An additional 0.5 to 1.0% may be required when isoflurane is given using oxygen alone. If added relaxation is required, supplemental doses of muscle relaxants may be used. The level of blood pressure during maintenance is an inverse function of isoflurane concentration in the absence of other complicating problems. Excessive decreases may be due to depth of anesthesia and in such instances may be corrected by lightening anesthesia.
Healthy Accents Ranitid...

Healthy Accents Ranitidine

There is currently no dosage information available for this product. We apologize for any inconvenience.
Glipizide

Glipizide

Premedication

Premedication shouldbe selected according to the need of the individual patient, taking intoaccount that secretions are weakly stimulated by isoflurane, and the heart ratetends to be increased. The use of anticholinergic drugs is a matter of choice.

InspiredConcentration

The concentration ofisoflurane being delivered from a vaporizer during anesthesia should be known.

This may beaccomplished by using:

a) vaporizerscalibrated specifically for isoflurane;

b) vaporizers fromwhich delivered flows can be calculated, such as vaporizers delivering asaturated vapor which is then diluted. The delivered concentration from such avaporizer may be calculated using the formula:

% Isoflurane = 100 PVFV

FT (PA– PV)

where:

PA =Pressure of atmosphere

PV = Vaporpressure of isoflurane

FV = Flowof gas through vaporizer (mL/min)

FT = Totalgas flow (mL/min)

Isoflurane containsno stabilizer. Nothing in the agent alters calibration or operation of these vaporizers.

Induction

Induction withisoflurane in oxygen or in combination with oxygen-nitrous oxide mixtures mayproduce coughing, breath holding, or laryngospasm. These difficulties may beavoided by the use of a hypnotic dose of an ultra-short-acting barbiturate.Inspired concentrations of 1.5 to 3.0% isoflurane usually produce surgicalanesthesia in 7 to 10 minutes.

Maintenance

Surgical levels ofanesthesia may be sustained with a 1.0 to 2.5% concentration when nitrous oxideis used concomitantly. An additional 0.5 to 1.0% may be required whenisoflurane is given using oxygen alone. If added relaxation is required,supplemental doses of muscle relaxants may be used.

The level of blood pressure during maintenance is an inverse function ofisoflurane concentration in the absence of other complicating problems.Excessive decreases may be due to depth of anesthesia and in such instances maybe corrected by lightening anesthesia.

Piramal Critical Care Inc

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Piramal Critical Care Inc Drugs