Anaesthetic agent contraindicated in hypertensives

Anaesthetic agent contraindicated in hypertensives is?

A. Propofol
B. Thiopentone sodium
C. Diazepam
D. Ketamine

Correct answer : D. Ketamine

Anaesthetic agent contraindicated in hypertensives

Ketamine increases heart rate, cardiac output and blood pressure
These effects are due to stimulation of the sympathetic nervous system and decrease in reuptake of noradrenaline
Hence it is contraindicated in:
- Hypertensives
- Ischemic heart disease
- Congestive cardiac failure
- Arterial aneurysms
It is also contraindicated in patients with increased intracranial tension
It produces dissociative anaesthesia

One Comment

Hammad March 28, 2015

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