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Anaesthesia · Intravenous agents: ketamine emergence phenomena
Sample itemWhich drug is best given to reduce the emergence reactions of ketamine?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Midazolam
Vivid dreams, hallucinations and delirium on emergence are reduced by benzodiazepines such as midazolam. The reactions are more common in adults, women and with high doses.
Option by option
A. Atropine
Atropine reduces salivation, not psychic effects.
B. Ondansetron
Ondansetron is an antiemetic.
C. Neostigmine
Neostigmine is a cholinesterase inhibitor.
D. Midazolam (correct)
Correct. Benzodiazepines attenuate emergence reactions.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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