| MadSci Network: Medicine |
Three drugs, each with a distinct and main purpose.
After positioning the convicted individual on the gurney/bed, a doctor or
nurse sets up iv (intravenous) line. This is the route of administration
for the drugs, and provides direct access to the circulatory system. When
a drug is injected iv, it travels with the venous blood through the veins
directly to the heart and lungs. From here the blood is pumped throughout
the body. It is a very fast way of delivering drugs - drugs injected iv
will reach the brain in approximately 10 seconds.
Here are the drugs and their purposes, in sequence:
First, a barbiturate is administered to anesthetize the person (make them
unconscious). Barbiturates were originally (and still remain) used for
surgery. There are a couple of specific drugs that are probably the 'drug
of choice': thiopental (sold as Pentothal) is easily dissolved in sterile
water, as is methohexital (Brevital sodium). Following the iv
administration of the barbiturate, the person loses consciousness in about
10-20 seconds. Under other circumstances, the anesthesia would probably
last 20-40 minutes. It should be noted that barbiturates in general are
often poor analgesics (pain relieving). Thus, although the individual may
lose consciousness, pain perception may be unaffected. Typically in
surgical procedures, at least two drugs are administered - an anesthetic
and an analgesic (or one drug that can produce both).
Second, a neuromuscular blocking agent is administered to paralyze the
person. Often the drug administered is similar to curare. Curare has a
long and colorful history. It was used by various South American cultures
(around the Amazon and Orinoco Rivers) as a poison for arrow tips that were
used to hunt and kill animals for food. Hunted animals died from paralysis
of the skeletal muscles which are used throughout the body, but perhaps
most importantly in breathing. Use of curare derivative in executions
results in a rapid paralysis of most major muscle groups. Initially,
effects are observed in small rapidly moving muscles (eyes, fingers)
followed by larger ones. Eventually, the diaphragm is paralyzed, resulting
in cessation of breathing.
Finally, a lethal dose of potassium chloride is injected. Potassium is the
main positively charged ion inside of all of our cells that is essential
for our day-to-day living. Banana's are a very good source of potassium.
However, like many things, too much of a good thing can be bad for you. If
you consult a biology or physiology textbook you can learn about how
important it is to maintain a balance in ions. The lethal dose of
potassium chloride produces hyperkalemia (too much potassium; you ask why
the word 'kalemia'? -- potassium's chemical symbol is K). One of the main
effects of hyperkalemia is a change in the electrical activity of the
heart. The lethal dose administered basically stops the heart.
So, in summary, the drugs used knock them out, stop the breathing, and then
stop the heart. Death.
For additional information on:
the processes involved, the specific drugs, or about lethal injections
Consider consulting:
a. Physiology or cardiology textbooks
b. Pharmacology textbooks (Goodman and Gilman's The Pharmacological Basis
of Therapeutics is the best out there)
c. Amnesty International (http://www.amnesty.org/) has lots of information,
albeit from a biased perspective
Hope this helps you out.
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