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9 Cards in this Set
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Fentanyl IV |
50 mcg (adult) (equal to 1 mg morphine or 0.2 mg dilaudid) 1 mcg/kg (peds) Onset: 1-2 minutes Peak: 3-5 minutes Duration: 30-60 minutes |
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Morphine IV |
1 mg (equal to 50 mcg fentanyl, 0.2 mg dilaudid, and 3 mg PO oxycodone) Onset: 5-10 minutes Peak: 15-30 minutes Duration: 3-4 hours Note: M6G is active metabolite that can build up in renal failure
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Dilaudid IV |
0.2 mg (equal to 1 mg morphine or 50 mcg fentanyl) Onset: 1-5 minutes Peak: 10-20 minutes Duration: ??? |
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Succinylcholine |
0.6 - 1 mg/kg Effect: Depolarizing blockade in 1 minute Persistence: 2 minutes Recovery: 4-6 minutes Note: Patients with pseudocholinesterase deficiency may take hours/days to recover completely. |
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Rocuronium |
0.6 mg/kg (1 mg/kg for RSI) Infusion: 0.4 mg/kg/hr Effect: Nondepolarizing paralysis in 60-90 seconds Persistence: ~ 20 minutes Recovery: 20 - 60 minutes |
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Zofran (Ondansetron) |
0.1 mg/kg up to 40 kg 4 mg for > 40 kg Note: Ideally given pre-induction??? |
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Neostigmine |
0.05 mg/kg (range 0.03 to 0.07) Max dose - 5 mg |
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Glycopyrrolate (during reversal) |
0.2 mg per 1 mg neostigmine Note: Used to block the effect of neostigmine on cardiac muscarinic receptors (i.e. prevents bradycardia) - can also use atropine
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Atropine (during reversal) |
0.4 mg per 1 mg neostigmine Note: Also used to reduce vagal tone (dose - 1 mg) with bradycardia or with organophosphate poisoning (dose - 3 mg) Note: May wear off before neostigmine, be prepared to re-dose in 20-30 minutes |