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9 Cards in this Set

  • Front
  • Back

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

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


Dilaudid IV

0.2 mg


(equal to 1 mg morphine or 50 mcg fentanyl)


Onset: 1-5 minutes


Peak: 10-20 minutes


Duration: ???

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.

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

Zofran (Ondansetron)

0.1 mg/kg up to 40 kg


4 mg for > 40 kg


Note: Ideally given pre-induction???

Neostigmine

0.05 mg/kg (range 0.03 to 0.07)


Max dose - 5 mg

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


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