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27 Cards in this Set
- Front
- Back
Fentanyl
pre-op dose |
analgesia, pre-op
[50-100 mcg IV/IM] Info: given 30-60 min prior to surgery |
|
Fentanyl
adjunct anesthesia dose |
anesthesia, adjunct
[2-50 mcg/kg IV x1] Info: 2 mcg/kg for low dose, 2-20 mcg/kg for mod dose, 20-50 mcg/kg for high dose |
|
Fentanyl
Regional anesthesia dose |
[50-100 mcg IV]
Info: give over 1-2 minutes |
|
Fentanyl
Post-op pain dose |
post-op pain
[50-100 mcg IV q1-2h prn] Alt: 0.5-1.5 mcg/kg/h IV infusion |
|
Alfentanil
Anesthesia dose, induction |
anesthesia, induction
[130-245 mcg/kg IV x1] Info: for ventilated pts only; use w/neuromuscular blocker; decr. rate and inhalation anesthetics by 30-50% in 1st hour after induction |
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Alfentanil
anesthesia dose, maintenance |
anesthesia, maintenance
[0.5-1.5 mcg/kg/min IV] Max: 4 mcg/kg/min; Info: for ventilated pts only; use w/neuromuscular blocker; incr. infusion or give 7 mcg/kg/min IV for lightening or stress; decr. rate and inhalation anesthetics by 30-50% in 1st hour after induction; D/C 10-15min before surgery end |
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Alfentanil
anesthesia dose, analgesia adjunct [incremental dosing] |
anesthesia, analgesia adjunct
[incremental dosing] Dose: 5-15 mcg/kg IV q5-20min for maintenance; Start: 20-50 mcg/kg IV x1; Max: total = 75 mcg/kg; Info: to attenuate response to laryngoscopy, intubation |
|
sufentanil
anesthesia dose, general |
anesthesia, general
[10-50 mcg/kg IV] Start: 1-30 mcg/kg; Info: titrate to anesthetic effect |
|
remifentanil
anesthesia dose, induction |
anesthesia, induction
[0.5-1 mcg/kg/min IV] Start: may give initial 1 mcg/kg over 30-60sec; Info: give with muscle relaxant to avoid chest wall rigidity |
|
remifentanil
anesthesia, maintenance |
anesthesia, maintenance
[0.05-2 mcg/kg/min IV] Info: may give supplemental bolus 1 mcg/kg; not recommended as sole agent |
|
remifentanil
analgesia, post-op |
analgesia, post-op
[0.025-0.2 mcg/kg/min IV] Info: for continuation of analgesia into the immediate post-op period Other Info: onset <1min, peak 1-5min, duration 5-10min |
|
Meperidine
pain, mod-severe |
pain, mod-severe
[50-150 mg PO/SC/IM q3-4h] Info: IM preferred over SC or IV; for IV use lower dose, use diluted solution and administer slowly; use lower dose in elderly; decr. dose 50% with concurrent phenothiazine |
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Meperidine
preoperative sedation |
preoperative sedation
[50-100 mg SC/IM x1] Info: give 30-60min before anesthesia; use lower dose in elderly |
|
meperidine
analgesia, obstetric |
analgesia, obstetric
[50-100 mg SC/IM q1-3h] |
|
meperidine
renal dosing [adjust dose amount] |
renal dosing
[adjust dose amount] CrCl 10-50: decr. dose by 25%; CrCl <10: decr. dose by 50%; ESRD/HD: avoid use |
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morphine
pain, oral route |
pain, moderate to severe
[oral route] Dose: 10-30 mg PO q3-4h prn; Alt: 15-30 mg SR PO q8-12h for chronic pain; Info: <50 kg or elderly may need lower dose, longer interval; 200 mg SR for opioid tolerant pts only; do not cut/crush/chew SR |
|
morphine
pain, parenteral route |
[parenteral route]
Dose: 2.5-10 mg SC/IM/IV q2-6h prn; Alt: 0.05-0.1 mg/kg IV load, then 0.8-10 mg/h IV; Info: <50 kg or elderly may need lower dose, longer interval |
|
morphine
pain, epidural route |
[epidural route]
Dose: 3-5 mg EPID x1 then 0.1-0.7 mg/h; Max: 10 mg/24h; Info: <50 kg or elderly may need lower dose, longer interval |
|
morphine
pain, rectal route |
[rectal route]
Dose: 10-20 mg PR q4h prn; Info: <50 kg or elderly may need lower dose, longer interval |
|
morphine
pulmonary edema, adjuvant |
*pulmonary edema, adjuvant
[1-3 mg IV q5min] |
|
morphine
*MI, acute/unstable angina |
*MI, acute/unstable angina
[2-5 mg IV q5-30min] Info: some pts require maint. dose 4-8 mg IV q4-6h |
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morphine
renal dosing [adjust dose amount] |
renal dosing
[adjust dose amount] CrCl 10-50: decr. dose 25%; CrCl <10: decr. dose 50% |
|
hydromorphone
pain, mod-severe [oral route] |
pain, mod-severe
[oral route] Dose: 2-8 mg PO q3-4h; Start: 2-4 mg PO q3-4h in opiate-naive pts |
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hydromorphone
pain, mod-severe [parenteral route] |
pain, mod-severe
[parenteral route] Dose: 1-4 mg SC/IM/IV q4-6h; Start: 0.2-0.6 mg IV q2-3h or 0.8-1 mg SC/IM q4-6h in opiate-naive pts; Info: reduce dose when switching from PO |
|
hydromorphone
pain, mod-severe [rectal route] |
[rectal route]
Dose: 3 mg PR q6-8h |
|
alfentanil
anesthesia, analgesia adjunct [continuous infusion] |
[continuous infusion]
Dose: 0.5-3 mcg/kg/min IV for maintenance; Start: 50-75 mcg/kg IV x1; Info: to attenuate response to laryngoscopy, intubation, incision |
|
alfentanil
anesthesia, analgesia adjunct [monitored anesthesia care] |
[monitored anesthesia care]
Dose: 3-5 mcg/kg IV q5-20min or 0.25-1 mcg/kg/min IV for maintenance; Start: 3-8 mcg/kg IV x1; Info: for sedated, responsive, spontaneously breathing pts; usual total dose = 3-40 mcg/kg |