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224 Cards in this Set
- Front
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etomidate is supplied
|
2 mg/ml
|
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etomidate induction dose is
|
.1-.4 mg/kg
|
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onset/peak/duration of etomidate
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.5-1
0 3-10 min |
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some stuff to know about etomidate
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myoclonis
pain with injection cardiac stable |
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propofol is supplied
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10 mg/ml
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propofol induction dose is
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1-2 mg/kg
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propofol onset/peak/duration
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.5
1 5-10 min. |
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things to know about propofol
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pain on injection
watch for egg allergy |
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versed is supplied
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1 mg/ml
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versed induction dose is
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.02-.04 mg/kg
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versed onset/peak/duration
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.5 - 1 min
4 min 15 - 18 min |
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things to think about with versed
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respiratory depressant
renal elimination |
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succinylcholine is supplied
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20 mg/ml
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succinylcholine induction dose is
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1-1.5 mg/kg
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succinylcholine onset peak duration
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.5 - 1
1 5 - 15 min |
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things to think about with succinylcholine
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ultrashort acting
eliminated via plasma pseudocholinesterase |
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rocuronium (zemuron) is supplied
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10 mg/ml
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rocuronium (zemuron) induction dose is
|
0.6 - 1.2 mg/kg
M=.1 mg/kg |
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rocuronium (zemuron) onset, peak, duration
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1.5 min
1 - 3 min 30 min - 60 min |
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things to think about with rocuronium (zemuron)
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intermediate acting
renal hepatic elimination no histamine release |
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fentanyl is supplied
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50 mcg/ml
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fentanyl induction dose is
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2-20 mcg/kg
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fentanyl onset, peak, duration
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.5 min
5 - 15 min 30 - 60 min |
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things you should think about with fentanyl
|
hepatic-pulmonary elimination
possible tight chest syndrome |
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Mechanism/selectivity for Sympathomimetics
terbutaline |
β2 >β1
Reduce premature uterine contractions |
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induction dose of meperidine
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1 mg/kg
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meperidine onset, peak, duration
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5 min
1 hour 2 - 4 hours |
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things to think about with meperidine
|
normeperidine metabolite can cause seizures
do not give MAOI's will cross placenta |
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toradol is supplied
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30 mg/ml
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induction dose of toradol
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IV - 30 mg
IM - 60 mg |
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toradol onset, peak, duration
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30 min
60 - 120 min 4 - 6 hours |
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things to think about with toradol
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bleeding
COX inhibitor do not give to parturients, ulcers, CHF, Asthma |
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morphine is supplied
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10 mg/ml
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morphine induction dose is
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.1 mg/kg
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morphine onset, peak, duration
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1 min
5 - 20 min 2 - 7 hrs |
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things to think about with morphine
|
for pain
causes N&V most allergies are histamine release |
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ephedrine is supplied
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50 mg/ml
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ephedrine induction dose is
|
2.5 - 10 mg
peds .1 mg/kg |
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ephedrine onset/peak/duration
|
0 min
2 - 5 min 10 - 60 min |
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things to think about with ephedrine
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beta 1, alpha 1 stimulation
decreased or NO uterine blood flow |
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phenylephrine is supplied
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10 mg/ml
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phenylephrine induction dose
|
100 - 200 mcg
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onset peak and duration of phenylephrine is
|
0
1 15-20 |
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things to think about with phenylephrine
|
alpha 1 only
dilute to 100 mcg/ml |
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atropine is supplied
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.4 mg/ml
1 mg/ml |
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induction dose of atropine
|
7 - 10 mcg/kg w/Enlon
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onset, peak, duration of atropine
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1 min
2 min 1 - 4 hrs |
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things to think about with atropine
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min dose .1 mg/kg
cross BBB tertiary ammonium |
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glycopyrrolate is supplied
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0.2 mg/ml
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glycopyrrolate dose
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.005 - .01 mg/kg
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glycopyrrolate onset, peak, duration
|
4 min
5 min 2-7 hours |
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things to think about with glycopyrrolate
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doesn't cross BBB
decreased secretions quaternary ammonium |
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Ketamine is aka
|
katalar
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ketamine is supplied
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10 mg/ml
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induction dose for ketamine is
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1-2 mg/kg
|
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onset/pk/duration of ketamine
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.5/0/5-15
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what to remember about ketamine
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hallucinations, increased CO, HR, Salivation
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methohexital is aka
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brevital
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brevital is supplied
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10 mg/ml
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brevital induction dose
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1-2 mg/kg
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brevital onset/pk/duration
|
.5//1/5-10
|
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what else should you think about with brevital
|
pain on injection
epileptic foci don't give in liver failure bronchospasm |
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thiopental is aka
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pentothal
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pentothal is supplied
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20 mg/kg
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onset/pk/duration of action of pentothal
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.5/1/5-10
|
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what else should you know about pentothal
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don't give to asthmativs
may cause shivering on emergence |
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induction dose of thiopental
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4-6 mg/kg
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atracurium is aka
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tracrium
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atracurium is supplied
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10 mg/ml
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induction dose for atracurium is
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0.5 mg/kg
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maintenance dose for atracurium
|
0.1 mg/kg
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onset/pk/duration of action for atracurium
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2-4/3-5/30-60
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what else should you know about atracurium
|
intermediate acting
Hoffman's elimination moderate histamine release |
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vecuronium is aka
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norcuron
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vecuronium is supplied
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10 mg/ml
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induction dose for vecuronium is
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0.1 mg/kg
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maintenance dose for vecuronium is
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.01 mg/kg
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onset/pk/duration of action for vecuronium
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2-4/3-5/30-60
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what else should you know about vecuronium
|
intermediate acting
renal-hepatic elimination no histamine release |
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cisatracurium is aka
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nimbex
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cisatracurium is supplied
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2 mg/ml
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induction dose for cisatracurium
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0.1 mg/kg
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maintenance dose for cisatracurium
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0.03 mg/kg
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onset/pk/duration of action for cisatracurium
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2-4/3-5/30-60
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what else should you know about cisatracurium
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intermediate acting
Hoffman elimination no histamine release |
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Pancuronium is aka
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pavulon
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pancuronium is supplied
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1-2 mg/ml
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induction dose of pavulon
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0.1 mg/kg
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maintenance dose of pavulon
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0.01 mg/kg
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onset/pk/duration of action for pavulon
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2-4/3-5/60-90
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what else should you know about pancuronium
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long acting
increased HR no histamine release |
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alfentanil is aka
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alfenta
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alfenta is supplied
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500 mcg/ml
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dosing of alfenta
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50 - 300 mcg/kg
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onset/pk/duration of action for alfenta
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.5/1-2/30-60
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what else should you know about alfenta
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renal elimination
possible tight chest syndrome least potent |
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sufentanil is aka
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sufenta
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sufenta is supplied
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50 mcg/ml
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dosing of sufenta
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0.6 - 4 mcg/kg
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onset/pk/duration of action for sufenta
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1-3/3-5/20-45
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what else should you know about sufenta
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hepatic elimination
possible tight chest syndrome |
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remifentanyl is aka
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ultiva
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remifentanyl is supplied
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1-2 mg/ml
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dosing for remifentanyl
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0.5 - 1 mcg/kg/min infusion
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onset/pk/duration of action for remifentanyl
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1/1-2/3-6
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what else should you know about remifentanyl
|
esterase elimination
possible tight chest syndrome fast off - will need other pain control after surgery |
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epinephrine 1:1000 is
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1 mg/ml
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dilute epinephrine to
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1:10,000 (0.1 mg/ml)
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dosing of epinephrine
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2-20 mcg/min infusion
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onset/pk/duration of action for epinephrine
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.5/3/10
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what else should you know about epinephrine
|
more direct beta agonist than alpha stimulation
increases CO, HR, contractility |
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dopamine is aka
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intropin
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dopamine is supplied
|
200 - 400 mg/ 5 ml
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dosing for dopamine
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1-20 mcg/kg/min infusion
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onset/pk/duration of action for dopamine
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2-4/2-10/10-20
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what else should you know about dopamine
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alpha and beta adrenergic
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dobutamine is supplied
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250 mg/20 ml
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dosing of dobutamine
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0.5 - 30 mcg/kg/min
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onset/pk/duration of action for dobutamine
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1-2/1-10/40
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what else should you know about dobutamine
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selective beta 1 agonist
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scopolamine is supplied
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in .3, .4, or 1 mg/ml
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dosing for scopolamine
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0.2 - 1mg (usually IM)
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onset/pk/duration of action for scopolamine
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5-10/20-60/2 hours
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what else should you know for scopolamine
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best decreasing secretions
amnesia sedation increased CO do not give in closed angle glaucoma |
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neostigmine is aka
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prostigmine
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neostigmine is supplied
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1 mg/ml
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dosing of neostigmine
|
0.05 mg/kg
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onset/pk/duration of action for neostigmine
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3-5/7/1-2 hours
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what is the max dose for neostigmine
|
5 mg
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what else should you know about neostigmine
|
max dose 5 mg
cholinergic syndrome decreases HR give with 0.2mg glycopyrrolate |
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physostigmine is aka
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antilirium
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physostigmine is supplied
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1 mg/ml
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physostigmine dosing
|
.01 - .03 mg/kg
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onset/pk/duration of action for physostigmine is
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4/5-10/.5 - 5 hours
|
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what else should you know about physostigmine
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crosses BBB (tertiary amine)
do not use with asthma |
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Edrophonium is aka
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Enlon
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edrophonium is supplied
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10 mg/ml
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dosing for edrophonium is
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0.5 - 1 mg/kg
|
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onset/pk/duration of action for edrophonium
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.5-1/1/60
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what else should you know about enlon
|
max dose 40 mg
muscarinic effects: decreased HR, broncoconstriction, increased salivation, decreased BP, miosis, intestinal spasm .014 mg atropine and atropine already in it. |
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flumazenil is aka
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romazicon
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romazicon is supplied
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0.1 mg/ml
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dosing of romazicon
|
0.2 mg over 15 seconds
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onset/pk/duration of action for romazicon
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1-3/6-10/45-90
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what else should you know about romazicon
|
benzo antagonist
repeat 0.2 mg q min max 3 mg/hr |
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Naloxone is aka
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narcan
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naloxone is supplied
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0.4 mg/ml
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dosing of naloxone is
|
0.4 - 2 mg
postop dosing 0.1 - 0.2 mg |
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onset/pk/duration of action for narcan is
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1-2/5-15/1-2 hours
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what else should you know about narcan
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reverses opiods
.4 - 1.2 1-3 ml for shock to increase CO, MABP |
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hydralazine is aka
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apresoline
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hydralazine is supplied
|
20 mg/ml
|
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dosing of hydralazine
|
5 - 40 mg
|
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onset/pk/duration of action for hydralazine
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5-20/2-24 hours
|
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what else should you know about hydralazine
|
arteriole vasodilator
increased HR increased CO decreased SVR |
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labetalol is aka
|
trandate
|
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labetalol is supplied
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5 mg/ml
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dosing for labetalol is
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0.25 mg/kg
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onset/pk/duration of action for labetalol is
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1-2/.5-15/2-4 hours
|
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what else should you know about labetolol
|
alpha:beta 1 and 2 1:7 blockade ratio
decreases HR so give slowly |
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esmolol is aka
|
brevibloc
|
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esmolol is supplied
|
10 mg/ml
|
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dosing of esmolol is
|
0.2 - 0.5 mg/kg
25 - 100 mg |
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onset/pk/duration of action for esmolol
|
1-2/5/10-20
|
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what else should you know about esmolol
|
primarily blocks beta 1
high doses will block beta 2 ultra short acting cardioselective don't give 1st degree block |
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odansetron is aka
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zofran
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zofran is supplied
|
2 mg/ml
|
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dosing for zofran
|
4 mg
peds - 0.15 mg/kg |
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onset/pk/duration of action for zofran
|
30/2hours/4 - 24 hours
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what else should you know about zofran
|
5 HT3 Antagonist
give slowly to prevent headaches |
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droperidol is aka
|
inapsine
|
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droperidol is supplied
|
2.5 mg/ml
|
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dosing of droperidol for PONV
|
0.625 - 2.5 mg
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onset/pk/duration of action for droperidol
|
1-2/30/2-4 hrs
|
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what else should you know about droperidol
|
paradoxical reaction
decreases blood pressure block dopamine in CNS do not give in parkinsons |
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dexamethasone is aka
|
decadron
|
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decadron is supplied
|
4 mg/ml
|
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dosing of decadron
|
peds - .5mg/kg
I usually see 4 or 8 mg in adult |
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what else should you know about decadron
|
decreased inflammation
decreased immune response |
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isoflurane MAC
|
1.15%
|
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sevo MAC is
|
2%
|
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desflurane MAC
|
5.8%
|
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Nitrous Oxide MAC is
|
105%
|
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Isoflurane MAC with 70% nitrous
|
0.5%
|
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sevoflurane MAC with 70% nitrous
|
0.7% with 70% nitrous
|
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desflurane MAC with 70% nitrous
|
2-3%
|
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B:G for isoflurane
|
1.4
|
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B:G for sevo
|
.69
|
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B:G for desflurane
|
.42
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B:G for nitrous
|
.47
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O:G for isoflurane
|
99
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O:G for sevoflurane
|
55
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O:G for desflurane
|
19
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O:G for nitrous
|
2.3
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isoflurane is aka
|
forane
|
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sevoflurane is aka
|
ultane
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desflurane is aka
|
suprane
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|
toxic level of plain lidocaine
|
4 mg/kg
|
|
|
toxic level of lido with epi
|
7 mg/kg
|
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toxic level of bupivacaine plain
|
2.5 mg/kg
|
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toxic level of bupivacaine with epi
|
3 mg/kg
|
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toxic level of tetracaine
|
1.5 mg/kg
|
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|
toxic level of chloroprocaine
|
9-14 mg/kg
|
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tetracaine 1 % dosing for a T10 level of a 5 foot tall patient
|
10 mg (1 ml)
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tetracaine 1 % dosing for a T8 level of a 5 foot tall patient
|
12 mg (1.2 ml)
|
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tetracaine 1 % dosing for a T6 level of a 5 foot tall patient
|
14 mg (1.4 ml)
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DOA of a tetracaine spinal
|
90 - 120 plain or 4-6 hr with epi
|
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for a tetracaine spinal, add how much for a patient 6 inches taller
|
2 mg
|
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bupivacaine .75 % dosing for a T10 level of a 5 foot tall patient
|
5.5 mg (1ml)
|
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bupivacaine .75 % dosing for a T8 level of a 5 foot tall patient
|
9 mg (1.2 ml)
|
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bupivacaine .75 % dosing for a T6 level of a 5 foot tall patient
|
10.5 mg (1.4 ml)
|
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DOA for a bupivacaine spinal
|
90 - 120 min
|
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|
for a patient 6 inches taller, how much extra bupivacaine do you need to give for a SAB
|
1.5 mg
|
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lidocaine 5 % dosing for a T10 level of a 5 foot tall patient
|
50 mg (1 ml)
|
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lidocaine 5 % dosing for a T8 level of a 5 foot tall patient
|
60 mg (1.2 ml)
|
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lidocaine 5 % dosing for a T6 level of a 5 foot tall patient
|
70 mg (1.4 ml)
|
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DOA for a lidocaine spinal
|
30 - 90 minutes
|
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|
how much lido do you add to a spinal for a patient 6 inches taller
|
10 mg
|
|
|
EBV for obese
|
55 ml/kg
|
|
|
EBV for female
|
65 ml/kg
|
|
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EBV for male
|
75 ml/kg
|
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EBV for children
|
80 ml/kg
|
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EBV for infants
|
85 ml/kg
|
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EBV for neonates
|
90 ml/kg
|
