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55 Cards in this Set
- Front
- Back
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Succinylcholine
(dose) |
1.5 mg/kg IV bolus - adult
2.0 mg/kg IV bolus - pediatric <10 years old |
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Succinylcholine
(onset -> duration) |
60-90 seconds -> 3-5 minutes
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Succinycholine
(contraindications) |
penetrating eye injury
burns >8 hours duration massive crush injury neuro injury >1 week out |
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Succinylcholine
(class/description) |
depolarizing paralytic
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Vecuronium
(class/description) |
non-depolarizing paralytic
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vecuronium
(indication) |
use when succinylcholine is contraindicated.
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vecuronium
(dose) |
0.15 mg/kg IV bolus
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vecuronium
(onset -> duration) |
2-3 minutes -> 45 minutes
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midazolam "Versed"
(class/description) |
sedative/induction agent
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midazolam "Versed"
(dose) |
0.1 - 0.3 mg/kg IV bolus
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midazolam "Versed"
(onset -> duration) |
1-3 min -> 20-30 min
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midazolam "Versed"
(advantages) |
amnesia effects
good sedative |
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midazolam "Versed"
(disadvantages) |
hypotension
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etomidate "Amidate"
(class/description) |
sedative/induction agent
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etomidate "Amidate"
(dose) |
0.3 mg/kg IV bolus
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etomidate "Amidate"
(onset -> duration) |
1-2 min -> 5 min
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etomidate "Amidate"
(advantages) |
little effect on BP
decreases ICP |
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etomidate "Amidate"
(disadvantages) |
supresses cortisol -> not good for pts with head injury
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Lidocaine (for RSI)
(class/description) |
Alternative induction/sedative agent
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Lidocaine (for RSI)
(dose) |
1 mg/kg IV bolus
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Lidocaine (for RSI)
(indication) |
head injury
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Lidocaine (for RSI)
(contraindication) |
allergy
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Atropine (for RSI)
(class/description) |
Alternative sedative/induction agent
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Atropine (for RSI)
(dose) |
0.01 - 0.02 mg/kg IV bolus
(min 0.1, max 0.4) |
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Atropine (for RSI)
(indication) |
pediatric patients
bradycardia |
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Atropine (for RSI)
(contraindications) |
cannot give less than 0.1 mg
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Fentanyl
(class/description) |
Sedative/induction agent
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Fentanyl
(dose) |
3-5 mcg/kg IV bolus
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Fentanyl
(onset -> duration) |
1-2 min -> 30-40 min
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Fentanyl
(advantages) |
little effect on ICP
blunts ICP changes |
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Fentanyl
(disadvantages) |
can cause chest wall rigidity
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propofal "Diprivan"
(class/description) |
Sedative/induction agent
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propofal "Diprivan"
(dose) |
1 - 1.5mg/kg IV bolus
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propofal "Diprivan"
(onset -> duration) |
< 1 min -> 3-5 minutes
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propofal "Diprivan"
(advantage) |
rapid onset
good sedative |
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propofal "Diprivan"
(disadvantage) |
significant hypotension
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diazepam "Valium" (RSI)
(class/description) |
Sedative/induction agent
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diazepam "Valium" (RSI)
(dose) |
0.2 - 0.5 mg/kg
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diazepam "Valium" (RSI)
(onset -> duration) |
2-3 min -> 30-40 min
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diazepam "Valium" (RSI)
(advantages) |
amnesia effects
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diazepam "Valium" (RSI)
(disadvantages) |
hypotension
respiratory depression |
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ketamine "Ketalar"
(class/description) |
sedative/induction agent
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ketamine "Ketalar"
(dose) |
1-2 mg/kg
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ketamine "Ketalar"
(onset -> duration) |
<1 min -> 10-20 min
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ketamine "Ketalar"
(advantages) |
decreases bronchospasm
little hypotension amnesia |
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ketamine "Ketalar"
(disadvantages) |
increases ICP
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Sodium Thiopental
(class/description) |
sedative/induction agent
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Sodium Thiopental
(dose) |
3-5 mg/kg
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Sodium Thiopental
(onset -> duration) |
<1 min -> 5 min
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Sodium Thiopental
(advantage) |
blunts ICP changes
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Sodium Thiopental
(disadvantages) |
significant hypotension
bronchospasm |
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atracurium "Tracrium"
(class/description) |
non-depolarizing paralytic
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Sodium Thiopental
(dose) |
0.5 mg/kg IV bolus
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Sodium Thiopental
(duration) |
20-30 minutes
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Sodium Thiopental
(indication) |
good for pts with kidney or liver disease
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