[1 question/flashcard] Intraop Meds - EVERYTHING
Midazolam dose range
- 02 - 0.04 mg/kg IV
- 4-0.8 mg/kg PO
Midazolam syringe size
3 mL
Midazolam concentration
1 mg/mL
Midazolam preparation
2 mL = 2 mg
Midazolam metab
hepatic CYP 450 - oxidation
Midazolam T1/2
2 hr
Midazolam onset, peak, duration
Onset 30-60 seconds
half-time to peak effect 5 minutes
DOA 30-60 min
Midazolam sticker color
(duller) orange
Fentanyl dose range
1-3 mcg/kg
Fentanyl syringe size
3 or 5 mL
(comes in 2, 5, 10 mL vials) - sim notes
Fentanyl concentration
50 mcg/mL
Fentanyl preparation
(2 mL = 100 mcg)
3 mL = 150 mcg or 5 mL = 250 mcg
Fentanyl onset, peak, duration
onset 3-5 minutes (Even tho Falyar said 1-3 minutes)
peak _____
duration 60 min
Fentanyl sticker color
Carolina Blue
Lidocaine dose range
1-1.5 mg/kg IV
Lidocaine syringe size
5 mL
Lidocaine concentration
1% = 10 mg/mL
2% = 20 mg/mL
Lidocaine preparation
2% → 20 mg/mL → 5 mL = 100 mg
1% → 10 mg/mL → 5 mL = 50 mg
Lidocaine metab
amide local anesthetic: liver metabolism
Lidocaine onset, peak, duration
onset 45-90sec
peak 1-2 min
duration 10-20 min
Lidocaine onset, peak, DOA
onset: 45-90 sec
peak: 1-2 min
DOA: 10-20 minutes
“lido is 1-2, 1-2 min 10-20 min”
Lidocaine sticker color
gray
Propofol dose range
1.5-2.5 mg/kg IV
Propofol syringe size
20 mL
Propofol concentration
10 mg/mL
Propofol preparation
20 mL = 200 mg
Propofol onset, peak, duration
onset 30-60 sec
peak _____
duration 5-15 min
Propofol T1/2
30-90 min
(Falyar said 11.5 hrs LOLOL)
Propofol metabolism
hepatic glucuronidation
Propofol sticker color
yellow
Etomidate dose range
0.2 - 0.4 mg/kg IV
Etomidate syringe size
10 mL
Etomidate concentration
2 mg/mL
Etomidate preparation
10 mL = 20 mg
Etomidate onset, peak, duration
onset 30-60 seconds
(1 arm-to-brain circulation)
peak 1 minute
duration 5-15 min (OTHER CHART SAID 3-10 min)
AN ATOM BOMB TAKES 1 minute to go off, you know withni 5- 15 minutes if you want to end a date
Etomidate T1/2
2-5 hrs
Etomidate metabolism
hydrolysis by plasma esterases
and hepatic metabolism
Ketamine dose range (IV)
1-2.5 mg/kg
Ketamine syringe size
Ketamine concentration
“5-100 mg/mL”
5 mg/mL
10 mg/mL
50 mg/mL
100 mg/mL
Ketamine preparation
often diluted to 10 mg/mL
50 mg/mL → 1 mL + 4 mL NS = 10 mg/mL
100 mg/mL → 1 mL + 9 mL = 10 mg/mL
Succinylcholine is dosed based on…
Ketamine onset, peak, duration
onset 30-60 seconds
peak _____
duration 5-10 minutes
“keta-mine, 5-TEEN (southern accent)”