1st Year Common Clinical Drugs Flashcards

1
Q

Local Anesthetic
Generic Name: lidocaine

A

Trade Name: Xylocaine
Concentration: 20mg/mL (0.2%)
Per kg Dose: ≤ 1mg/kg
Common Adult Dose: Up to 100mg

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2
Q

Narcotic/opioid
Generic Name: meperidine

A

Trade Name: Demerol
Concentration: Variable
Per kg Dose: 0.5-2mg/kg
(10x morphine dose)
Common Adult Dose: 25mg for shivering

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3
Q

Analgesic & Sedative
Generic Name: dexmedetomidine

A

Trade Name: Precedex
Concentration: Vial 200mcg/2mL
Bolus Dilution: 4mcg/mL
Infusion Dilution: 4mcg/mL

Per kg Dose: —

Common Adult Dose:
Loading dose: 1mcg/kg over 10 min
Infusion: 0.2-0.7mcg/kg/hr
Bolus: 20mcg

To dilute: Add 200mcg/2mL to 50mL syringe of LR = 4mcg/mL
Add 400mcg/4mL to 100mL bag of LR = 4mcg/mL

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4
Q

Reversal Agent for Nondepolarizers
Generic Name: sugammadex (most effective reversal)

A

Trade Name: Bridion
Concentration: 100mg/mL (10%)

Per kg Dose: 16mg/kg for failed airway
4mg/kg for 2 twitches
2mg/kg for 4 twitches

Common Adult Dose: 200mg

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5
Q

Anticholinergic/Antimuscarinic (vagolytic)
Generic Name: glycopyrrolate (3mL syringe)

A

Trade Name: Robinul
Concentration: 0.2mg/mL

Per kg Dose: 0.01-0.02mg/kg

Common Adult Dose: ↑HR dose = 0.2mg

Reversal dose = 1mL (0.2mg) per 1mL (1mg) Neostigmine

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6
Q

Anticholinergic/Antimuscarinic (vagolytic)
Generic Name: atropine

A

Trade Name: Atropine
Concentration: 0.4mg/mL
Per kg Dose: 0.01-0.03mg/kg
Common Adult Dose: Same dosing as Robinul, but more powerful HR effects

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7
Q

Antiemetic
Generic Name: dexamethasone (3mL syringe)

A

Trade Name: Decadron
Concentration: 4mg/mL
Per kg Dose: —
Common Adult Dose: Antiemetic dose: 4mg(1mL)
Swelling dose: 8-12mg

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8
Q

Vasopressor [Alpha 1 Agonist (vasoconstrictor){raises BP}]
Generic Name: phenylephrine

A

Trade Name: Neosynephrine
Concentration: 10mg/mL
Dilute to 100mcg/mL
(10mL syringe)
Per kg Dose: —
Common Adult Dose: Start at 50-100mcg

Dilute into 10mL syringe: Add 1000mcg/0.1mL = 1000mcg/10mL = 100mcg/1mL
Dilute into 250mL bag: Add 10mg/1mL = 40mcg/mL for infusion

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9
Q

Nondepolarizing Muscle Relaxant
Generic Name: rocuronium

A

Trade Name: Zemuron
Concentration: 10mg/mL (1%)
Per kg Dose: 0.6-1.2mg/kg
Common Adult Dose:
Normal intubation: 30-50mg
RSI: 1.2mg/kg
Re-dosing: 10-20mg

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10
Q

Sedative/anxiolytic
Generic Name: midazolam

A

Trade Name: Versed
Concentration: 1mg/mL (0.1%)
Per kg Dose: —
Common Adult Dose: 1-2mg

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11
Q

Narcotic/opioid
Generic Name: sufentanil

A

Trade Name: Sufenta
Concentration: Vial: 50mcg/mL
Dilute to 5mcg/mL

Per kg Dose: 0.05-0.1mcg/kg for induction

Common Adult Dose: 1/10 fentanyl dose
2.5-5mcg boluses titrated to respiratory rate or vital sign

To dilute add 50mcg/1mL to 9mL syringe of LR

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12
Q

Narcotic/opioid
Generic Name: morphine

A

Trade Name: Morphine
Concentration: Variable
Per kg Dose: 0.05-0.2mg/kg
Common Adult Dose: Up to 10 total mg

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13
Q

NSAID analgesic
Generic Name: ketorolac

A

Trade Name: Toradol
Concentration: 15-30mg/mL (1.5-3%)
Per kg Dose: 0.5-0.75mg/kg
Common Adult Dose: Half the dose if >70yo

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14
Q

Induction Agent
Generic Name: propofol

A

Trade Name: Diprivan
Concentration: 10mg/mL (1%)

Per kg Dose: Induction: 1.5-2.5mg/kg
Sedation: 25-150mcg/kg/min
GA TIVA: 150-300mcg/kg/min

Common Adult Dose: —

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15
Q

Induction Agent
Generic Name: ketamine

A

Trade Name: Ketalar
Concentration: Variable
Per kg Dose: 1-2.5mg/kg
Common Adult Dose: —

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16
Q

Depolarizing Muscle Relaxant
Generic Name: succinylcholine (10mL syringe)

A

Trade Name: Anectine
Concentration: 20mg/mL (2%)
Per kg Dose: 1-2mg/kg
Common Adult Dose: 60-200mg

17
Q

Antiemetic
Generic Name: ondansetron (3mL syringe)

A

Trade Name: Zofran
Concentration: 2mg/mL
Per kg Dose: 0.15mg/kg
Common Adult Dose: Up to 4-8mg (most often 4mg)

18
Q

Narcotic/opioid
Generic Name: fentanyl (3 or 5mL syringe)

A

Trade Name: Sublimaze
Concentration: 50mcg/mL
Per kg Dose: 0.5-1mcg/kg for induction
Common Adult Dose: 25-50mcg boluses titrated to respiratory rate or vital signs

19
Q

Narcotic/opioid
Generic Name: hydromorphone

A

Trade Name: Dilaudid
Concentration: (SLH) 2mg/mL (5mL syringe)
Dilute to 0.5mg/mL
Per kg Dose: —
Common Adult Dose: Up to 1-2 total mg

To dilute to 0.5/mL add 2mg/1mL to 3mL syringe of LR

20
Q

Induction Agent
Generic Name: etomidate (10mL syringe)

A

Trade Name: Amidate
Concentration: 2mg/mL (0.2%)
Per kg Dose: 0.3-0.4mg/kg
Common Adult Dose: Up to 20mg

21
Q

Vasopressor [mostly raises BP (stronger than phenylephrine)]
Generic Name: norepinephrine

A

Trade Name: Levophed
Concentration: 4mg/4mL
Dilute to 16mcg/mL
Per kg Dose: —
Common Adult Dose: 4-16mcg

To dilute to 16mcg/mL add 4mg/4mL to 250mL bag
To dilute to 4mcg/mL add 4mg/4mL to 1000mL bag

22
Q

Vasopressor [Alpha 1 & Beta 1 Agonist (raises HR & BP)]
Generic Name: ephedrine

A

Trade Name: Ephedrine
Concentration: 50mg/mL Dilute to 10mg/mL (5mL syringe)
Per kg Dose: —
Common Adult Dose: Start at 5-10mg

To dilute to 10mg/mL add 50mg/1mL to 4mL syringe of LR

23
Q

Beta Blocker [beta 1 antagonist (↓s HR)]
Generic Name: metoprolol

A

Trade Name: Lopressor, Toprol
Concentration: 1mg/mL (0.1%)
Per kg Dose: —
Common Adult Dose: Start at 1-5mg

24
Q

Narcotic/opioid
Generic Name: remifentanil

A

Trade Name: Ultiva
Concentration: 1mg powder
Dilute to 50mcg/mL
Per kg Dose: Start at 0.1mcg/kg/min
Common Adult Dose: —

To Dilute: Add 2mg powder to 40mL of LR = 50mcg/mL

25
Q

Vasodilator (↓s BP)
Generic Name: Hydralazine

A

Trade Name: Apresoline
Concentration:
Per kg Dose: 20mg/mL (2%)
Common Adult Dose: Start at 5-10mg

26
Q

Beta Blocker [alpha 1 & beta 1 antagonist (↓s HR & BP)]
Generic Name: labetalol

A

Trade Name: Trandate
Concentration: 5mg/mL (0.5%)
Per kg Dose: —
Common Adult Dose: Start at 5mg

27
Q

Beta Blocker [beta 1 antagonist (↓s HR)]
Generic Name: esmolol

A

Trade Name: Brevibloc
Concentration: 10mg/mL (1%)
Per kg Dose: —
Common Adult Dose: Start at 10-50mg

28
Q

raises HR & BP (stronger than ephedrine)
Generic Name: epinephrine

A

Trade Name: Adrenaline
Concentration:
Ampule: 1:1000 or 1mg/mL
Dilute: 10mcg/mL (Bolus Little)
or Dilute: 100mcg/mL
Dilute: 4mcg/mL (Infusion)

Per kg Dose: —

Common Adult Dose:
10-50mcg (vasopressor)
-Up to 1mg (cardiac arrest)

To Dilute to:
100mcg/1mL: Add 1mg/1mL to 9mL syringe of LR: 1000mcg/10mL = 100mcg/1mL

10mcg/1mL: Using previous syringe (100mcg/1mL) add 100mcg/1mL to 9mL syringe of LR: 100mcg/10mL = 10mcg/1mL

4mcg/1mL: Add 1mg/1mL to 250mL bag of NS = 4mcg/1mL