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AHS MCPs > Adult Maintenance of Sedation and Paralysis > Flashcards

Adult Maintenance of Sedation and Paralysis Flashcards

1
Q

Adult Maintenance of Sedation and Paralysis - If hypotension post induction consider?

A

250 ml bolus

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2
Q

Adult Maintenance of Sedation and Paralysis - On going sedation and analgesia medications

A

Ketamine 1 mg/kg q 10 min
or
Midazolam 5 mg q 10 min
Fentanyl 1- mcg q 10 min

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3
Q

Adult Maintenance of Sedation and Paralysis - Repeated sedation unable to restrict pt movement and adequate ventilation?

A

Ensure sedation options maximized
Mandatory OLMC
Rocuronium 0.5 mg/kg q 20 min

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4
Q

Adult Maintenance of Sedation and Paralysis - S/S of under sedation?

A 
Movement
Bucking/chewing of tube
Coughing 
Tearing
Increased BP or HR
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5
Q

Adult Maintenance of Sedation and Paralysis - Ketamine indications

A

Maintain sedation and systolic BP < 160 mmHg

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6
Q

Adult Maintenance of Sedation and Paralysis - Ketamine dose

A

ketamine 1 mg/kg SIVP/IO q 10 min prn

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7
Q

Adult Maintenance of Sedation and Paralysis - Ketamine EMS contraindications

A

Hypersensitivity

Relative - conditions where a rise in BP could be harmful

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8
Q

Adult Maintenance of Sedation and Paralysis - Ketamine precautions

A

Can induce hypersalivation and tracheobronchial secretions

Should be administered Slow IVP to reduce hypertension

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9
Q

Adult Maintenance of Sedation and Paralysis - Midazolam indications

A

Maintain sedation when systolic BP 100 mmHg or greater

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10
Q

Adult Maintenance of Sedation and Paralysis - Midazolam dose

A

midazolam 5 mg SIVP/IO q 10 min prn

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11
Q

Adult Maintenance of Sedation and Paralysis - Midazolam EMS contraindications

A

Hypersensitivity to benzodiazepines
Myasthenia gravis
Systolic BP less than 100 mmHg

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12
Q

Adult Maintenance of Sedation and Paralysis - Midazolam precautions

A

Can induce hypotension and hypoventilation

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13
Q

Adult Maintenance of Sedation and Paralysis - Fentanyl indications

A

Maintain analgesia systolic BP 100 mmHg or greater

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14
Q

Adult Maintenance of Sedation and Paralysis - Fentanyl dose

A

fentaNYL 100 mcg SIVP/IO q 10 min prn

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15
Q

Adult Maintenance of Sedation and Paralysis - Fentanyl EMS contraindications

A

Hypersensitivity
MAOI within last 14 days
Systolic BP < 100 mmHg

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16
Q

Adult Maintenance of Sedation and Paralysis - Fentanyl precautions

A

Can induce hypotension

17
Q

Adult Maintenance of Sedation and Paralysis - Rocuronium indications

A

Maintain paralysis where sedation is ineffective in limiting patient movement or respiration which compromises adequate ventilation

18
Q

Adult Maintenance of Sedation and Paralysis - Rocuronium dose

A

Mandatory OLMC - 1 mg/kg IV/IO
then:
0.5 mg/kg IV/IO q 20 minutes prn

19
Q

Adult Maintenance of Sedation and Paralysis - Rocuronium EMS contraindications

A

Hypersensitivity

20
Q

Adult Maintenance of Sedation and Paralysis - Rocuronium precautions

A

May induce bronchospasm

AHS MCPs (91 decks)

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