Analgesic/ Sedatives Flashcards
Etomidate Class
Nonnarcartic/Nonbarbituate hypnotic-sedative (GABA Agonist)
Etomidate Indications
Used as an RSI induction agent, synchronized cardioversion, anti-anxiolytic & sedative.
Etomidate Contraindications
Used with caution in patients with adrenal supression
Etomidate Dose
0.3 mg/kg IV/IO One Dose Only
Etomidate Add Info
Short acting (up to 5 minutes duration) and has little effect on BP, rate & ICP
Ketamine Class
Dissociative anesthetic that produces hullucinogenic, hypnotic, & sedative effects (Glutamate Antagonist)
Ketamine Indications
Used as an RSI induction agent, synchronized cardioversion, anti-anxiolytic & sedative.
Ketamine Contraindications
Increased ICP, hemodynamically unstable tachycardia and/or hypertention
Ketamine Dose
Analgesic - 0.3 mg/kg IV/IO/IM
RSI Induuction - 2 mg/kg
Ketamine Add Info
Mild bronchodialator Reemergence phenomenon
Fentanyl Class
Opiod analygesic-sedative (Opiod Agonist)
Fentanyl Indications
Used as an RSI induction agent, synchronized cardioversion, anti-anxiolytic & sedative.
Fentanyl Contraindications
Hemodynamically unstable patients displaying bradyapnea, hypotention and/or bradycardia.
Fentanyl Dose
2-5 mcg/kg IV/IO
Fentanyl Add Info
Known for causing tolerance, cross-tolerance and addiction
Morphine Sulfate Class
Opiod analygesic-sedative (Opiod Agonist)
Morphine Sulfate Indications
Used as an RSI induction agent, synchronized cardioversion, anti-anxiolytic & sedative.
Morphine Sulfate Contraindications
Hemodynamically unstable patients displaying display bradyapnea, hypotention and/or bradycardia.
Morphine Sulfate Dose
0.1 mg/kg IV/IO
Morphine Sulfate Add Info
Known for causing tolerance, cross-tolerance and addiction
Succinylcholine Class
Depolarizing neuromuscular blocker (Parasympatholytic, Cholinergic Antagonist)
Succinylcholine Indications
RSI Paralytic
Succinylcholine Contraindications
History of malignant hyperthermia skeletal muscle myopathy, documented allergic reaction
Succinylcholine Dose
1-2 mg/kg IV/IO 60-90 second onset 5-10 duration
Succinylcholine Add Info
Causes a short period of fasiculations
Rocuronium Class
Nondepolarizing neuromuscular blocker (Parsympatholyic, Cholinergic Antagonist)
Rocuronium Indications
RSI Paralytic
Rocuronium Contraindications
Documented allergic reaction
Rocuronium Dose
1-2 mg/kg IV/IO 60-90 second onset 45 duration