Anesthesia Workstation Drugs Flashcards

1
Q

Standard induction agents

A
Midazolam
Lidocaine
Fentanyl
Propofol 
Rocuronium
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2
Q

Standard emergency drugs

A
Succinylcholine 
Atropine
Ephedrine
Phenylephrine
Glycopyrrolate
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3
Q

Standard reversal drugs

A

Neostigmine
Glycopyrrolate
Sugammadex

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4
Q

Analgesic adjuncts

A

Acetaminophen
Ketorolac
Dexmedetomidine
Ketamine

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5
Q

Standard antiemetics

A

Ondansetron

Dexamethasone

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6
Q

Midazolam standard preinduction dose

A

1-2mg

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7
Q

Midazolam concentration

A

1mg/mL

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8
Q

Lidocaine dose

A

1% (100 mg in 10 mL)

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9
Q

Lidocaine 1% concentration

A

10mg/mL

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10
Q

Lidocaine standard induction dose

A

0.5-1.5 mg/kg

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11
Q

Fentanyl available doses

A

100mcg/2mL
Or
250 mcg/5mL

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12
Q

Fentanyl standard induction dose

A

1-2 mcg/kg

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13
Q

Propofol 1% available dose

A

200mg/20 mL (10mg/mL)

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14
Q

Propofol induction dose

A

2-3 mg/kg

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15
Q

Rocuronium concentration

A

10 mg/mL

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16
Q

Rocuronium standard induction dose

A

0.6mg/kg -
or
1.2 mg/kg - RSI

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17
Q

Succinylcholine concentration

A

20mg/mL

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18
Q

Succinylcholine induction dose

A

1-2mg/kg

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19
Q

Atropine concentration

A

0.1 mg/mL or 0.4 mg/mL

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20
Q

Atropine standard dose

A

0.4-2 mg for bradycardia

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21
Q

Ephedrine available dose and desired concentration

A

Available: 50mg/1mL

Desired concentration: 5mg/mL

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22
Q

Ephedrine dose

A

2.5-10mg for hypotension

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23
Q

Neostigmine available dose

A

5mg/10 mL (1:2000)
Or
10mg/10mL (1:1000)

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24
Q

Neostigmine standard dose

A

0.04-0.08 mg/kg (caution at upper end of doses)

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25
Q

Glycopyrrolate available dose

A

0.2mg/1mL

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26
Q

Glycopyrrolate standard dose

A

For reversal, 0.2mg per 1mg neostigmine

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27
Q

Sugammadex concentration

A

100mg/mL

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28
Q

Sugammadex standard dose

A

TOF twitch-dependent
3/4 - 2mg/kg
0/4 - 4mg/kg
Emergency reversal - 3 minutes after Roc —> 16mg/kg

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29
Q

Acetaminophen available dose

A

1000mg/100mL glass bottle

30
Q

Acetaminophen concentration

A

10mg/mL

31
Q

Acetaminophen standard dose

A

1000 mg for >50kg

32
Q

Ketorolac available dose

A

15mg/1mL
Or
30mg/1mL

33
Q

Ketorolac standard dosage

A

<65 yo = 30 mg

>65 yo or renal impairment = 15mg

34
Q

Dexmedetomidine available dose

A

200 mcg/2mL

35
Q

Dexmedetomidine desired concentration

A

4mcg/mL

36
Q

Dexmedetomidine standard loading dose

A

0.5-1mcg/kg over 10 min

37
Q

Dexmedetomidine infusion dose

A

0.2-1.0 mcg/kg/hr

38
Q

Ketamine available dose

A

500mg/10mL
Or
200mg/20mL

39
Q

Ketamine desired concentration

A

10mg/mL

40
Q

Ketamine standard analgesic dose

A

0.2-0.5 mg/kg

41
Q

Ketamine standard infusion dose

A

0.1-0.3 mg/kg/hr

42
Q

Ondansetron available dose

A

4mg/2mL

43
Q

Ondansetron standard dose

A

4mg

44
Q

Dexamethasone available dose

A

4mg/1mL
Or
10mg/1mL

45
Q

Dexamethasone standard dose

A

4mg

46
Q

Phenylephrine available dose

A

1% - 10mg/mL

47
Q

Phenylephrine goal concentration 40mcg/mL

A

10 mg (1mL) in 250 mL NS

48
Q

Phenylephrine goal concentration 80mcg/mL

A

20 mg (2mL) in 250 mL NS

49
Q

Phenylephrine goal concentration 100mcg/mL

A

10 mg (1mL) in 100 mL NS

50
Q

Phenylephrine standard dose

A

50-100 mcg

0.5-1 mcg/kg

51
Q

Dexmedetomidine preparation:

  • available: 200mcg/2mL
  • goal: 4 mcg/mL
A

200mcg/2mL into 48mL NS = 4 mcg/mL

52
Q

PEDS

Tylenol dose

A

PO/IV 10-15mg/kg

Max: 75mg/kg/24h

53
Q

PEDS

Atropine Dose

A

IV: 10-20 mcg/kg

IM/PO: 20-30 mcg/kg

54
Q

PEDS

CaCl

A

5-10 mg/kg IV slowly

Arrest: 10mg/kg IV

55
Q

PEDS

Dexamethasone IV

A

Airway edema 0.25-0.5 mg/kg IV q6 hours
ICP 0.5-1.5mg/kg IV
PONV 0.1mg/kg IV

56
Q

PEDS

Dextrose (50%)

A

0.5g/kg = 1 mL/kg of D50

57
Q

PEDS epi dose

A

Arrest: 10mcg/kg
Vasopressor: 0.5-5 mcg/kg IV
Infusion: 0.02-1 mcg/kg/min IV

58
Q

PEDS

ephedrine dose

A

0.1-0.2 mg/kg prn HOTN/Bradycardia

59
Q

PEDS

Fentanyl Dose

A

Analgesia: 0.5-1 mcg/kg IV, 1-2 mcg/kg intranasal
Infusion: 1-5 mcg/kg/hr IV

60
Q

PEDS

HYDROCORTISONE

A

Stress dose: 1-2 mg/kg IV then 150-250 mg/day (<1y = 25-150 mg/day) q6-8h

61
Q

PEDS HYDROMORPHONE

A

IV: 5-10 mcg/kg IV PO/PR: 50-80 mcg/kg q3-6h prn

62
Q

Peds INTRALIPID

A

Local anesthetic toxicity: 1.5 mL/kg followed by infusion 0.25 mL/kg/min up to 0.5 mL/kg/min

63
Q

Peds KETAMINE

A

IV induction: 2-3 mg/kg
IM (full) induction: 5-8 mg/kg
PR induction: 5-10 mg/kg
Preemptive analgesia: 4-12 mcg/kg/min

64
Q

Peds KETOROLAC

A

0.5-1 mg/kg IV/IM then 0.5 mg/kg q6h

65
Q

Peds MAGNESIUM

A

25-50 mg/kg/dose IV (watch hypotension)

66
Q

Peds ONDANSETRON

A

PONV: 0.15 mg/kg IV; Max 4 mg

67
Q

Peds Sugammadex

A

Reversal of rocuronium/vecuronium
2 twitches on TOF: 2 mg/kg IV
1-2 twitches on PTC but none on TOF: 4 mg/kg IV Immediate reversal: 16 mg/kg IV

68
Q

Peds Phenylephrine

A
  1. 5-1 mcg/kg IV bolus PRN hypotension

0. 1-0.5 mcg/kg/min IV infusion

69
Q

Peds Remifentanil

A

IV bolus: 0.5-1 mcg/kg IV

IV infusion: 0.05-0.5 mcg/kg/min IV

70
Q

PEDS SCh dose

A

IV: 1-2 mg/kg for full paralysis in 30 sec; < 1 year: 2-3 mg/kg IM: 3-5 mg/kg; Max 5 mL at injection site
Intralingual: 1-3 mg/kg

71
Q

Vecuronium Dose

A

0.1 mg/kg IV for full paralysis in 2-3 min