Anesthesiology

Question 1

What’s the pediatric dose of intranasal midazolam?

Answer 1

0.2 - 0.3 mg/kg to a max dose of 7 mg

Question 2

Intranasal Versed peaks in _______ minutes.

Answer 2

10

Question 3

Be careful giving fentanyl to those with ___________ disease.

Answer 3

liver

Question 4

How do you reverse the chest wall rigidity that can happen with fentanyl?

Answer 4

Neuromuscular blockade

Question 5

What is the pediatric dose of intranasal fentanyl for sedation?

Answer 5

2 mcg/kg to a max of 50 mcg

Question 6

True or false: Precedex causes respiratory depression.

Answer 6

False

Question 7

What is the weight-based dosing of morphine for acute pain?

Answer 7

0.1 mg/kg

Don’t give an adult patient 2 mg as an initial dose.

Question 8

The longest-acting paralytic is ____________. The fasting acting is _____________.

Answer 8

pancuronium; succinylcholine

Question 9

What are the side effects of ketamine?

Answer 9

Laryngospasm
Apnea (rare)
Nausea
Vomiting
Reemergence delirium

Question 10

Review the dosing of ketamine for pain, agitation, and sedation.

Answer 10

Pain: 0.1 - 0.3 mg/kg IV
Agitation 1.0 - 2.0 mg/kg IV or 5 mg/kg IM
Sedation: 1.0 - 2.0 mg/kg IV or 4-10 mg/kg IM

Question 11

How long does succinylcholine last?

Answer 11

5 minutes

Question 12

What are pancuronium and vecuronium not used in the ED?

Answer 12

Onset time is ~3 min

Question 13

What dose data show about ketofol?

Answer 13

It is safe, has no increased rate of respiratory suppression, and has shorter sedation time than either agent alone.