Basic Anesthesia Set Up Flashcards
Clindamycin (Cleocin)
dose:
600 - 900 mg IV do not infuse faster than 10 mg/kg/min
Propofol (Diprovan)
How many mg per ml do you draw?
What is the dose for induction?
10 mg/ ml
Dose: 1.0 - 2.5 mg/kg IV
Phenylephrine (Neosynephrine)
Mix in ___ mg/ 100 NS = ___ mcg/ ml or double dilute with 10 ml syringe
Mix 10 mg/ 250 ml NS = 40 mcg/ml
dose: _____
Strong acting _____ adrenergic
May see ____ ____ from stimulation of baroreceptors
Hypotension + ______ = ______ + phenylephrine
- Mix in 10 mg
- NS= 100 mcg/ml
3. 40 - 100 mcg/ ml
Strong acting alpha-adrenergic
May see reflex bradycardia from stimulations of baroreceptors
Hypotension + tachycardia = Fluids + phenylephrine (more alpha adrenergic)
Vecurnonium (Norcuron) 1mg/ml
needs to be _____
Dose: ___ - ___
RSI dose: _____
- diluted
- 0.08 -0.1 mg/kg
3. RSI DOSE: 0.2 mg/kg
Fentanyl (50mcg/cc)
How much will you draw and usually give for induction?
Draw up in 3cc or 5cc syringe.
Usually, give 50-100 mcg with induction (but will vary)
Medications for emergency bradycardia
- Atropine
- Glycopyrolate
Glycopyrrolate dose
0.01-0.02mg/kg
Emergency Medications
1.
2.
3.
- Ephedrine
- Phenylephrine
- Atropine and Glycopyrrolate
Glycopyrrolate concentration
0.2mg/cc
Sugammadex is used to reverse
rocuronium or vecuronium
*more predictable with rocuronium
Awake fiberoptic intubation precedex dose
- *loading: 1mcg/kg** over 10 minutes
- *Maintenance: 0.7mcg/kg/hr** until ETT secured
Name the pressors used for emergency
Ephedrine 50mg/ml
dose: 2.5 - 10 mg
Phenylephrine 10mg/ml
IV: 40 - 100 mcg
What would you always check for in your cart?
Hint: this is an emergency medication
Epinephrine
Neostigmine concentration and dose
1mg/cc
dose: 0.05-0.07mg/kg
How many receptors are occupied?
TOF 0/4 - 95% receptor occupied
TOF 1/4 - ____ %
TOF 2/4 - ____ 85%
TOF 3/4- ____ %
TOF 4/4 ____%
TOF 0/4 -95%
TOF 1/4 - 90 %
TOF 2/4 - 85%
TOF 3/4- 75%
TOF 4/4 -70%
Etomidate (Amidate) comes only comes ______
What is the dose?
Only comes in 20mg/10ml (2mg/ml)
Dose: 0.2 - 0.3 mg/kg IV
- may NOT be part of your typical cart set up
Burns on IV injection; can be given with lidocaine
Metronidazole (Flagyl) dose
500 mg IV
Basic drug set up ON TOP of cart typical drugs to have ready are
Fentanyl
Lidocaine
Propofol
Zemuron, Vecuronium, Cisatracurium
Succinylcholine
Vancomycin ____ gm IV
1 gm given over an hour
Lidocaine (Xylocaine)
How many ml’s will you draw?
for a 2% , for a 1%?
dose___
Draw up: 5 ml - 10 ml of 2% (20 mg/ml) or 1 % (10 mg/cc)
dose: 1mg/kg
Bridion dose:
If spontaneous recovery of the twitch response has reached 1-2 post-tetanic counts (PTCs), no twitch responses to TOF
4mg /kg
Negative Pressure Pulmonary Edema can be caused by?
How will you try to mitigate it?
Patient biting on the ET tube; mitigated by using a bite block
For peds bradycardia you would give
atropine
*for its longer action and to match the DOA of succinylcholine
Vecuronium brand name
Norcuron
Brand name for Sugammadex
Bridion
ALWAYS have this drug unless contraindicated.
this is considered de-fasiculating non-depolarizing drug at (____mg or 1/2 ml Zemuron
It can cause _______ or even arrest (usually with repeat doses)
this drug is a trigger for MH
GOLD STANDARD in RSI
SUCCINYLCHOLINE
5mg or 1/2 ml
brady-arrythmias
Most common ATB drugs in Anesthesia
Cefazolin (Kefzol, Ancef) 2 gm IV; ___ gm over 120 kg
Cefazolin (Kefzol, Ancef) 2 gm IV; 3 gm over 120 kg
Methohexital (Brevital)
ECT dose __
what is the SEDATION DOSE?
ECT: 1 -2 mg/kg IV
sedation dose 0.2- 0.4 MG/KG
Ephedrine 50 mg/ ml
Draw up 1 ml and dilute in 9 ml of NS for a concentration of _____ mg/ml
Hypotension dose: __ -__ mg Iv
- constitution wanted: 5mg/ ml
- Hypotension: 5 - 10 mg/ml
RSI dose of rocuronium
1.2mg/kg
*gives intubating conditions in 60-90 seconds
Rocuronium (Zemuron) comes in 10mg/cc
What is the dose? ____
What is the de-fasiculating dose?___
Mostly _____, slightly ____ elimination so maybe prolonged in ______ failure
Rocuronium (Zemuron)
dose: 0.6 - 1.2 mg/kg
De-fasiculating dose: 5mg/0.5 ml
mostly liver, slightly kidneys (elimination) so maybe prolonged in liver failure
Vecuronium concentration
1mg/cc
*10mg vial needs to be reconstituted w/ 10cc
Levofloxacin (Levaquin)
dose
500 mg IV slow on pump 30 60 mins
Glycopyrrolate dose to increase HR and decrease secretions
0.2-0.3mg
Succinylcholine (Anectine) comes in _____
DOSE??__
comes in: 20 mg/ml
Dose: 1.0 - 1.5 mg/kg
Cisatricurium is the same dosing as
vecuronium
(0.08-0.2mg/kg or 0.2mg/kg RSI)
NDMR: Reversal
Combine Neostigmine/ _______
Neostigmine (1mg/ml) dose _____
Always give together with _:_ ratio
give slowly to prevent rapid increase in ____ ____
- Glycopyrolate (Robinul) 0.2mg/ml
- Neostigmine dose 0.05 - 0.07 mg/kg
- 1:1
- heart rate
Neostigmine effects
- decreases HR
- causes miosis
- causes salivation
Loading dose of precedex
1mcg/kg over 10 minutes
Atropine - 1 mg (0.1 mg/ml)
______ typical start point for absolute bradycardia
Anti____
Tertiary amine and crosses BBB
1. 0.4 mg
2. Anticholinergic
Suggamadex
If spontaneous recovery has reached the reappearance of the second twitch (T2)in response to TOF stimulation
what will be the dose of Bridion
Bridion
dose for reappearance of second twitch
2mg/kg
Glycopyrrolate (0.2mg/ ml)
Dose: ___ - ___ mg/kg IV
draw up 1 -2 ml.
Dose: 0.01 - 0.02mg/kg
0.2-0.3 MG( 1- 5 ml) is usually enought to increase HR and is also a good dose to decrease salivation.
Anticholinergic
Increases HR, causes mydriasis, and decrease salivation
Ketamine dose
IV: 1-2mg/kg
IM: 3-5mg/kg
Dexmetomidine (Precedex)
comes in ______
200 mcg/ 2ml and 100 mcg/ml sigle dose vial
