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Principles in Practice > Basic Anesthesia Set Up > Flashcards

Basic Anesthesia Set Up Flashcards

1
Q

Clindamycin (Cleocin)

dose:

A

600 - 900 mg IV do not infuse faster than 10 mg/kg/min

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2
Q

Propofol (Diprovan)

How many mg per ml do you draw?

What is the dose for induction?

A

10 mg/ ml

Dose: 1.0 - 2.5 mg/kg IV

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3
Q

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

A
  1. Mix in 10 mg
  2. 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)

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4
Q

Vecurnonium (Norcuron) 1mg/ml

needs to be _____

Dose: ___ - ___

RSI dose: _____

A
  1. diluted
  2. 0.08 -0.1 mg/kg

3. RSI DOSE: 0.2 mg/kg

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5
Q

Fentanyl (50mcg/cc)

How much will you draw and usually give for induction?

A

Draw up in 3cc or 5cc syringe.

Usually, give 50-100 mcg with induction (but will vary)

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6
Q

Medications for emergency bradycardia

A
  1. Atropine
  2. Glycopyrolate
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7
Q

Glycopyrrolate dose

A

0.01-0.02mg/kg

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8
Q

Emergency Medications

1.

2.

3.

A
  1. Ephedrine
  2. Phenylephrine
  3. Atropine and Glycopyrrolate
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9
Q

Glycopyrrolate concentration

A

0.2mg/cc

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10
Q

Sugammadex is used to reverse

A

rocuronium or vecuronium
*more predictable with rocuronium

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11
Q

Awake fiberoptic intubation precedex dose

A
  • *loading: 1mcg/kg** over 10 minutes
  • *Maintenance: 0.7mcg/kg/hr** until ETT secured
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12
Q

Name the pressors used for emergency

A

Ephedrine 50mg/ml

dose: 2.5 - 10 mg

Phenylephrine 10mg/ml

IV: 40 - 100 mcg

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13
Q

What would you always check for in your cart?

Hint: this is an emergency medication

A

Epinephrine

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14
Q

Neostigmine concentration and dose

A

1mg/cc
dose: 0.05-0.07mg/kg

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15
Q
A
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16
Q

How many receptors are occupied?

TOF 0/4 - 95% receptor occupied

TOF 1/4 - ____ %

TOF 2/4 - ____ 85%

TOF 3/4- ____ %

TOF 4/4 ____%

A

TOF 0/4 -95%

TOF 1/4 - 90 %

TOF 2/4 - 85%

TOF 3/4- 75%

TOF 4/4 -70%

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17
Q

Etomidate (Amidate) comes only comes ______

What is the dose?

A

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

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18
Q

Metronidazole (Flagyl) dose

A

500 mg IV

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19
Q

Basic drug set up ON TOP of cart typical drugs to have ready are

A

Fentanyl

Lidocaine

Propofol

Zemuron, Vecuronium, Cisatracurium

Succinylcholine

20
Q

Vancomycin ____ gm IV

A

1 gm given over an hour

21
Q

Lidocaine (Xylocaine)

How many ml’s will you draw?

for a 2% , for a 1%?

dose___

A

Draw up: 5 ml - 10 ml of 2% (20 mg/ml) or 1 % (10 mg/cc)

dose: 1mg/kg

22
Q

Bridion dose:

If spontaneous recovery of the twitch response has reached 1-2 post-tetanic counts (PTCs), no twitch responses to TOF

A

4mg /kg

23
Q

Negative Pressure Pulmonary Edema can be caused by?

How will you try to mitigate it?

A

Patient biting on the ET tube; mitigated by using a bite block

24
Q

For peds bradycardia you would give

A

atropine
*for its longer action and to match the DOA of succinylcholine

25
Q

Vecuronium brand name

A

Norcuron

26
Q

Brand name for Sugammadex

A

Bridion

27
Q

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

A

SUCCINYLCHOLINE

5mg or 1/2 ml

brady-arrythmias

28
Q

Most common ATB drugs in Anesthesia

Cefazolin (Kefzol, Ancef) 2 gm IV; ___ gm over 120 kg

A

Cefazolin (Kefzol, Ancef) 2 gm IV; 3 gm over 120 kg

29
Q

Methohexital (Brevital)

ECT dose __

what is the SEDATION DOSE?

A

ECT: 1 -2 mg/kg IV

sedation dose 0.2- 0.4 MG/KG

30
Q

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

A
  1. constitution wanted: 5mg/ ml
  2. Hypotension: 5 - 10 mg/ml
31
Q

RSI dose of rocuronium

A

1.2mg/kg
*gives intubating conditions in 60-90 seconds

32
Q

Rocuronium (Zemuron) comes in 10mg/cc

What is the dose? ____

What is the de-fasiculating dose?___

Mostly _____, slightly ____ elimination so maybe prolonged in ______ failure

A

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

33
Q

Vecuronium concentration

A

1mg/cc
*10mg vial needs to be reconstituted w/ 10cc

34
Q

Levofloxacin (Levaquin)

dose

A

500 mg IV slow on pump 30 60 mins

35
Q

Glycopyrrolate dose to increase HR and decrease secretions

A

0.2-0.3mg

36
Q

Succinylcholine (Anectine) comes in _____

DOSE??__

A

comes in: 20 mg/ml

Dose: 1.0 - 1.5 mg/kg

37
Q

Cisatricurium is the same dosing as

A

vecuronium
(0.08-0.2mg/kg or 0.2mg/kg RSI)

38
Q

NDMR: Reversal

Combine Neostigmine/ _______

Neostigmine (1mg/ml) dose _____

Always give together with _:_ ratio

give slowly to prevent rapid increase in ____ ____

A
  1. Glycopyrolate (Robinul) 0.2mg/ml
  2. Neostigmine dose 0.05 - 0.07 mg/kg
  3. 1:1
  4. heart rate
39
Q

Neostigmine effects

A
  • decreases HR
  • causes miosis
  • causes salivation
40
Q

Loading dose of precedex

A

1mcg/kg over 10 minutes

41
Q

Atropine - 1 mg (0.1 mg/ml)

______ typical start point for absolute bradycardia

Anti____

Tertiary amine and crosses BBB

A

1. 0.4 mg

2. Anticholinergic

42
Q

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

A

Bridion

dose for reappearance of second twitch

2mg/kg

43
Q

Glycopyrrolate (0.2mg/ ml)

Dose: ___ - ___ mg/kg IV

draw up 1 -2 ml.

A

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

44
Q

Ketamine dose

A

IV: 1-2mg/kg
IM: 3-5mg/kg

45
Q

Dexmetomidine (Precedex)

comes in ______

A

200 mcg/ 2ml and 100 mcg/ml sigle dose vial

Principles in Practice (19 decks)

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