Basic Principles Induction Drugs Checkoff Flashcards
Phenylephrine Vial & Syringe Concentration
Vial: 10mg/mL
Syringe: 100mcg/mL (10mL syringe)
Phenylephrine Dose Adult
05.-1.5 mcg/kg TBW
OR
50-150mcg
Phenylephrine Onset & DOA
< 1min.
15-20 min
Ephedrine Vial & Syringe Concentration
50mg/ml
5mg/ml (in 10mL syringe)
Ephedrine Adult Dose
0.1-0.2mg/kg TBW
OR
5-10 mg
Ephedrine Onset & DOA
<1 min
10-60 min
Epinephrine Vial & Syringe Concentration
Prefilled abboject syringe 0.1mg/mL
Epinephrine Adult Dose
1-10mcg/kg TBW (anaphylaxis, hOTN)
ACLS dose: 1 mg q3-5 min
Epinephrine Onset & DOA
<1 min
5-10 min
Atropine Vial & Syringe Concentration
0.4 mg/mL or 1mg/mL
Can be in 1mL syringe or 3 mL syringe
Atropine Adult Dose
0.02mg/kg TBW
Atropine Onset & DOA
<1 min
1-2 hours
Succinylcholine Vial & Syringe Concentration
20mg/mL
20mg/mL in 10 mL syringe
Succinylcholine Adult Dose
1-1.5 mg/kg TBW (induction dose)
MH trigger, increase pressures
Succinylcholine Onset & DOA
30-60s seconds onset
5-15 min duration
Rocuronium Vial & Syringe Concentration
10mg/mL
usually in 5mL syringe
Rocuronium Adult Dose
0.6 or 1.2 mg/kg IDEAL BODY WEIGHT
non RSI vs. RSI
Rocuronium Onset & DOA
1-3 min non RSI dose
<1 min RSI dose
DOA: 30-60 min
Vecuronium Vial & Syringe Concentration
10 mg POWDER reconstitute in 10mL NS
1mg/ml in 10 mL syringe
Vecuronium Adult Dose
0.1 mg/kg IBW
Vecuronium Onset & DOA
2-5 min
30-60 min
onset too long for RSI
Cisatracurium Vial & Syringe Concentration
2mg/ml
in 10 mL syringe
Cisatracurium Adult Dose
0.1-0.2 mg/kg IBW
Cisatracurium Onset & DOA
up to 5 min onset
30-60 min duration
good for kidney/liver disease patients
Midazolam Vial & Syringe Concentration
2mg/mL in 3mL syringe
Midazolam Adult Dose
0.02-0.04 mg/kg TBW
Midazolam Onset & DOA
2 min.
1-6 hours duration
Fentanyl Vial & Syringe Concentration
50 mcg/mL
in 3 mL OR 5 mL syringe
Fentanyl Adult Dose
1-3 mcg/kg TBW induction
0.5-1mcg/kg pain
Fentanyl Onset & DOA
2-5 min
30-60 min duration
Propofol Vial & Syringe Concentration
10 mg/mL
in 20 mL syringe
Propofol Adult Dose
1.5-2.5 mg/kg TBW
Propofol Onset & DOA
<40 seconds
5-10 min duration
Etomidate Vial & Syringe Concentration
2mg/mL
in 10 ml syringe
Etomidate Adult Dose
0.2-0.4 mg/kg TBW
Etomidate Onset & DOA
<60 seconds
3-10 min duration
Good for low EF patient, PONV
Ketamine Vial & Syringe Concentration
Dilute to 10mg/mL in syringe of choice
Ketamine Adult Dose
- 5-2.5 mg/kg IBW (induction)
0. 2-0.5 mg/kg IBW analgesia
Ketamine Onset & DOA
30 seconds
5-15 min
Think about giving glyco for secretions
Neostigmine Vial & Syringe Concentration
Dilute to 1 mg/mL in syringe of choice
Neostigmine Adult Dose
0.05 mg/kg TBW up to 5 mg AFTER glycopyrrolate
Neostigmine Onset & DOA
<3 min
40-60 min
Glycopyrrolate Vial & Syringe Concentration
0.2 mg/mL
in 3 mL syringe
Glycopyrrolate Adult Dose
- 02 mg/kg per 1 mg neostigmine
0. 01-0.02 mg/kg IBW
Glycopyrrolate Onset & DOA
<1 min
2-4 hours
Lidocaine 2% Vial & Syringe Concentration
20 mg/mL for 2%
in 5mL syringe
Lidocaine 2% Adult Dose
1-1.5 mg/kg IBW
Lidocaine 2% Onset & DOA
45-90 seconds
10-20 min duration
Remifentanil Vial & Syringe Concentration
1 mg/mL
50 mcg/mL in 20 mL syringe
(draw 1 mL remi and 19 mL NS)
Remifentanil Adult Dose
- 25-1 mcg/kg IBW (bolus)
0. 05-0.2 mcg/kg/min IBW (infusion)
Remifentanil Onset & DOA
<1 min
4 min
Hydromorphone Vial & Syringe Concentration
1mg/mL of 2 mg/mL
often dilute to 0.2mg/mL in 5 mL syringe
Hydromorphone Adult Dose
- 005-0.2 mg/kg OR
0. 2-0.5 mg
Hydromorphone Onset & DOA
5-15 min
3 hours duration
(1.5 mg dilaudid = 100 mcg fent)
Decadron Vial & Syringe Concentration
4mg/mL OR 10 mg/ml
4 mg/mL in 3 mL syringe
Decadron Adult Dose
0.2-0.5 mg/kg TBW OR
4-10 mg
Decadron Onset & DOA
2 hours
36-54 hours
Sugammadex Vial & Syringe Concentration
100 mg/mL
in 3 mL syringe
Sugammadex Adult Dose
1 mg/kg but varies per TOF
Sugammadex Onset & DOA
<10 min (1-3 twitch)
<5 min (4 twitch)
duration 2 hours
Ondansetron Vial & Syringe Concentration
2 mg/mL
in 3 mL syringe
Ondansetron Adult Dose
0.15 mg/kg TBW often 4 mg
Ondansetron Onset & DOA
30 min
4-6 hours
Labetalol Vial & Syringe Concentration
5 mg/mL
in 20 mL syringe
Labetalol Adult Dose
0.1-0.5 mg/kg TBW
Labetalol Onset & DOA
1-2 hours
up to 6 hours
SEVO
MAC: 2%
BG: .65
OG: 47
VP: 170mmHG
DES
MAC: 6% OG: 19 BG: .42 VP: 669 mmHg Airway Irritant!
ISO
MAC: 1.2%
OG: 91
BG: 1.4
VP: 238 mmHg
Halothane
MAC: .75%
OG: 224
BG: 2.54
VP: 244 mmHg
N2O
MAC: 104%
OG: 1.4
BG: .42
VP: 38,770 mmHg
IDEAL BODY WEIGHT CALC
Pt 5 foot 5 inches = 60 plus 5 (65 inches)
65 x 2= 120 +10 = 130 cm
65 / 2 =32.5
130 + 32.5 = 162.5 cm
women subtract 105 cm, men subtract 100 cm
Drugs given based on IBW
Non-depolarizers
Ketamine
Glycopyrrolate
Lidocaine
Cant mask ventilate?
reposition first!
oral airway
double handed mask