Basic Principles Induction Drugs Checkoff Flashcards

1
Q

Phenylephrine Vial & Syringe Concentration

A

Vial: 10mg/mL
Syringe: 100mcg/mL (10mL syringe)

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2
Q

Phenylephrine Dose Adult

A

05.-1.5 mcg/kg TBW
OR
50-150mcg

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3
Q

Phenylephrine Onset & DOA

A

< 1min.

15-20 min

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4
Q

Ephedrine Vial & Syringe Concentration

A

50mg/ml

5mg/ml (in 10mL syringe)

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5
Q

Ephedrine Adult Dose

A

0.1-0.2mg/kg TBW
OR
5-10 mg

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6
Q

Ephedrine Onset & DOA

A

<1 min

10-60 min

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7
Q

Epinephrine Vial & Syringe Concentration

A

Prefilled abboject syringe 0.1mg/mL

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8
Q

Epinephrine Adult Dose

A

1-10mcg/kg TBW (anaphylaxis, hOTN)

ACLS dose: 1 mg q3-5 min

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9
Q

Epinephrine Onset & DOA

A

<1 min

5-10 min

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10
Q

Atropine Vial & Syringe Concentration

A

0.4 mg/mL or 1mg/mL

Can be in 1mL syringe or 3 mL syringe

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11
Q

Atropine Adult Dose

A

0.02mg/kg TBW

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12
Q

Atropine Onset & DOA

A

<1 min

1-2 hours

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13
Q

Succinylcholine Vial & Syringe Concentration

A

20mg/mL

20mg/mL in 10 mL syringe

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14
Q

Succinylcholine Adult Dose

A

1-1.5 mg/kg TBW (induction dose)

MH trigger, increase pressures

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15
Q

Succinylcholine Onset & DOA

A

30-60s seconds onset

5-15 min duration

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16
Q

Rocuronium Vial & Syringe Concentration

A

10mg/mL

usually in 5mL syringe

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17
Q

Rocuronium Adult Dose

A

0.6 or 1.2 mg/kg IDEAL BODY WEIGHT

non RSI vs. RSI

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18
Q

Rocuronium Onset & DOA

A

1-3 min non RSI dose
<1 min RSI dose
DOA: 30-60 min

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19
Q

Vecuronium Vial & Syringe Concentration

A

10 mg POWDER reconstitute in 10mL NS

1mg/ml in 10 mL syringe

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20
Q

Vecuronium Adult Dose

A

0.1 mg/kg IBW

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21
Q

Vecuronium Onset & DOA

A

2-5 min
30-60 min
onset too long for RSI

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22
Q

Cisatracurium Vial & Syringe Concentration

A

2mg/ml

in 10 mL syringe

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23
Q

Cisatracurium Adult Dose

A

0.1-0.2 mg/kg IBW

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24
Q

Cisatracurium Onset & DOA

A

up to 5 min onset
30-60 min duration
good for kidney/liver disease patients

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25
Q

Midazolam Vial & Syringe Concentration

A

2mg/mL in 3mL syringe

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26
Q

Midazolam Adult Dose

A

0.02-0.04 mg/kg TBW

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27
Q

Midazolam Onset & DOA

A

2 min.

1-6 hours duration

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28
Q

Fentanyl Vial & Syringe Concentration

A

50 mcg/mL

in 3 mL OR 5 mL syringe

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29
Q

Fentanyl Adult Dose

A

1-3 mcg/kg TBW induction

0.5-1mcg/kg pain

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30
Q

Fentanyl Onset & DOA

A

2-5 min

30-60 min duration

31
Q

Propofol Vial & Syringe Concentration

A

10 mg/mL

in 20 mL syringe

32
Q

Propofol Adult Dose

A

1.5-2.5 mg/kg TBW

33
Q

Propofol Onset & DOA

A

<40 seconds

5-10 min duration

34
Q

Etomidate Vial & Syringe Concentration

A

2mg/mL

in 10 ml syringe

35
Q

Etomidate Adult Dose

A

0.2-0.4 mg/kg TBW

36
Q

Etomidate Onset & DOA

A

<60 seconds
3-10 min duration
Good for low EF patient, PONV

37
Q

Ketamine Vial & Syringe Concentration

A

Dilute to 10mg/mL in syringe of choice

38
Q

Ketamine Adult Dose

A
  1. 5-2.5 mg/kg IBW (induction)

0. 2-0.5 mg/kg IBW analgesia

39
Q

Ketamine Onset & DOA

A

30 seconds
5-15 min
Think about giving glyco for secretions

40
Q

Neostigmine Vial & Syringe Concentration

A

Dilute to 1 mg/mL in syringe of choice

41
Q

Neostigmine Adult Dose

A

0.05 mg/kg TBW up to 5 mg AFTER glycopyrrolate

42
Q

Neostigmine Onset & DOA

A

<3 min

40-60 min

43
Q

Glycopyrrolate Vial & Syringe Concentration

A

0.2 mg/mL

in 3 mL syringe

44
Q

Glycopyrrolate Adult Dose

A
  1. 02 mg/kg per 1 mg neostigmine

0. 01-0.02 mg/kg IBW

45
Q

Glycopyrrolate Onset & DOA

A

<1 min

2-4 hours

46
Q

Lidocaine 2% Vial & Syringe Concentration

A

20 mg/mL for 2%

in 5mL syringe

47
Q

Lidocaine 2% Adult Dose

A

1-1.5 mg/kg IBW

48
Q

Lidocaine 2% Onset & DOA

A

45-90 seconds

10-20 min duration

49
Q

Remifentanil Vial & Syringe Concentration

A

1 mg/mL
50 mcg/mL in 20 mL syringe
(draw 1 mL remi and 19 mL NS)

50
Q

Remifentanil Adult Dose

A
  1. 25-1 mcg/kg IBW (bolus)

0. 05-0.2 mcg/kg/min IBW (infusion)

51
Q

Remifentanil Onset & DOA

A

<1 min

4 min

52
Q

Hydromorphone Vial & Syringe Concentration

A

1mg/mL of 2 mg/mL

often dilute to 0.2mg/mL in 5 mL syringe

53
Q

Hydromorphone Adult Dose

A
  1. 005-0.2 mg/kg OR

0. 2-0.5 mg

54
Q

Hydromorphone Onset & DOA

A

5-15 min
3 hours duration
(1.5 mg dilaudid = 100 mcg fent)

55
Q

Decadron Vial & Syringe Concentration

A

4mg/mL OR 10 mg/ml

4 mg/mL in 3 mL syringe

56
Q

Decadron Adult Dose

A

0.2-0.5 mg/kg TBW OR

4-10 mg

57
Q

Decadron Onset & DOA

A

2 hours

36-54 hours

58
Q

Sugammadex Vial & Syringe Concentration

A

100 mg/mL

in 3 mL syringe

59
Q

Sugammadex Adult Dose

A

1 mg/kg but varies per TOF

60
Q

Sugammadex Onset & DOA

A

<10 min (1-3 twitch)
<5 min (4 twitch)
duration 2 hours

61
Q

Ondansetron Vial & Syringe Concentration

A

2 mg/mL

in 3 mL syringe

62
Q

Ondansetron Adult Dose

A

0.15 mg/kg TBW often 4 mg

63
Q

Ondansetron Onset & DOA

A

30 min

4-6 hours

64
Q

Labetalol Vial & Syringe Concentration

A

5 mg/mL

in 20 mL syringe

65
Q

Labetalol Adult Dose

A

0.1-0.5 mg/kg TBW

66
Q

Labetalol Onset & DOA

A

1-2 hours

up to 6 hours

67
Q

SEVO

A

MAC: 2%
BG: .65
OG: 47
VP: 170mmHG

68
Q

DES

A
MAC: 6%
OG: 19
BG: .42
VP: 669 mmHg
Airway Irritant!
69
Q

ISO

A

MAC: 1.2%
OG: 91
BG: 1.4
VP: 238 mmHg

70
Q

Halothane

A

MAC: .75%
OG: 224
BG: 2.54
VP: 244 mmHg

71
Q

N2O

A

MAC: 104%
OG: 1.4
BG: .42
VP: 38,770 mmHg

72
Q

IDEAL BODY WEIGHT CALC

A

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

73
Q

Drugs given based on IBW

A

Non-depolarizers
Ketamine
Glycopyrrolate
Lidocaine

74
Q

Cant mask ventilate?

A

reposition first!
oral airway
double handed mask