BasicDrugs Flashcards
What is the brand name of Midazolam
Versed
What is the brand name of Lidocaine
Xylocaine
What is the brand name of Fentanyl
Sublimaze
What is the brand name of Morphine
Morphine
What is the brand name of Hydromorphone
Dilaudid
What is the brand name of Meperidine
Demerol
What is the brand name of Naloxone
Narcan
What is the brand name of Propofol
Diprivan
What is the brand name of Etomidate
Amidate
What is the brand name of Ketamine
Ketalar
What is the brand name of Succinylcholine
Anectine
What is the brand name of Rocuronium
Zemuron
What is the brand name of Vecuronium
Norcuron
What is the brand name of Cisatracurium
Nimbex
What is the brand name of Neostigmine
Prostigmin
What is the brand name of Glycopyrrolate
Robinul
What is the brand name of Atropine
Atropine
What is the brand name of Epinephrine
Adrenaline
What is the brand name of Ephedrine
Ephedrine
What is the brand name of Phenylephrine
Neosynephrine
What is the brand name of Esmolol
Brevibloc
What is the brand name of Metoprolol
Lopressor
What is the brand name of Labetalol
Normodyne
What is the brand name of Nitroglycerin
Nitroglycerin
What is the brand name of Hydralazine
Hydralazine
What is the brand name of Ondansetron
Zofran
What is the brand name of Droperidol
Inapsine
What is the function of Ketamine
Induction
What is the function of Succinylcholine
Paralysis
What is the function of Rocuronium
Paralysis
What is the function of Vecuronium
Paralysis
What is the function of Cisatracurium
Paralysis
What is the function of Neostigmine
Relaxant Reversal
What is the function of Glycopyrrolate
Prevent BLUDS
What is the function of Atropine
??HR
What is the function of Epinephrine
??HR / ??BP
What is the function of Ephedrine
? HR / ?BP
What is the function of Phenylephrine
?HR / ?BP
What is the function of Esmolol
??HR
What is the function of Metoprolol
?HR
What is the function of Labetalol
(?/?)?HR / ?BP
What is the function of Nitroglycerin
? HR / ?BP
What is the function of Hydralazine
? HR / ?BP
What is the function of Ondansetron
Treat N/V
What is the function of Droperidol
Treat N/V
What is the concentration of Ketamine
10, 50, 100 mg/ml
What is the concentration of Succinylcholine
20 mg/ml (2%)
What is the concentration of Rocuronium
10 mg/ml (1%)
What is the concentration of Vecuronium
10 mg powder vial reconstituted to 1 mg/ml
What is the concentration of Cisatracurium
2 mg/ml (20 mg vial)
What is the concentration of Neostigmine
1 mg/ml (0.1%), (0.5 mg/ml)
What is the concentration of Glycopyrrolate
0.2 mg/ml
What is the concentration of Atropine
0.4 mg/ml
What is the concentration of Epinephrine
16 mcg/ml syringe
What is the concentration of Ephedrine
5 mg/ml
What is the concentration of Phenylephrine
100 mcg/ml
What is the concentration of Esmolol
100 mg (10 mg/ml)
What is the concentration of Metoprolol
5 mg (1 mg/ml)
What is the concentration of Labetalol
5 mg/ml
What is the concentration of Nitroglycerin
50, 100, 200 mcg/ml
What is the concentration of Hydralazine
20 mg in 1 ml (diluted to various cxn)
What is the concentration of Ondansetron
2 mg/ml (4mg)
What is the concentration of Droperidol
0.3125 mg/ml
What is the dose of Midazolam
1 - 2.5 mg IV, PO 0.5 mg/kg, IM 0.1-0.15 mg/kg subl. 0.1 mg/kg
What is the dose of Lidocaine
0.5 - 1 mg/kg IV
What is the dose of Fentanyl
1 - 2 mcg/kg IV
What is the dose of Morphine
0.1 - 1 mg/kg IV
What is the dose of Hydromorphone
0.5 - 2 mg IV
What is the dose of Meperidine
12.5 - 25 mg IV
What is the dose of Naloxone
1 - 4 mcg/kg IV
What is the dose of Propofol
1 - 2.5 mg/kg IV
What is the dose of Etomidate
0.2 - 0.3 mg/kg IV
What is the dose of Ketamine
1 - 2 mg/kg IV, 4 - 8 mg/kg IM
What is the dose of Succinylcholine
1 - 2 mg/kg IV
What is the dose of Rocuronium
0.6 - 1.2 mg/kg IV, 0.1 mg/kg maint.
What is the dose of Vecuronium
maint. 0.01 mg/kg
What is the dose of Cisatracurium
0.1 - 0.15 mg/kg IV
What is the dose of Neostigmine
0.04 - 0.07 mg/kg IV
What is the dose of Glycopyrrolate
0.2 mg per 1 mg Neostigmine
What is the dose of Atropine
0.4 - 0.6 mg (up to 3 mg)
What is the dose of Epinephrine
8 - 16 mcg
What is the dose of Ephedrine
5 - 20 mg
What is the dose of Phenylephrine
50 - 100 mcg
What is the dose of Esmolol
10 mg (0.2 - 0.5 mg/kg)
What is the dose of Metoprolol
1 - 2 mg
What is the dose of Labetalol
5 mg (0.1 - 0.25 mg/kg)
What is the dose of Nitroglycerin
Bolus: 50-100 mcg Infusion: 0.5 - 10 mcg/kg/min
What is the dose of Hydralazine
5 - 20 mg
What is the dose of Ondansetron
4 mg
What is the dose of Droperidol
0.625 mg
What is the onset of Midazolam
1 min
What is the onset of Fentanyl
1 min
What is the onset of Morphine
15 - 30 min
What is the onset of Hydromorphone
5 min
What is the onset of Propofol
30 - 60 sec
What is the onset of Etomidate
30 - 60 sec
What is the onset of Ketamine
30 - 60 sec, IM 2 - 5 min
What is the onset of Succinylcholine
30 sec
What is the onset of Rocuronium
1 - 2 min (30 sec high dose)
What is the onset of Vecuronium
3 - 5 min
What is the onset of Cisatracurium
3 - 5 min
What is the onset of Neostigmine
5 - 7 min
What is the onset of Atropine
1 min
What is the onset of Epinephrine
30 sec
What is the onset of Ephedrine
30 sec
What is the onset of Phenylephrine
30 sec
What is the onset of Esmolol
5 min
What is the onset of Nitroglycerin
30 - 60 sec
What is the onset of Hydralazine
20 min
What is the peak effect of Midazolam
5 min
What is the peak effect of Fentanyl
3 - 5 min
What is the peak effect of Propofol
60 - 120 sec
What is the peak effect of Etomidate
45 - 120 sec
What is the peak effect of Ketamine
30 - 120 sec
What is the peak effect of Ondansetron
30 min
What is the duration of Midazolam
30 min
What is the duration of Fentanyl
30 - 60 min
What is the duration of Morphine
3 - 6 hours
What is the duration of Hydromorphone
3 - 6 hours
What is the duration of Propofol
5 - 10 min
What is the duration of Etomidate
5 - 10 min
What is the duration of Ketamine
5 - 10 min
What is the duration of Succinylcholine
3 - 5 min
What is the duration of Rocuronium
20 - 35 min
What is the duration of Vecuronium
20 - 35 min
What is the duration of Cisatracurium
20 -35 min
What is the duration of Neostigmine
30 min
What is the duration of Atropine
30 - 60 min
What is the duration of Epinephrine
2 - 3 min
What is the duration of Ephedrine
10 - 15 min
What is the duration of Phenylephrine
2 - 3 min
What is the duration of Esmolol
10 - 30 min
What is the duration of Metoprolol
+1 hours
What is the duration of Nitroglycerin
2 min
What is the duration of Hydralazine
6 - 8 hours
What are the uses of Midazolam
anxiolysis, sedation, amnesia
What are the uses of Lidocaine
intubation, local, propofol burn, cardiac arrythm
What are the uses of Fentanyl
analgesia
What are the uses of Morphine
IV, epidural, spinal analgesia
What are the uses of Hydromorphone
analgesia
What are the uses of Meperidine
Post-op shivering, analgesia
What are the uses of Naloxone
opioid overdose, respiratory depression
What are the uses of Propofol
induction, sedation, MAC
What are the uses of Etomidate
induction, hypnosis
What are the uses of Ketamine
induction, analgesia, amnesia
What are the uses of Succinylcholine
intubation, paralysis, laryngospasm
What are the uses of Rocuronium
paralysis, RSI
What are the uses of Vecuronium
paralysis
What are the uses of Cisatracurium
paralysis
What are the uses of Neostigmine
Nondepolarizing NMB reversal
What are the uses of Glycopyrrolate
antisialigogue, NMB reversal
What are the uses of Atropine
bradycardia, NMB reversal
What are the uses of Epinephrine
?HR/BP, anaphylaxis, bronchospasm
What are the uses of Ephedrine
? HR / ?BP
What are the uses of Phenylephrine
?BP, nasal decongestant
What are the uses of Esmolol
?HR
What are the uses of Metoprolol
?HR
What are the uses of Labetalol
Control HR and BP
What are the uses of Nitroglycerin
Angina, HTN
What are the uses of Ondansetron
treat N/V
What are the uses of Droperidol
treat N/V
What are the contraindications of Midazolam
hepatic disease, elderly, pregnant
What are the contraindications of Meperidine
renal disease
What are the contraindications of Succinylcholine
burn patients, hyperkalemia, space occupying lesions/open globe injuries
What are the contraindications of Labetalol
asthmatics, heavy smokers
What are the contraindications of Droperidol
Parkinson’s Dis, prolonged QT interval
What are the cautions of Morphine
depression of ventilation, PONV, pruritis (itching)
What are the cautions of Hydromorphone
depression of ventilation
What are the cautions of Meperidine
neurotoxic
What are the cautions of Naloxone
N/V, pain, tachycardia, increased SNS
What are the cautions of Propofol
bacterial growth, soy/egg allergy, hypotension, HTN
What are the cautions of Etomidate
myoclonus, PONV, pain on injection
What are the cautions of Ketamine
emergence delirium
What are the cautions of Succinylcholine
malignant hypothermia, myalgia
What are the cautions of Neostigmine
BLUDS, PONV, hypotension
What are the cautions of Ephedrine
tachyphylaxis, depletion of norepinephrine
What are the cautions of Phenylephrine
reflex bradycardia, increased afterload
What are the cautions of Labetalol
?2 antagonism ? bronchoconstriction
What are the cautions of Ondansetron
may expand Q-T interval
Useful notes on Midazolam
synergy with narcotics, same IV dose regardless of weight
Useful notes on Fentanyl
bradycardia > morphine, synergism with benzos, 100x potent as morphine, hemodynamic stability
Useful notes on Morphine
often diluted from 10 mg/ml to 1 mg/ml
Useful notes on Hydromorphone
not as much PONV as morphine
Useful notes on Naloxone
dilute 0.4 mg vial in 10 ml and give 1 ml at a time
Useful notes on Propofol
burns on injection, decreases PONV, short duration from redistribution, dose dependent decrease in respirxn, little analgesia
Useful notes on Etomidate
cardiovasvular stability, used with bad hearts or HTN
Useful notes on Ketamine
nystagmus, prolongs SUX duration
Useful notes on Succinylcholine
causes fasciculations, metabloized by plasma cholinesterase, many adverse side effects
Useful notes on Rocuronium
increased duration with liver disease and pregnancy, metabolized by liver/kidneys, use TOF for maint and give 1 ml at a time
Useful notes on Vecuronium
hardly used for intubation b/c of long onset, use TOF for maint and give 1 ml at a time
Useful notes on Cisatracurium
good for renal/hepatic dysfunction, undergoes Hoffman degradation
Useful notes on Neostigmine
dosage based on twitch monitor, BLUDS caused at muscarinic cholinergic receptor sites
Useful notes on Glycopyrrolate
used specifically to counteract BLUDS, used w/ neostigmine b/c of similar onset/duration, 80 kg pt -> 8.0 -> 4.0 ml neo, 4.0 ml glyco
Useful notes on Epinephrine
effects ? & ? receptors
Useful notes on Ephedrine
mainly indirect action by causing NE release
Useful notes on Phenylephrine
direct acting binds to ? receptors, caution w/ bad hearts b/c of increased afterload, no ? effect, occ. combined with glycopyrrolate
Useful notes on Esmolol
fast onset/short duration, works only on ?1 receptors of heart ? ?HR/contractility ? ?BP, metabolized by plasma cholinesterase
Useful notes on Metoprolol
same effect as Esmolol, but lasts longer
Useful notes on Labetalol
?:? antagonism 7:1, vasodilation from blocking ?1
Useful notes on Nitroglycerin
fast onset/short duration, no effect on heart only vasculature, mainly venous side, ? ventricular wall tension
Useful notes on Hydralazine
no effect on heart only vasculature, mainly arterial side, long duration undesirable with blood loss
Useful notes on Ondansetron
give 30 min before emergence, have PO version for morning sickness, sometimes pushed with induction for short cases
Useful notes on Droperidol
used mainly as a secondary to Zofran