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Boards (&PP2019) > Boards > Flashcards

Boards Flashcards

1
Q

Lbs to Kg

A 
Lbs/2 = minus 10% 
(10% = first number after you divide)
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2
Q

120lbs = Kg?

A

120lbs/2 = 60 (minus 10% or 6) = 54kg

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3
Q

200lbs = Kg?

A

200lbs/2 = 100 (minus 10 ) = 90kg

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4
Q

80lbs= kg

A

80lbs/2 = 40 (minus 4 ) = 36kg

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5
Q

How to mix Neo & Ephedrine

A

2 ways:

  1. Concentration of Drug/Size of syringe (mls)
    OR
  2. Concentration of Drug/ Size of Bag (mls)
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6
Q

Phenylephrine vial concentration

A

10mg/mL

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7
Q

Phenylephrine

- Classification, MOA, effect, dose

A

Alpha-1 Agonist.
Increases BP while causing relex bradycardia.
Dose: 50-200mcg

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8
Q

Phenylephrine: Reconstitution into NS bag

A

TWO METHODS:
A. Mix in a Bag of Normal Saline
10mg Neo in 100mLs NS Bag = 10mg/100mLs = 0.1mg = 100mcg/mL of Neo
OR
10mg Neo in 250mL NS Bag = 10mg/250mLs = 0.04mg = 40mcg/mL

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9
Q

PHENYLEPHRINE/ NEOSYNEPHRINE “NEO”

B. Double Dilution Method

A 
Step 1 
Draw up 9mLs saline in 10mL syringe & add
10mg Neo 
= 10mg Ne0/10mLs Saline = 
1mg/mL 0r 1000mcg/mL Neo 
*TOO MUCH!
Step 2
Draw up ANOTHER 9mLs Saline in 10mL syringe & add 1mL of solution from step 1
= 1mgNeo/10mLs Saline =
0.1mg or 100mcg/mL or Neo
This you can give!
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10
Q

Ephedrine

- Classification, MOA, effect, dose, vial concentration

A

Indirect Acting Alpha & Beta Agonist.
Increases BP & HR.
Dose: 5-10mg
Vial concentration: 25mg or 50mg vial

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11
Q

Ephedrine

Vial Concentration: 25mg

A
  1. Draw up 9mLs saline in 10mL syringe or draw up 4mLs saline in 5mL syringe
  2. Add 1mL of either 25mg Ephedrine to either 10mL or 5mL syringe w/ saline

10 mLs Saline Syringe =
-25mg Ephedrine/10mLs Saline = 2.5mg/mL

5mL Saline Syringe =
-25mg Ephedrine/5mL Saline = 5mg/mL

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12
Q

Ephedrine

Vial Concentration: 50mg

A
  1. Draw up 9mLs saline in 10mL syringe or draw up 4mLs saline in 5mL syringe
  2. Add 1mL of 50mg Ephedrine to 10mL or 5mL syringe with saline

10 mLs Saline Syringe =
-50mg Ephedrine/10mLs Saline = 5mg/mL

5mL Saline Syringe =
-50mg Ephedrine/5mL Saline = 10mg/mL

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13
Q

Mixing Dilaudid (2mg, 1mg)

A

2mg Vial of Dilaudid
2mg Dilaudid/10mLs Saline = 0.2mg/mL

1mg Vial of Dilaudid
1mg Dilaudid/10mLs Saline = 0.1mg/mL

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14
Q

DRUG DRAWER MEMORIZATION

By Dose: FROM LOWEST TO HIGHEST

A

Neostigmine: 0.05mg/kg (Reversal agent/Anti-cholinesterase)
Glycopyrolate/Robinul 0.05-0.1mg/kg (Anti-cholinergic)
Succ: 0.5-1.5mg/kg (Paralytic)
Roc: 0.6-1.2mg/kg (Paralytic)
Propofol: 1.5-2.5mg/kg (Hynotiq)
Suggamadex: 2mg/kg (2 twitches), 4mg kg (0 Twitches)

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15
Q

DRUG DRAWER MEMORIZATION

By Time

A 
Onset 30 secs- 1min: Propofol, Succ, Roc, Glyco
Peaks 1 min: Propofol & Succ 
Peaks 3 mins: Roc, Glyco 
Duration 5-10 mins: Propofol & Succ 
Duration 30-60 mins: Roc 
Duration 2-4 hours: Glyco
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16
Q

DRUG DRAWER MEMORIZATION

By Onset, Peak, Duration:

A

Propofol & Succ:: 30—1—10
Roc: 30—3—45
Glyco: 30—3—3
Neostigmine: 5—7—1.5hrs

17
Q

LOCAL ANESTHETICS

The Max Doses

A

3-5-7 Rule

18
Q

LOCAL ANESTHETICS
The Max Doses
3-5-7 Rule

A

3: Bupivicaine (2.5mg/kg)
5: Lidocaine - plain, no Epi (4.5mg/kg)
7: Lidocaine + Epi (7mg/kg)

19
Q

Surgeon wants to give 0.5% Bupivacaine to an 110lb patient. He asks you how much he can give.

A
  1. Convert 110lbs to kgs = 50kg
  2. Max Dose = 2.5mg/kg. 50kg x 2.5 = 125mg is Max
  3. 0.5% Bupivacaine = 5mg/mL
  4. 125/5 = 25mLs
20
Q

How to convertLocal Anesthetic Percentages to Milligrams?

A

Just Move the Decimal Point over 1 to the right

21
Q

4% Lidocaine =

A

40mg/mL

22
Q

2% Lidocaine =

A

20mg/mL

23
Q

1% Lidocaine

A

= 10mg/mL

24
Q

0.25% Bupivacaine =

A

2.5mg/mL

25
Q

NPO Status

A

2,4,6, 8 RULE

26
Q

NPO: 2 hours before

A

Can have clear liquids, black coffee (no OJ, creamer)

27
Q

NPO: 4 hours before

A

Can have breast milk

28
Q

NPO: 6 hours before can have

A

Toast, crackers, milk/creamer, infant formula

29
Q

NPO: 8 hours before can have

A

FOOD:

Burgers, Chinese, corned beef, protein bars

Boards (&PP2019) (12 decks)

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