Box 1 Flashcards
Generic name for Versed?
Midazolam
Classification of Versed?
Benzodiazepine
Contraindications for Versed?
GLAUCOMA!
lactation, pregnancy, CNS depression
Usual dose of Versed given before Intubation?
2-5mg
If Versed is used as the sole medication in intubation how much would you give?
0.1-0.2mg/kg IV
Versed dose for pre-op kids?
0.5mg/kg oral (20mg max)
Versed MOA?
binds to GABA receptor increases the frequency of chloride channel opening, resulting in postsynaptic membrane hyperpolarization and neuronal transmissions is inhibited.
Versed Elimination half-time?
Half-life 1-3 hours
Versed onset IV?
30-60 sec.
Versed Peak IV?
2-6 min.
Does Versed pass through the BBB?
Yes
Versed is supplied in the vial as what concentration?
5mg/ml or 2mg/ml
Reversal for Versed?
Flumazenil
If Versed is given for paradoxical vocal cord motion and/or strider post surgery, how much will you give?
0.5-1mg IV
How fast should you push Versed?
over 2 min (slowly)
Trade name for Fentanyl?
Sublimaze
Classification of Fentanyl?
Opioid Agonist
Contraindications to Fentanyl?
If elderly or hypovolemic, reduce dose.
Crosses the placenta and may produce depression of respiration in the neonate.
May have prolonged respiratory depression after cessation of TD patch.
Induction dose of Fentanyl?
50-100 IV mcg is normal
Why do we give Fentanyl before intubation?
attempt to blunt circulatory response to direct laryngoscopy.
Why is Fentanyl given before or during surgery?
blunt sudden changes in level of surgical stimulation.
Analgesia dose of Fentanyl for adults?
1 to 2 mcg/kg
Epidural bolus dose of Fentanyl, and infusion rate?
bolus: 1 to 2 mcg/kg (same as analgesic dose)
infusion: 2 to 60 mcg/hr
Spinal dose of Fentanyl?
one time dose of 0.1-0.4mcg/kg