Common Drugs Flashcards
Fentanyl
Concentration
Dosage
Syringe
5mcg/ml
IV 1-2mcg/kg
Infusion: 1-2mcg/kg/hr
5cc
Faster acting opioid, 100x stronger than morphine. No cardiac effects. Why it’s used.
Versed
Concentration
Dosage
Syringe
Do not use if…
1 mg/ml
3cc
1-2.5mg
Pregnant or no preg test between 10-50
Hepatic disease - metabolized in liver
Elderly - will have trouble cognitively
Use synergistically with Fent to have great effect.
Lidocaine
Concentration
Syringe
20 mg/ml
10 cc
Propofol
Concentration
Dose induction
Syringe
Other facts?
10mg/ml
1-2.5mg/kg
20cc
VASODIALATOR … burns on injection due to egg white protein.. helps block PONV. Lipid emulsion causes bacterial growth only good for 6h.
Nimbex
Concentration
Syringe
Dose
2mg/ml
10cc
0.1-0.15 mg/kg
Roc
Concentration
Syringe
Intubation Dose
Infusion Dose
10 mg/ml
5cc
- 6-1.2 mg/kg
- 1 mg/kg
Vecc
Concentration
Syringe
Maintenance Dose
1mg/ml
10cc
0.01 mg/kg
Succ
Concentration
Syringe
Dose
20 mg/ml
10cc
1-2 mg/kg
EPHEDRINE
Concentration
Syringe
5mg/ml
10cc
Phenylephrine
Concentration
Syringe
.1mg/ml
10cc
Opioid side effects
Depression of ventilation
Depression of gastric motility
Post op nausea and vomiting/itching
Morphine
Concentration
Dosage
Onset
Duration
10 mg/ml
0.1-1mg/kg IV
15-30 minutes
3-6 hours (long lasting)
Meperidine (Demerol)
Used commonly for…
What sort of cautions used?
Dosage?
Class of drug?
Post op shivering due to high muscle composition
Watch out for renal disease… I’d have bad kidneys can cause neurotoxicity
12.5mg-25mg IV
Opioid
Dilaudid
Concentration
Dose
Duration
Caution
2mg ampule
0.5-2mg dose
Greater than 5 hours effects
5x as potent as morphine
Naloxone
Concentration
Dose
Cautions
.4 mg vial
1-4 mcg/kg
Nausea/vomiting, tachy, increased sympathetic NS.
Block respiratory effect, but also block analgesic effect.
What are two drugs we can use besides opioids that will have same effect and some of their side of cautions?
Ketorolac - Torodol 30mg
Need good Kidneys. Same category as ibuprofen
IV Acetaminophen- 1000mg.
Need good liver.
Induction drugs…
Onset..
Duration…
What do they do?
Propofol/Etomidate/Ketamine
30-60 seconds
Duration 5-10 minutes
- all lipid soluble
- HAND HEART BRAIN
Induce a state of hypnosis or sleep like state.
TIVA
Total IV Anesthetic
- Used to decrease anesthesia gas consumption which will cut down on PONV.
Neostigmine
Dose
0.04-0.07 mg/kg
Glycopyrolate
Reversal Dose with/ Neostigmine
0.2 mg IV per 1 mg of neostigmine
Atropine
IM Dose
Bradycardia Dose
IM : 0.01-0.02 mg/kg (up to .4-.6)
Brady: 0.4-0.6 mg (up to 3mg)
Sugammadex
Immediate reversal after 1.2 of Roc
No Response to TOF dose
Reversal with 2+ Twitches
16 mg/kg
4 mg/kg
2 mg/kg
