Dosages: Induction Agents, NMBAs, Reversal, Locals Flashcards

1
Q

Propofol

Adult - Induction

A

1.5 - 2.5mg/kg

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2
Q

Propofol

Pediatric - Induction

A

2-3mg/kg

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3
Q

Propofol

Sedation (MAC)

A

25-100mcg/kg/min

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4
Q

Propofol

Adult - Maintenance of General Anesthesia

A

100-300mcg/kg/min

TIVA

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5
Q
Propofol 
Pediatric (Book) - Maintenance of General Anesthesia
A

60-250mcg/kg/min

TIVA

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6
Q
Propofol 
Pediatric (Reality) - Maintenance of General Anesthesia
A

200-400mcg/kg/min

TIVA

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7
Q

Propofol

PONV

A

10-15mg

Use Caution

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8
Q

Lidocaine

Analgesia for Propofol

A

20mg of 2% Lidocaine

Mix just prior to injection

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9
Q

Etomidate

Induction Dose

A

0.2-0.4mg/kg

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10
Q

Ketamine

Induction (IV)

A

1-2mg/kg

IV Bolus

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11
Q

Ketamine

Induction (IM)

A

4-8mg/kg

IM

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12
Q

Ketamine

Analgesia

A

0.2-0.5mg/kg

IV

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13
Q

Succinylcholine (SCh)

Intubating Dose

A

1-1.5mg/kg

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14
Q

Succinylcholine (SCh)

Rapid Sequence Dose

A

1.5mg/kg

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15
Q

Succinylcholine (SCh)

Time Profile

A

RAPID Onset: 30-60 second
Short Duration: 5-10minutes
Short DMR

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16
Q

Pancuronium

Intubating Dose

A

0.1mg/kg

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17
Q

Pancuronium

Time Profile

A

SLOW Onset: 3-5 minutes
LONG Duration: 60-90 minutes
Longest Acting NDMB

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18
Q

“Priming Dose”

A

10% of ED95

Used to INCREASE onset of NDMB for Intubation

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19
Q

“Defasciculating Dose”

A

10% of ED95 of a NDMB
Used to DECREASE Fasiculations seen with SCh
Will require larger dose of SCh for intubation

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20
Q

Vecuronium

Intubating Dose

A

0.1mg/kg

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21
Q

Vecuronium

Time Profile

A

Onset: 3-5 minutes
Duration: 20-35 minutes
Intermediate Acting / Aminosteroid

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22
Q

Rocuronium

Intubating Dose

A

0.6mg/kg

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23
Q

Rocuronium

Rapid Sequence Dose

A

1.2mg/kg

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24
Q

Rocuronium

Normal Time Profile

A

Onset: 1-2 minutes
Duration: 20-35 minutes
Intermediate NDMR / Aminosteroid

25
Q

Rocuronium

RSI Time Profile

A

RAPID Onset: 30-45 seconds
PROLONGED Duration: 60-90 minutes
Rapid due to DOUBLING Dose

26
Q

Atracurium

Intubating Dose

A

0.5mg/kg

27
Q

Atracurium

Time Profile

A

Onset: 3-5 minutes
Duration: 20-35 minutes
Intermediate NDMR / Bezylisoquinolinium

28
Q

Cisatracurium

Intubating Dose

A

0.2mg/kg

29
Q

Cisatracurium

Time Profile

A

Onset: 3-5 minutes
Duration: 20-35 minutes
Intermediate NDMR / Bezylisoquinolinium

30
Q

Neostigmine

Dose

A

0.07 mg/kg
(Max Dose 5mg)
Anticholinesterase

31
Q

Pyridostigmine

Dose

A

0.35mg/kg
(Max Dose 20mg)
Anticholinesterase

32
Q

Edrophonium

Dose

A

1mg/kg
(Fastest in Class, Can use Atropine or Glycopyrrolate)
Onset: 1-2 minutes
Anticholinesterase

33
Q

Physostigmine

Dose

A

0.03mg/kg
(Crosses BBB, May Cause Central Cholinergic Crisis)
Doesn’t require antimuscarinic/anticholinergic
Anticholinesterase

34
Q

Physostigmine

Central ANTI-Cholinergic Treatment

A

15-60mcg/kg

Physostigmine crosses BBB

35
Q

Glycopyrrolate

Dose

A

0.01-0.012mcg/kg

w/ Neostigmine and Pyridostigmine

36
Q

Neostigmine + Glycopyrrolate

Dosing

A
Neo 1mg + Glyco 0.2mg 
Neo 2mg + Glyco 0.4mg 
Neo 3mg + Glyco 0.6mg 
Neo 4mg + Glyco 0.7mg 
Neo 5mg + Glyco 0.8mg 
(Neostigmine MAX Dose 5mg)
37
Q

Chloroprocaine

Single Dose

A

800mg

Fastest Ester

38
Q

Chloroprocaine

Single w/ Epi

A

1000mg

w/ Epi

39
Q

Chloroprocine

Weight Based

A

9mg/kg

weight Based

40
Q

Chloroprocaine

Weight Based w/ Epi

A

12mg/kg

w/ Epi weight Based

41
Q

Procaine

Single Dose

A

400mg

42
Q

Procaine

Single w/ Epi

A

600mg

w/ Epi

43
Q

Procaine

Weight Based

A

7mg/kg

weight based

44
Q

Procaine

Weight w/ Epi

A

12mg/kg

w/ Epi weight based

45
Q

Tetracaine

Single Dose

A

100mg
(slowest ester)
No Weight Based

46
Q

Tetracaine

Single w/ Epi

A

200mg
(w/ Epi)
No Weight Based

47
Q

Prilocaine

Single Dose

A

500mg

No Epi, No Weight Dosing

48
Q

Lidocaine

Single Dose

A

300mg

49
Q

Lidocaine

Single w/ Epi

A

500mg

w/ Epi

50
Q

Lidocaine

Weight Based

A

5mg/kg

weight based

51
Q

Lidocaine

Weight w/ Epi

A

7mg/kg

w/ Epi weight based

52
Q

Mepivicaine

Single Dose

A

300mg

53
Q

Mepivicaine

Single w/ Epi

A

500mg

w/ Epi

54
Q

Mepivicaine

Weight Based

A

5mg/kg
(weight based)
NO Epi Weight Based

55
Q

Ropivicaine

Single Dose

A

300mg

no single w/ Epi, or Weight Based

56
Q

Bupivacaine

Single Dose

A

175mg

57
Q

Bupivacaine

Single w/ Epi

A

225mg

w/ Epi

58
Q

Bupivacaine

Weight Based

A

2.5mg/kg

weight based

59
Q

Bupivacaine

Weight w/ Epi

A

3mg/kg

weight w/ Epi