Dosages Preop Meds

Question 1

Versed sedation/anxiolysis
Dose (adult):
Onset:
Peak:
Metabolism:
Excretion:
E1/2:

Answer 1

Midazolam/Versed
Adult Dose: 1-5 mg IV
Onset: 1-2 min
Peaks: 5 min
Metab: CYP3A4
Excretion: Renal
E1/2: 2 hours

Question 2

Versed sedation/anxiolysis children dose
Peak?

Answer 2

0.25-0.5 mg/kg oral
Peak 20-30 min

Question 3

Versed induction dose

Answer 3

Not common as induction
0.1-0.2 mg/kg IV over 30-60 sec

Question 4

Versed Postoperative sedation dose

Answer 4

1-7 mg/hr IV
Not recommended for use more than 2 days d/t immune/T cell effects

Question 5

Valium anticonvulsant dose

Answer 5

0.1 mg/kg IV

Question 6

Valium induction dose

Answer 6

0.5-1 mg/kg IV
Decrease 25-50% in:
-elderly
-Liver disease
-Presence of opioids

Question 7

Ativan dose

Answer 7

1-4 mg IV

Question 8

Flumazenil
Dose:
Duration:
Metabolism:

Answer 8

Flumazenil/Romazicon
Dose: 0.2 mg IV
-repeat 0.1 mg q1 min to 1 mg total - To consciousness
Duration: 30-60 min
Metabolism: CYP

Question 9

Benadryl
Dose:
E1/2:

Answer 9

Diphenhydramine/Benadryl
Dose: 25-50 mg IV
E1/2: 7-12 hours

Question 10

Phenergan
Dose:
Onset:
E1/2:

Answer 10

Promethazine/Phenergan
Dose: 12.5-25 mg IV
Onset: 5 min
E1/2: 9-16 hours

Question 11

Tagamet dose

Answer 11

150-300 mg IV
1/2 dose in renal impairment

Question 12

Zantac dose

Answer 12

50 mg diluted 20 cc over 2 min
1/2 dose for renal impairment

Question 13

Pepcid
Dose:
Metabolism:
Excretion:
E1/2:

Answer 13

Famotidine/Pepcid
Dose: 20 mg IV
1/2 dose for renal impairment
Metabolism: Hepatic
Excretion: Renal
E1/2: 2.5-4 hours

Question 14

Prilosec dose

Answer 14

40 mg in 100cc over 30 min
(Or PO > 3 hrs prior)

Question 15

Protonix
Dose:
Onset:
Metabolism:

Answer 15

Pantoprazole/Protonix
Dose: 40 mg in 100cc over 2-15 min
Onset: 1 hour
Metabolism: Hepatic

Question 16

Bicitra
Dose:
Duration:

Answer 16

Sodium Citrate/Bicitra
Dose: 15-30 mL PO
Duration: 30-60 min

Question 17

Reglan dose and timing

Answer 17

10-20 mg IV over 3-5 min

15-30 min prior to induction

Question 18

Droperidol dose

Answer 18

0.625-1.25 mg IV

Question 19

Zofran
Dose:
E1/2:

Answer 19

Ondansetron/Zofran
Dose: 4-8 mg IV
E1/2: 4 hours

Question 20

Decadron
Dose:
Onset:
Duration:

Answer 20

Dexamethasone/Decadron
Dose: 4mg / 8mg / more to prevent airway swelling
Onset: 2 hours
Duration: 24 hours

Question 21

Scopolamine dose

Answer 21

1 patch for 24-72 hr