Doses Flashcards
Propofol (2,6 di iso prophenol, non barbituate induction)
NV: 10mg
Induction: 1-2.5 mg/kg
GA: 100-300 mcg/kg/min
Sedation: 25 mcg/kg/min
Etomidate (non barbituate induction)
Induction: 0.3 mg/kg
Maintenance: 10 mcg/kg/min
Ketamine (non barbituate induction agent, like pcp)
Induction: .5-2mg/kg
Maintenance: 1-2 mg/kg/hr
Sedation 0.2-0.5 mg/kg IV
>2 mg/kg = delirium
Precedex (selective alpha 2 agonist) (inhibits NE release)
1 mcg/kg bolus over 10-15 minutes
0.2-1 mch/kg/hr infusion
Reglan (Dopamine antagonist - similar to procainamide
Anti nausea/ anti emetic
10 mg IV over 3-5 minutes; 15-30 minutes before induction
Droperidol (Dopamine antagonist)
anti nausea anti emetic
0.625 - 1.25 mg iv
Ondansetron (Zofran)
5 HT3 INHIBITOR SERATONIN ANTAGONIST
anti nausea anti emetic
4-8 MG IV
Promethazine (Phenergan)
anti nausea anti emetic
7-25 mg IV
Omeprazole (Prilosec)
anti nausea anti emetic
20mg PO
40 mg IV
SODIUM CITRATE (BICITRA) NON PARTICULATE CLEARN ANTIACID
15-30 mL PO 15-30 minutes preop
Hydromorphine
opioid - NO HISTAMINE response
0.5-2 MG IV q4-6h
Morphine (natural opioid agonist)
OPIOID
2.5-15 mg IV pre/post op
delayed respiratory depression esp with epidural and spinals
Meperedine (Demerol) opioid
phenyl-piperdine synthetic opioid agonist
ob - post op
NO HISTAMINE RELEASE
decrease shivering (kappa and alpha 2)
atropine like structure/ similar to lidocaine
50-150 mg IM
5 mg q5min IV
12.5 mg IV shivering
Fentanyl (opioid)
phenyl piperdine synthetic opioid agonist
blunts DVL, spinal and epidural
pre-med: 25-100 mcg
analgesia: 1-2 mcg/kg
Intra-op dose: 12.5-100 mcg
Sufentanyl (opioid)
pheyl piperdine synthetic opioid agonist
good in CARDIAC surgery
0.1-1 mcg/kg bolus
1-2 mcg/kg minor
2-8 mcv/kg moderate
8-50 mch/kg sole anesthetic
alfentanyl - opioid
Tetrazole fentanyl derivative synthetic opioid agonist, dvl returobulb block, decreas mac,
10-20 mch/kg
infusion: 0.25-0.75 mcg/kg/min
Remifentanyl (opioid)
phenyl-piperdine synthetic opioid agonist with ester link
good for neuro and outpatient ob
0.5-1 mcg/kg over 60 seconds
Atropine (anticholinergic)
Tertiary amine - crosses BBB
0.01 mg/kg for reversal (edrophonium)
0.4-1 mg bradycardia
1 mg q3-5 minutes for Asystole, PEA
Glycopyrolate (anticholinergic)
Synthetic quartenary ammonium
does NOT cross bbb
- 01-0.02 mg/kg IV (with neostigmine)
0. 1-0.2 mg (anti-sialogogue and bradycardia)
Scopalamine (anticholinergic)
tertiary amine - crosses BBB and placenta
0.3-0.6 mg IV q4-6h
pyridostimine (anticholinesterases)
competitive acetylcholinesterase inhibitor
quartenary ammonium - does NOT cross BBB
0.2 mg/kg with glyco 0.01mg/kg - oral for MG
edrophonium (anticholinesterases)
comp acetylcholinesterase inhibitor
quart ammonium does NOT cross bbb
0.5-1 MG/KG WITH ATROPINE 0.01 MG/KG
NEOstigmine anticholinesterase
comp actelycholinesterase inhibitor
quartenary ammonium - does NOT cross bbb
0.05-0.07 MG/KG with glyco 0.01 mg/kg
physostigmine - anticholinesterase
tertiary amine - cross BBB
for atropine tox., MG, gLAUCOMA
15-60 MCG/KG iv q1-2 hours
ampicillin - antimicrobial
bETA LACTUM, 2ND GENERATION PCN, BROAD SPECTRUM, GI/GU/DENTAL
2 gram IV q 30 minutes
Cefazolin - antimicrobial - cephalosporin
beta lactum, 1st generation PCN, broad spectrum,
1-2 g iv 30 MINUTES PREOP
GENTAMYCIN - ANTIMICROBIAL
Aminoglycoside, broad spectrum
60-120 mg iv
TOXIC >9 mcg/ml
CLINDAMYCIN - ANTIMICROBIAL
LINCOSAMIDE - SEMI SYNTHETIC - NARROW SPECTRUM
TX PCN RESISTANT STAPH AND BACTEROIDES
600 MG IV preop
VANCOMYCIN - ANTIMICROBIAL
GLYCOPEPTIDE
BROAD SPECTRUM
1 G IN 250 ML
10-15 MG/KG
METRONIDAZOLE (FLAYGL) ANTIMICROBIAL
SYNETHIC ANTI BACTERIAL AGENT ANTI PROTOZOAN,
500 MG IV OVER 10 - 20 MINUTES PREOP
CIPROFLOXACIN - ANTIMICROBIAL
FLUORO QUINOLONE, BROAD SPECTRUM
200-400 MG IV OVER 60 MINUTES
DANTROLENE
DIRECT , CENTRALL ACTING MUSCLE RELAXANT USED TO TREAT AND PREVENT MH AND MUSCLE SPASITICY
2.5 MG/KG IV FOLLOWED BY MAINTENANCE DOSE 2MG/KG IV Q5MINUTES TO TOTAL 10 MG/KG
PO: 4-8 MG.KG/DAY IN 2 DIVIDED DOSES FOR 3 DAYS
