Doses - Y

Question 1

Epinephrine in CPR:

Answer 1

1mg IV or IO every 3-5mins

Question 2

Vasopressin CPR dose:

Answer 2

40 units IV

Question 3

Amiodarone CPR dose:

Answer 3

300mg followed by 150mg if needed

Question 4

Atropine CPR dose:

Answer 4

0.5-1.0mg every 3-5mins total of 3mg
- Indications are bradycardia, AV block

Question 5

Lidocaine CPR dose:

Answer 5

1-1.5mg/kg every 5-10mins - total dose of 3mg/kg

Question 6

Vasopressin CPR dose:

Answer 6

40UI IV single dose

Question 7

Amiodarone CPR dose:

Answer 7

150mg over 10min

Question 8

Sodium chloride CPR dose:

Answer 8

05-1mEq/kg

Question 9

Lidocaine:

Answer 9

200mg plain solution
500mg w/ adrenaline
pKa 7.8

Question 10

Bupivicaine max. dose:

Answer 10

150mg (30mL of 0.5%)

Question 11

Local anesthetic doses:

Answer 11

Chlorprocaine - 40-60mg (11mg/kg -> 14mg/kg w/ epinephrine)
Lidocaine - 40-60mg (3mg/kg -> 5mg/kg w/ epinephrine) - 60 to 90 mins
Bupivicaine - 5-20mg (2.5 -> 3mg/kg w? epinephrine)
Tetracaine - 5-20mg - vasoconstriction doubles effect

Addition of 25mcg fentanyl, 0.1-0.5mg morphine can be done

Question 12

MAC value for Inhaled anesthetics

Answer 12

NO - 104%
Sevoflurane - 1.8%
Isoflurane - 1.3%
Desflurane - 6.6%

Question 13

IV anesthetics:

Answer 13

Sodium thiopental - 3-7mg/kg -> 30-40s -> 5-10mins

Propofol - 1-2mg/kg (4-8ug/ml for maintenence)

Ketamine - 1-2mg/kg (IM 5-10mg/kg)

Etomidate - 0.3mg/kg

Question 14

Diazepam
Midazolam

Answer 14

Diazepam - 5-20mg, 2.5mg
Midazolam - 1-5mg, 0.5-1mg

Question 15

Etomidate in sedation:

Answer 15

0.1-0.1mg/kg + o.o5mg/kg every 4 mins

Question 16

Opioid doses:

Answer 16

Morphine - 10mg, 15mg
Pethidine - 100mg
Tramadol - 100mg
Fentanyl - 100ug

Question 17

Indications for TIVA:

Answer 17

MH
QT syndrome
PONV
Thoracic surgery
Difficulty intubating/extubating
Neurosurgery
MG
Non-theatre environments
Day-case surgery
Patient choice

Question 18

TIVA Drugs:

Answer 18

Propofol
Benzos
Ketamine
Dexmedatomadine
Dexamethasone
Magnesium suplahte
Muscle relaxants
Narcotics

Question 19

Propofol TIVA dose:

Answer 19

2-2.5mg/kg not alone
1mg/kg alone

Question 20

Dexmedatomadine TIVA dose:

Answer 20

0.5-1mcg/kg

Question 21

Fentanyl TIVA dose:

Answer 21

3ug/kg bolus over 30s
Remifentanyl 1mcg/kg

Question 22

Neuroleptanalgesia:

Answer 22

100mcg fentanyl
5mg droperidol

Decreased motor function, suppressed autonomic reflexes, cardiovascular stability, mild amnesia
Drowsiness
Endoscopies, angiographies, minor operations (hernia)

Question 23

Droperidol alone:

Answer 23

Alpha adrenergic blockade
Antidopaminergic
Peripheral VD
Hypotension

2.5mg/mL

Question 24

Succinylchline:

Answer 24

0.6-1.5mg/kg-> less than 1min -> 5-10mins
Causes potassium to go up 0.5mEq/L
-> 2-4mg/kg

Cardiac dysrhythmias, hyperkalemia, myoglobinuria, incrased intraocular pressure, increased intragastric pressure, increased intracranial pressure, trismus

Question 25

Long, intermediate, short NDMR examples:

Answer 25

d-tubocurarine, metocurine, gallamine, pancuronium, pipecuronium, doxacurium

atracurium, vecuronium, rocuronium

mivacurium

Question 26

NDMR doses:

Answer 26

d-tubocurarine - 0.51mg/kg
metocurine - 0.28mg/kg
gallamine - 1mg/kg
pancuronium - 0.07mg/kg
pipecuronium - 0.007mg/kg
doxacurium - 0.35-0.40mg/kg
atracurium - 0.3-0.6mg/kg
cistacurium - 150ug/kg
vecuronium - 80-100ug/kg
rocuronium - 0.6-1mg/kg

mivacurium - 0.07 -0.25mg/kg

Question 27

NDMR

Answer 27

Tetanic fade but no fasciculation
antagonized by aceytylcholinesterase inhibitors