Drug Card Cleanup Flashcards

1
Q

What benzodiazepine is used most commonly as premedication for its anxiolytic properties?

A

Midazolam

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2
Q

Whats the standard concentration of midazolam?

A

1 mg/mL

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3
Q

What is the common dose given for midazolam?

A

2mg (2 mL)

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4
Q

Over what age should you be be cautious giving midazolam to?

A

70

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5
Q

Which drug is used for its opiod-analgesic (pain control) properties?

A

Fentanyl

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6
Q

What is the concentration of fentanyl?

A

50 mcg/mL

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7
Q

What is the common induction dose given for fentanyl?

A

25 mcg-100 mcg

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8
Q

What are the 2 common concentrations for lidocaine?

A

2% (20 mg/mL) and 1% (10 mg/mL)

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9
Q

What is the common induction dose given for lidocaine?

A

20 mg-100 mg

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10
Q

What is given to reduce propofol burn and for airway numbing?

A

Lidocaine

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11
Q

What drug is a GABA agonist and whats its standard concentration?

A

Propofol: 10 mg/mL

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12
Q

What is the common induction dose given for propofol?

A

100 mg-200 mg

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13
Q

When giving propofol, why should you start slow in fragile patients?

A

CV depressant

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14
Q

What is the common PONV infusion rate for propofol?

A

25-40 mcg/kg/min

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15
Q

What is the common TIVA infusion rate for propofol?

A

~200 mcg/kg/min (titrate to effect)

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16
Q

What is the concentration of succinylcholine?

A

20 mg/mL

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17
Q

What is the common intubating dose for succinylcholine?

A

120 mg-200 mg

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18
Q

What muscle relaxant is traditionally used for rapid sequence inductions?

A

Succinylcholine

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19
Q

When should you NOT use succinylcholine?

A

Hyperkalemic or MH pt

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20
Q

What is the concentration of zemuron?

A

10 mg/mL

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21
Q

What is the common dose of rocuronium given for intubation?

A

50 mg

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22
Q

For a RSI, will you typically mask ventilate the patient?

A

No

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23
Q

While waiting for rocuronium to get “on board”, what should you do?

A

Mask ventilate

24
Q

Rocuronium typically takes […] for intubating conditions

25
What is dexamethasone used for?
antiemetic and reduce inflammation
26
What is the concentration of dexamethasone?
Concentration varies!! (check vial)
27
What is the common antiemetic dose given for dexamethasone?
[4mg or 8 mg] [5 or 10 mg]
28
Why should you give dexamethasone early?
Takes ~2 hours for onset
29
Why is it important for patient to be deep enough before giving dexamethasone?
Perineal burning
30
How much dexamethasone can you give for airway trauma if there is a difficult airway?
up to 12 mg
31
What is the concentration of remifentanil?
50 mcg/mL
32
What is the infusion rate for remifentanil?
.05-.1 mcg/kg/min
33
What is the duration of remifentanil like?
Very short acting (plasma esterase metabolism)
34
What type of cases is remifentanil commonly used for?
TIVA/neuromonitoring cases
35
What complications can remifentanil cause?
Bradycardia
36
What type of drug is phenylephrine?
Alpha-1 agonist
37
What is the pre-made syringe concentration for phenylephrine?
100 mcg/mL
38
What is the common dose of phenylephrine?
100 mcg-200 mcg
39
What is an important complication that can occur when administering phenylephrine?
Reflex bradycardia
40
What type of drug is ephedrine?
Beta-1 agonist with indirect alpha-1 agonist effects
41
What is the concentration of ephedrine?
50 mg/mL (dilute with 4 mL N/S = 10 mg/mL) (dilute with 9 mL N/S) = 5 mg/mL)
42
What is ephedrine used for? Contradictions?
Primarily HR , BP slightly; CAD pts
43
What is the concentration of glycopyrralate?
.2 mg/mL
44
What is the common dose of glycopyrralate?
0.2-0.4 mg
45
What is glycopyrralate used for?
Inc. HR, produce dry mouth, NMB reversal
46
What is the concentration of ondansetron?
2 mg/mL
47
What is the common dose of ondansetron given?
4 mg
48
When is ondansetron typically given?
~15 mins before patient is awake
49
What is the concentration of ketorolac?
30 mg/mL
50
What is the common dose for ketorolac?
30 mg or 15 mg
51
Why should ketorolac be given towards the end of the procedure?
Can cause bleeding if given at beginning
52
What is sugammadex used for?
NMB reversal
53
What is the concentration of sugammadex?
100 mg/mL
54
What is the dosage for sugammadex?
2mg/kg if 2 or more twiches in TOF, 4 mg/kg if 0 or 1 TOF, 16 mg/kg if emergently needed to reverse NMB
55
Which drugs is sugammadex approved to reverse?
Rocuronium and Vecuronium