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Pharmacology I > Drug Card Cleanup > Flashcards

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

A

~2 mins

25
Q

What is dexamethasone used for?

A

antiemetic and reduce inflammation

26
Q

What is the concentration of dexamethasone?

A

Concentration varies!! (check vial)

27
Q

What is the common antiemetic dose given for dexamethasone?

A

[4mg or 8 mg] [5 or 10 mg]

28
Q

Why should you give dexamethasone early?

A

Takes ~2 hours for onset

29
Q

Why is it important for patient to be deep enough before giving dexamethasone?

A

Perineal burning

30
Q

How much dexamethasone can you give for airway trauma if there is a difficult airway?

A

up to 12 mg

31
Q

What is the concentration of remifentanil?

A

50 mcg/mL

32
Q

What is the infusion rate for remifentanil?

A

.05-.1 mcg/kg/min

33
Q

What is the duration of remifentanil like?

A

Very short acting (plasma esterase metabolism)

34
Q

What type of cases is remifentanil commonly used for?

A

TIVA/neuromonitoring cases

35
Q

What complications can remifentanil cause?

A

Bradycardia

36
Q

What type of drug is phenylephrine?

A

Alpha-1 agonist

37
Q

What is the pre-made syringe concentration for phenylephrine?

A

100 mcg/mL

38
Q

What is the common dose of phenylephrine?

A

100 mcg-200 mcg

39
Q

What is an important complication that can occur when administering phenylephrine?

A

Reflex bradycardia

40
Q

What type of drug is ephedrine?

A

Beta-1 agonist with indirect alpha-1 agonist effects

41
Q

What is the concentration of ephedrine?

A

50 mg/mL (dilute with 4 mL N/S = 10 mg/mL) (dilute with 9 mL N/S) = 5 mg/mL)

42
Q

What is ephedrine used for? Contradictions?

A

Primarily HR , BP slightly; CAD pts

43
Q

What is the concentration of glycopyrralate?

A

.2 mg/mL

44
Q

What is the common dose of glycopyrralate?

A

0.2-0.4 mg

45
Q

What is glycopyrralate used for?

A

Inc. HR, produce dry mouth, NMB reversal

46
Q

What is the concentration of ondansetron?

A

2 mg/mL

47
Q

What is the common dose of ondansetron given?

A

4 mg

48
Q

When is ondansetron typically given?

A

~15 mins before patient is awake

49
Q

What is the concentration of ketorolac?

A

30 mg/mL

50
Q

What is the common dose for ketorolac?

A

30 mg or 15 mg

51
Q

Why should ketorolac be given towards the end of the procedure?

A

Can cause bleeding if given at beginning

52
Q

What is sugammadex used for?

A

NMB reversal

53
Q

What is the concentration of sugammadex?

A

100 mg/mL

54
Q

What is the dosage for sugammadex?

A

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
Q

Which drugs is sugammadex approved to reverse?

A

Rocuronium and Vecuronium

Pharmacology I (3 decks)

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