Drug List Summer 2014 Flashcards
Amidate
Type: induction agent Generic: etomidate Drug Class: carboxylate imidazole Mg/cc: 2 mg/cc Dose: 0.2-0.4 mg/kg Onset: 15-30 sec (works fast) Peak: 1 min (peaks fast) Duration: 3-10 min (lasts a little shorter than propofol) FAST ONSET, FAST PEAK, SHORT DURATION
Diprivan
Type: induction agent Generic: propofol Drug Class: isoprophylphenol (sounds like propofol) Mg/cc: 10mg/cc Dose: 1-2.5 mg/kg for induction Onset: 15-30 sec (works fast) Peak: 1 min (peaks fast) Duration: 5-10 min (short duration) FAST ONSET, FAST PEAK, SHORT DURATION
Brevital
Type: induction agent Generic: methohexital na Drug Class: barbiturate Mg/cc: 10 mg/cc (same as propofol) Dose: 2 mg/kg Onset: 20-40 sec (little longer than propofol) Peak: 45 sec (faster than prop) Duration: 5-10 min (same as prop) FAST ONSET, FAST PEAK, AVG/SHORT DURATION
Ketalar
Type: induction agent
Generic: ketamine hcl
Drug Class: phencyclidine derivative (phen phen and Special K kill)
Mg/cc: 50 mg/cc
Dose: 0.2 mg/kg for analgesia, 2-4 mg/kg for induction
Onset: 30-60 (longest of the induction agents
Peak: 2-3 min (longest of the induction agents)
Duration: 60-90 (super slow to clear)
SLOWEST ONSET, SLOWEST PEAK, LONG DURATION
Sublimaze
Type: opiod
Generic: fentanyl
Drug Class: phenylpiperidine synthetic (pipe down and ill give you fent)
Mg/cc: 50mcg/cc
Dose: 25-100 mcg for analgesia, >100 mcg/kg for cardiac anesthetic
Onset: 15-30 sec (fastest possible)
Peak: 3-5 min (mid range peak of opiods)
Duration: 30-60 min (increases with increased doses), avg duration
FASTES ONSET, AVG PEAK, AVG DURATION
Sufenta
Type: opiod
Generic: sufentanil
Drug Class: phenylpiperidine synthetic (same as fentanyl)
Mg/cc: 50 mcg/cc (same as fentanyl)
Dose: 0.2-0.6 mcg/kg as adjunct to inhalation anestesia (generic has an “i” in it instead of a “y”, so think inhalation), 8-30 mcg/kg for cardiac (much less than fent)
Onset: 15-30 sec (can’t be faster, same as fent)
Peak: 3-5 min (avg peak, same as fent)
Duration: 20-45 min in analgesia doses (faster than fent), duration increases with increased doses
FASTEST ONSET, AVG PEAK, SHORT DURATION
morphine
Type: opiod
Generic: morphine
Drug Class: phenanthrene alkaloid (rhymes with morphene, sooo basic)
Mg/cc: 1-15 mg/cc (only one w/ a range)
Dose: 2-15 mg adult (similar to mg/cc), 0.1 mg/kg peds
Onset: 30-60 (second fastest option)
Peak: 15-30 min (longest of opiods)
Duration: 3-4 hours (longest of opiods, usually ordered for q4)
FAST ONSET, SLOWEST PEAK, LONGEST DURATION
Dilaudid
Type: opiod
Generic: hydromorphone
Drug Class: semi-synthetic phenanthrene (fake morphine)
Mg/cc: 1 or 2 mg/cc
Dose: 0.25-2 mg adults, 0.01-0.04 mg/kg peds
Onset: 30-60 sec (same as morphine, second fastest)
Peak: 3-5 min (fastest peak of opiods)
Duration: 2-3 hours (second longest of opiods)
FAST ONSET, FASTEST PEAK, LONG DURATION
Ultiva
Type: opiod
Generic: remifentanil
Drug Class: phenylpiperidine synthetic (all the fents)
Mg/cc: 1 or 2 mg vials for reconstitution
Dose: 0.05-2 mcg/kg/min
Onset: 15 sec (absolute fastest, no range)
Peak: 1 min (super fast, fastest peak of opiods)
Duration: 5-10 min (fastest duration of opiods, what sets it apart)
FASTEST ONSET, FASTEST PEAK, SHORTEST DURATION
Anectine
Type: Depolarizing muscle relaxant
Generic: succinylcholine
Drug Class: depolarizer
Mg/cc: 20 mg/cc
Dose: 1-1.5 mg/kg for intubation (usually give ~100 succs on trauma)
Onset: 30-60 sec (fastest of muscle relaxants)
Peak: 1 min (fastest of muscle relaxants)
Duration: 3-5 min (fastest of muscle relaxants)
FASTEST ONSET, FASTEST PEAK, SHORTEST DURATION
Nimbex
Type: Non-depolarizing muscle relaxant
Generic: cisatracurium (hardest to say)
Drug Class: benzylisoquinolinium (hardest to say)
Mg/cc: 2 mg/cc
Pre-Treatment: 1-2 mg (same as vec)
Dose: 0.1 mg/kg for intubation
Onset: 3-5 min (slowest of muscle relaxants)
Peak: 5-10 min (slowest of muscle relaxants)
Duration: 20-35 min (longest of muscle relaxants, same for all non-depolarizing)
SLOWEST ONSET, SLOWEST PEAK, LONGEST DURATION
Norcuron
Type: Non-depolarizing muscle relaxant
Generic: vecuronium
Drug Class: aminosteroid (vacuuming sounds like vec-amine)
Mg/cc: 1 mg/cc for reconstitution (duh we always reconstituted on trauma)
Pre-treatment: 1-2 mg/kg (same as Nimbex)
Dose: 0.1 mg/kg for intubation (usually give ~10 vec on trauma)
Onset: 3-5 (longest of muscle relaxants, same as Nimbex)
Peak: 5-10 min (slowest of muscle relaxants, same as Nimbex)
Duration: 20-35 min (longest, all non-depolarizing the same)
LONGEST ONSET, SLOWEST PEAK, LONGEST DURATION
Zemuron
Type: Non-depolarizing muscle relaxant
Generic: rocuronium
Drug Class: aminosteroid (it doesn’t rock to be vac-amine)
Mg/cc: 10 mg/cc
Pre-treatment: 5 mg
Dose: 0.6-1.2 mg/kg for intubation (1 mg/kg to intubate in 60 seconds)
Onset: 1-2 min (between fastest and slowest)
Peak: 3-5 min (between fastest and slowest)
Duration: 20-35 min (longest duration, non-depolarizing all the same)
AVG ONSET, AVG PEAK, LONGEST DURATION
Atropine
Type: Reversal agent
Generic: atropine
Drug Class: tertiary amine anticholinergic (tertiary= 3, 3 a’s: atropine, amine, anticholinergic)
Mg/cc: 0.4 mg/cc
Dose: 15-70 mcg/kg peds, 0.8-1.2 mgs with neostigmine adults
Onset: 15-30 sec (can’t be faster, fastest of all reversals)
Peak: 2 min (almost fastest reversal)
Duration: 1-2 hours (long side of reversals)
FASTES ONSET, FAST REVERSAL, LONG DURATION
Robinul
Type: Reversal agent
Generic: glycopyrrolate
Drug Class: quarternary ammonium anticholinesterase (ammonium= NH4, 4=”quarter”nary) (GQ magazine- glycopyrrolate +quarternary)
Mg/cc: 0.2 mg/cc
Dose: 10-20 mcg/kg
Onset: 1 min (no range, fast not fastest)
Peak: 5 min (no range, avg peak)
Duration: 2-4 hours (longest of reversals)
FAST ONSET, AVG PEAK, LONGEST DURATION
Narcan
Type: Reversal agent Generic: naloxone Drug Class: opioid antagonist Mg/cc: 0.4 mg/cc Dose: 1-10 mcg/kg (repeat as required) Onset: 1-2 min (fast, not fastest) Peak: 5-15 min (slowest peak) Duration: 1-4 hours (longest range, longest duration) FAST ONSET, SLOWEST PEAK, LONGEST DURATION/RANGE
Enlon Plus (Enlon)
Type: Reversal agent
Generic: edrophonium + atropine (edrophonium)
Drug Class: quarternary ammoniun anticholinesterase (same as Robinul)
Mg/cc: 10 mg/cc
Dose: 0.5-1 mg/kg
Onset: 30-60 sec (fast, longest seconds range)
Peak: 1-5 min (almost fastest peak)
Duration: 5-20 min (absolute shortest duration of reversals)
FAST ONSET, FAST PEAK, SHORTEST DURATION
Prostigmine
Type: Reversal agent Generic: neostigmine Drug Class: carbamyl ester anticholinesterse (neostig=poop=CEA "see-ya!") Mg/cc: 0.5 or 1 mg/cc Dose: 25-75 mcg/kg Onset: 1-3 min (second slowest) Peak: 5-7 min (avg peak) Duration: 40-60 min (avg duration) SLOW ONSET, AVG PEAK, AVG DURATION
Regonal
Type: Reversal agent
Generic: pyridostigmine
Drug Class: carbamyl ester anticholinesterase (poop=CEA=see-ya)
Mg/cc: 5 mg/cc
Dose: 0.1-0.3 mg/kg
Onset: 2-5 min (slowest onset)
Peak: 5-15 min (slowest/longest peak) (15 mins to escape the poo)
Duration: 90 min (longer not longest duration)
SLOWEST ONSET, SLOWEST PEAK, LONG DURATION)
Romazicon
Type: Reversal agent Generic: flumazenil Drug Class: benzodiazepine antagonist Mg/cc: 0.1 mg/cc***??? Dose: 8-15 mcg/kg, 0.2 mg typical adult doses up to 1mg Onset: 1-2 min (fast, not fastest) Peak: 6-10 min (second slowest peak) Duration: 30-60 min (avg duration) FAST ONSET, SLOW PEAK, AVG DURATION
Neosynephrine
Type: Vasoactive Generic: phenylephrine Drug Class: direct synthetic alpha 1 agonist Mg/cc: 10 mg/cc Dose: 40-100 mcg Onset: 30-45 sec (fastest vasoactive) Peak: 1-2 min (fastest vasoactive) Duration: 15-20 min (short not shortest duration) FAST ONSET, FAST PEAK, SHORT DURATION
Brevibloc
Type: Vasoactive Generic: esmolol Drug Class: beta 1 antagonist Mg/cc: 10 mg/cc Dose: 10-15 mg bolus Onset: 2 min (avg speed) Peak: 5 min (avg peak) Duration: 10-15 min (fastest duration) AVERAGE ONSET, AVERAGE PEAK, FASTEST DURATION
Ephedrine
Type: Vasoactive
Generic: ephedrine
Drug Class: synthetic direct and indirect alpha 1, beta 1, beta 2 agonist
Mg/cc: 25-50 mg/cc
Dose: 5-10 mg incremental doses
Onset: 1 min (fast not fastest)
Peak: 2-5 min (fast not fastest)
Duration: 10-60 min (long range, avg duration)
FAST ONSET, FAST PEAK, LONG RANGE AVERAGE DURATION
Trandate
Type: Vasoactive
Generic: labetalol
Drug Class: alpha 1, beta 1, beta 2 antagonist
Mg/cc: 5 mg/cc
Dose: 0.1-0.5 mg/kg peds?, 5-10 mg bolus adults
Onset: 1-2 min (fast, not fastest)
Peak: 5-10 min (avg-long)
Duration: 2-4 hours (long, not longest)
FAST ONSET, AVG TO SLOW PEAK, LONG DURATION
