Exam 2

Question 1

Thiopental
Dose:
Half time:
Partition coefficient:

Answer 1

4-5 mg/kg IV
Longer than methohexital
11

Question 2

Methohexital
Dose (IV/Rectal):

Answer 2

1.5 mg/kg IV
20-30 mg/kg

Question 3

Propofol
Induction dose:
Conscious sedation dose:
Maintenance dose:
Sub-hypnotic dose:
Antipruritic effects:
Anti-convulsant:

Answer 3

1.5-2.5 mg/kg IV
25-100 µg/kg/min
100 to 300 µg/kg/min
10-50 mg IV followed by 10 µg/kg/min
10 mg IV
1 mg/kg IV

Question 4

Propofol
Elimination half time:
CS half time:

Vd:
Clearance:

Answer 4

0.5-1.5 hrs
40 minutes for 8 hr infusion

3.5-4.5 L/kg
30-60 ml/kg/min

Question 5

Etomidate
E half time:
Vd:
Clearance:

Answer 5

2-5 hrs
2.2-4.5 L/kg
10-20 ml/kg/min

Question 6

Ketamine
E half time:
Vd:
Clearance:

Answer 6

2-3 hrs
2.5-3.5 L/kg
16-18 ml/kg/min

Question 7

Etomidate
Dose:

Answer 7

0.3 mg/kg IV

Question 8

How much fentanyl do you give to attenuate myoclonus from etomidate?

Answer 8

1-2 µg/kg IV

Question 9

Ketamine induction doses

Answer 9

0.5 - 1.5 mg/kg IV
4 - 8 mg/kg IM
10 mg/kg PO

Question 10

Ketamine maintenance doses

Answer 10

0.2 - 0.5 mg/kg IV analgesia
4 - 8 mg/kg IM

Question 11

Ketamine sub-anesthetic (analgesic dose)

Answer 11

0.2-0.5 mg/kg IV

Question 12

Ketamine post op sedation and anagelsia dose

Answer 12

1 - 2 mg/kg/hour (pediatric cardiac surgery)

Question 13

Ketamine neuraxial analgesia dose

Answer 13

30 mgs Epidural
5 - 50 mg in 3 mLs of saline Intrathecal/Spinal/Subarachnoid

Question 14

What is the coronary artery disease cocktail?

Answer 14

Diazepam 0.5 mg/kg IV
Ketamine 0.5 mg/kg IV
Continuous Ketamine infusion: 15 to 30 µg/kg/minute IV

Question 15

Fentanyl withdrawal
Onset:
Peak intensity:
Duration:

Answer 15

2-6 hr
6-12 hr
4-5 days

Question 15

Meperidine withdrawal
Onset:
Peak intensity:
Duration:

Answer 15

2-6 hr
6-12 hr
4-5 days

Question 16

Morphine withdrawal
Onset:
Peak intensity:
Duration:

Answer 16

6-18 hr
26-72 hr
7-10 days

Question 17

Heroin withdrawal
Onset:
Peak intensity:
Duration:

Answer 17

6-18 hr
36-72 hr
7-10 days

Question 18

Methadone withdrawal
Onset:
Peak intensity:
Duration:

Answer 18

24-48 hr
3-21 days
6-7 weeks

Question 19

Morphine doses
Intraop:
Post op:
Onset:
Duration:

Answer 19

1-10 mg
5-20 mg
10-20 min
4-5 hr

Question 20

Fentanyl doses (part 1 lmfao)
Intraop induction:
Analgesia dose:
Adjunct with inhaled anesthetics:
Onset:
Duration:

Answer 20

1.5-3 µg/kg
1-2 µg/kg
2-20 µg/kg
30-60 sec
1-1.5 hr

Question 21

Sufentanil doses
Intraop:
Analgesia:
Induction:
Infusion:

Onset:
Duration:
Infusion:

Answer 21

0.3-1 µg/kg
0.1-0.4 µg/kg
18.9 µg/kg
0.5-1 µg/kg/he

30-60 sec
1-1.5 hr
0.5-1 µ/kg/hr

Question 22

Remifentanil doses
Intraop:
Maintenance
Onset:
Duration:
Infusion:

Answer 22

Load: 0.5-1 µ/kg over 1 min
0.25-1 µg/kg OR 0.005 to 2 µg/kg/min IV

30-60 sec
6-8 min
0.125-0.375 µ/kg/min

Question 23

Meperidine doses
Post op (shivering)
Onset:
Duration:
E 1/2 time:

Answer 23

12.5 mg
5-15 min
2-4 hr
3-5 hrs

Question 24

Hydromorphone doses Intraop: Postop: Onset: Duration:

Answer 24

0.5 mg IV (1-4 mg total) 1.5-4 mg 5-15 min 2-4 hr

Question 25

Naloxone doses IV Continuous infusion Shock Epidural Duration

Answer 25

1 to 4 µg/kg IV 5 µg/kg IV continuous infusion > 1 mg/kg IV (shock) 0.25 µg/kg/hour IV 30 min-45 min

Question 26

Morphine peak IV/IM

Answer 26

IM 45-80 min IV 15-30 min

Question 27

Fentanyl doses (part 2 lmfao) Surgical Anesthesia (solo): Intrathecal: Transmucosal (Oral): Pediatrics (2 to 8 yo): Transdermal:

Answer 27

50 to 150 µg/kg IV 25 µg 5 to 20 µg/kg 15 to 20 µg/kg PO 45 minutes prior 75 to 100 µg (18 hours steady delivery)

Question 28

Alfentanil doses Induction laryngoscopy: Induction alone: Maintenance:

Answer 28

15 to 30 µg/kg IV (90 seconds prior) 150 to 300 µg/kg IV 25 to 150 µg/kg/hour IV with inhaled anesthetics

Question 29

Codeine Dose: Cough suppressant Anagelsia E 1/2 time:

Answer 29

15 mg 60 mg 3-3.5 hrs

Question 30

Tramadol dose

Answer 30

PO 3 mg/kg

Question 31

Pharmacokinetics of opioid antagonist chart

Answer 31

Question 32

Pentazocine Chronic pain dose IV/PO IM dose:

Answer 32

10-30 mg IV 50 mg PO 20-30 mg IM

Question 33

Butorphanol what dose is equal to 10 mg of morphine? E 1/2 time:

Answer 33

2-3 mg IM 2.5-3.5 hrs

Question 34

Nalbuphine What dose is equal to 10 mg of morphine? E 1/2 time:

Answer 34

10 mg 3-6 hrs

Question 35

Buprenorphine What dose is equal to 10 mg of morphine?

Answer 35

0.3 mg IM

Question 36

Meptazinol How much is equal to 8 mg of morphine?

Answer 36

100 mg

Question 37

Nalmefene Dose: E 1/2 time:

Answer 37

15 to 25 µg IV (q 2 to 5 mins) to 1 µg/kg 10.8 hours

Question 38

Morphine PCA doses Basal Bolus Interval

Answer 38

0-2 mg/hr 1-2 mg 6-10 min

Question 39

Hydromorphone PCA doses Basal Bolus Interval

Answer 39

0-0.4 mg/hr 0.2-0.4 mg 6-10 min

Question 40

Fentanyl PCA doses Basal Bolus Interval

Answer 40

0-60 µg/hr 20-50 µg 5-10 min

Question 41

Multimodal preop meds

Answer 41

Tylenol 1000 mg PO Gabapentin 300-1200 mg PO Magnesium 50 mg/kg IV

Question 42

Multimodal intrap op meds

Answer 42

Ofirmev 1 g (max 3-4 g) Magnesium 30-60 mg/kg (max 6 g) over 1 hr Lidocaine 1 mg/kg over 1 hr Ibuprofen 200-800 mg IV over 30 min (q6 pro; 3200 mg/day max)

Question 43

Multimodal post op x 1 week meds

Answer 43

Tylenol 1000 mg TID Super mag 400 mg BID Magnesium aspartate 615 mg TID Magnesium oxide 500 mg BIG Gabapentin 300 mg TID

Question 44

Celebrex dose

Answer 44

200-400 mg PO QD

Question 45

Toradol dose: Peak:

Answer 45

15-30 mg q6 (max 60-120 mg QD) 35-60 min IV

Question 46

Lidocaine dose Bolus: Drip:

Answer 46

1 to 2 mg/kg IV (initial bolus) over 2 - 4 min. 1 to 2 mg/kg/hour (drip); terminated 12 - 72 hours

Question 47

Zofran Dose: Pediatric:

Answer 47

4 mg IV (up to 8) 0.1 mg/kg IV

Question 48

Decadron dose

Answer 48

8-10 mg

Question 49

Precedex doses: TIVA/GETA - Bolus - Loading dose - Infusion Sedation IV Regional Neuraxial - Spinal/Intrathecal/SAB: - Epidural

Answer 49

TIVA/GETA - Bolus 0.5-1 μg/kg, over 10 mins - Loading dose of 1 μg/kg, then 5-10 μg/kg/hour IV - 0.1-1.5 μg/kg/min infusion Sedation - 0.2-0.7 μg/kg/hour IV IV Regional - 0.5 μg/kg with lidocaine Neuraxial - Spinal/Intrathecal/SAB: 3 μg (as combo); 5 μg with Fentanyl 25 μg (alone) - Epidural: 2 μg/kg