Exam 2 drug doses Flashcards

1
Q

Methohexital dose:
Induction:
Per rectum

A

o Induction: 1.5 mg/kg IV
o Per rectum: 20-30 mg/kg

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2
Q

Thiopental dose:
Induction

A

o 4 mg/kg

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3
Q

Propofol doses (WE USE 1%= 10 mg/mL):
o Induction:
o Pediatric induction:
o Elderly induction:
o Conscious sedation:
o Maintenance:
o Sub-hypnotic:

A

o Induction: 1.5-2.5 mg/kg
o Pediatric induction: 3 mg/kg
o Elderly induction: 1 mg/kg
o Conscious sedation: 25-100 mcg/kg/min (minimal amnesia & analgesia, low PONV)
o Maintenance: 100-300 mcg/kg/min
o Sub-hypnotic: 10-15 mg IV & then 10 mcg/kg/min

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4
Q

Etomidate dose:
Induction dose:

A

o 0.3 mg/kg (no analgesia, must use opioid)

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5
Q
  • Ketamine doses:
    o Induction:
    o Maintenance:
    o Post-op:
    o Neuraxial:
    o CAD infusion cocktail:
A

o Induction: 0.5-1.5 mg/kg IV or 4-8mg IM
o Maintenance: 0.2-0.5 mg/kg
o Post-op: 1-2 mg/kg/hr (good for peds cardiac Sx)
o Neuraxial: 30mg epidural or 5-50 mg in 1L NS intrathecal
o CAD infusion cocktail: 0.5 mg/kg diazepam & 0.5 mg/kg ketamine then 15-30 mcg/kg/min ketamine infusion

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6
Q
  • Morphine doses:
    o Intra-op:
    o Post-op:
A

o Intra-op: 1-10 mg IV
o Post-op: 5-20 mg

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7
Q
  • Fentanyl doses:
    o Analgesia:
    o Induction:
    o Adjunct to gases:
    o Solo anesthesia infusion:
    o Intrathecal:
    o Transmucosal:
    o Transdermal:
A

o Analgesia: 1-2 mcg/kg IV
o Induction: 1.5-3 mcg/kg IV 5mins prior
o Adjunct to gases: 2-20 mcg/kg IV
o Solo anesthesia infusion: 50-150 mcg/kg IV
o Intrathecal: 25 mcg/kg
o Transmucosal: 5-20 mcg/kg
o Transdermal: 75-10 mcg

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8
Q
  • Sufentanil doses:
    o Analgesia:
    o Induction:
    o Intra-op:
    o Infusion:
A

o Analgesia: 0.1-0.4 mcg/kg
o Induction: 18.9 mcg/kg
o Intra-op: 0.3-1 mcg/kg (bolus or infusion)
o Infusion: 0.5-1 mcg/kg/hr

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9
Q
  • Alfentanil doses:
    o Induction (laryngoscopy):
    o Maintenance:
    o Induction alone:
A

o Induction (laryngoscopy): 15-30 mcg/kg
o Maintenance: 25-150 mcg/kg/hr (w/ gasses)
o Induction alone: 150-300 mcg/kg IV

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10
Q
  • Remifentanil doses:
    o Induction:
    o Maintenance:
A

o Induction: 0.5-1 mcg/kg IV q10mins
o Maintenance: 0.25-1 mcg/kg IV or 0.005-2 mcg/kg/min

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11
Q
  • Hydromorphone:
    o Intra-op:
    o Post-op:
A

o Intra-op: 1-4 mg
o Post-op: 1.5-4 mg

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12
Q
  • Codeine doses:
    o Cough suppressant:
    o Analgesia:
A

o Cough suppressant: 15 mg
o Analgesia: 60 mg

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13
Q
  • Pentazocine doses:
    o Chronic pain (IV, IM & PO):
A
  • IV: 10-30 mg
  • IM: 20-30 mg
  • PO: 50 mg
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14
Q
  • Dezocine doses:
    o IM dose:
A

o IM dose: 10-15 mg IM

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15
Q
  • Naloxone doses:
    o IVP:
    o Infusion:
    o Epidural:
    o Shock:
    o Intra & post-op:
A

o IVP: 1-4 mcg/kg
o Infusion: 5 mcg/kg
o Epidural: 0.25 mcg/kg/hr
o Shock: >1 mg/kg
o Intra & post-op: 40-80 mcg

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16
Q
  • Nalmefene doses:
    o Dose:
A

o Dose: 15-25 mcg IV q2-5mins up to 1 mcg/kg

17
Q
  • Gabapentin doses:
    o Pre-op:
A

o Pre-op: 300-1200 mg PO 1-2hrs before Sx

18
Q
  • Ketorolac doses:
    o Regular dose:
    o Max dose:
A

o Regular dose: 15-30 mg q6 (1/2 in elderly)
o Max dose: 60-120 mg/day

19
Q
  • Lidocaine doses:
    o IVP:
    o Infusion:
A

o IVP: 1-2 mg/kg IV over 2-4mins
o Infusion: 1-2 mg/kg/hr

20
Q
  • Magnesium doses:
    o Pre-op:
    o Intra-op:
A

o Pre-op: 50mg/kg IV
o Intra-op: 8 mg/kg/hr

21
Q
  • Decadron doses:
    o Regular dose:
A

o Regular dose: 8-10 mg

22
Q
  • Ibuprofen doses:
    o Regular dose:
    o Max dose:
A

o Regular dose: 200-800 mg q6h
o Max dose: 3,200 mg/day