Exam 3 doses

Question 1

What is the onset, peak, and DOA for Succinylcholine IV?

Answer 1

Onset- Think 45 secs (30-60secs)

Peak- 60 secs

DOA- Think 5mins (4-6min)

Question 2

How is Succinylcholine supplied?

Answer 2

• 20mg/ml

- (also as 500mg powder for infusion)

Question 3

What dose of Succinylcholine would you give to an adult?

Answer 3

• Think approx 1mg/kg or less (0.7-1mg/kg)

- If pretreated with NDMR 1.5mg/kg

Question 4

What dose of Succinylcholine would you give to children and peds?

Answer 4

• Children= 1-2mg/kg

- Infants= 2-3mg/kg

Question 5

What is the infusion dosing for Succinylcholine?

Answer 5

• Think <5mg/kg to prevent phase 2 block

- (0.5-10mg/min titrated)

Question 6

If you had to give Succinylcholine IM what dose would you give?

Answer 6

• Think approx 3mg/kg

- (2.5-4 mg/kg)

Question 7

What dose of Dantrolene would you give to treat MG crisis?

Answer 7

2. 5 mg/kg, and repeat the dose until the signs are

controlled. Can add up to 8-10 mg/kg

Question 8

What is D-Tubocurarine’s pretreatment for sux dose?

Answer 8

3-5mg

Question 9

What is the intubating dose for Pancuronium (Pavulon)?

Answer 9

Think approx 0.075mg/kg (.05-.1 mg/kg

0.05 mg/kg bolus after sux intubation)

Question 10

What is the maintenance dose for Pancuronium (Pavulon)?

Answer 10

Think approx 0.03mg/kg (.01-.05mg/kg)

Question 11

What is the onset, peak, and DOA for Pancuronium (Pavulon)?

Answer 11

• Onset: 2-3 minutes
• Peak: 3-5 minutes
• DOA 60-90 minutes

Question 12

What is the onset, peak, and DOA for Atracurium (Tracrium)?

Answer 12

• Onset: 2-3 minutes
• Peak 3-5 minutes
• DOA: 20-35 minutes

Question 13

What is the intubating dose for Atracurium (Tracrium)?

Answer 13

Think approx 0.4mg/kg (0.3-0.5 mg/kg intubation)

Question 14

What is the maintenance dose for Atracurium (Tracrium)?

Answer 14

0.1-0.2 mg/kg maintenance

Question 15

What is the infusion dose for Atracurium (Tracrium)?

Answer 15

Think approx 7mcg/kg/min (5-9 mcg/kg/minute infusion)

Question 16

What is the onset, peak, and DOA for Cisatracurium (Nimbex)?

Answer 16

• Onset: 2-3 minutes
• Peak 3-5 minutes
• DOA: 30-60 minutes

Question 17

What is the intubating dose for Cisatracurium (Nimbex)?

Answer 17

Think approx 0.175mg/kg (0.15-0.2 mg/kg intubation, (10% for priming dose))

Question 18

What is the bolus dose of Nimbex after using sux for intubation?

Answer 18

0.1 mg/kg bolus after sux for intubation

Question 19

What is the maintenance dose for Cisatracurium (Nimbex)?

Answer 19

0.03 mg/kg maintenance

Question 20

What is the infusion dose for Cisatracurium (Nimbex)?

Answer 20

1-5 mcg/kg/min infusion

Question 21

What is the onset, peak, and DOA for Vecuronium (Norcuron)?

Answer 21

• Onset: < 3 minutes
• Peak 3-5 minutes
• DOA 20-40 minutes

Question 22

What is the intubating dose for Vecuronium (Norcuron)?

Answer 22

Think approx 0.09mg/kg
0.08-.1 mg/kg intubation (.15-.2 RSI)

-Can give priming dose of 10% of intubation dose 3-5 minutes prior

Question 23

What is the bolus dose of Vec after using sux for intubation?

Answer 23

Think approx 0.05mg/kg

0.04-0.06 mg/kg bolus after sux intubation

Question 24

What is the maintenance dose for Vecuronium (Norcuron)?

Answer 24

0.01-0.05 mg/kg maintenance

Question 25

What is the infusion dose for Vecuronium (Norcuron)?

Answer 25

1-2 mcg/kg/minute infusion

Question 26

What is the onset, peak, and DOA for Rocuronium (Zemuron)?

Answer 26

-Onset: 60-90 seconds
-Peak: 1-3 min
-DOA: 20-40 minutes
DOA and Onset is dose dependent

Question 27

What is the intubating dose for Rocuronium (Zemuron)?

Answer 27

Think approx 0.9mg/kg
0.6-1.2 mg/kg intubation

-Can give priming dose of 10% 3-5 minutes prior to intubation

Question 28

What is the bolus dose of Roc after using sux for intubation?

Answer 28

0.6 mg/kg bolus after sux intubation

Question 29

What is the maintenance dose for Rocuronium (Zemuron)?

Answer 29

0.06-0.6 mg/kg (10-50% of intubating dose)

Question 30

What is the infusion dose for Rocuronium (Zemuron)?

Answer 30

Think approx 10mcg/kg/min

5-15 mcg/kg/min infusion