Induction Agents

Question 1

Induction dose of Propofol?

Answer 1

1-2mg/kg or 2-2.5 mg/kg

Nagelhout 7th edition, Ch. 9, pg. 107, Table 9.8

Question 2

Induction dose of Etomidate

Answer 2

0.2-0.3 mg/kg

Nagelhout 7th edition, Ch. 9, pg. 107, Table 9.8

Question 3

Induction dose of Midazolam?

Answer 3

0.1-0.2 mg/kg

Nagelhout 7th edition, Ch. 9, pg. 107, Table 9.8

Question 4

Induction dose of Dexmedetomidine?

Answer 4

1 mcg/kg over 10 min
0.2-0.7 mcg/kg/hr infusion

Nagelhout 7th edition, Ch. 9, pg. 107, Table 9.8

Question 5

Induction dose of Ketamine?

Answer 5

2-4mg/kg IV
4-6mg/kg IM

Nagelhout 7th edition, Ch. 9, pg. 110, Box 9.3

Question 6

Procedural sedation dose for Remimazolam?

Answer 6

5mg IV

&

2.5-5mg q 2min PRN

Dr. C’s PPT, slide 45

Question 7

FENTANYL
Induction dosing

Answer 7

• 1-3 mcg/kg (Dr. C says 1 mcg/kg is the go to)

ok to round up - e.g. 80 kg patient coudl get a full 100 mcg

Question 8

REMIFENTANIL
Induction dosing

Answer 8

• 1-3 mcg/kg over 1 minute

Slow push to avoid profound bradycardia

more often used in specialty cases

Question 9

SUFENTANIL
General anesthesia dosing (minor procedure)

Answer 9

Minor procedure:

• Load: 1-2 mcg/kg load
• PRN 10-50 mcg

Question 10

SUFENTANIL
General anesthesia dosing (moderate procedure)

Answer 10

Moderate procedure:

• Load: 2-8 mcg/kg
• Infusion: 0.3-1.5 mcg/kg/hr
• PRN: 10-50 mcg

Question 11

SUFENTANIL
General anesthesia dosing (major procedure)

Answer 11

Major Procedure:

• Load: 8-30 mcg/kg
• Infusion: 0.5-2.5 mcg/kg/hr
• PRN:10-50 mcg