Induction meds Flashcards
Fentanyl:
1-2 mcg/kg
lidocaine
1-3 mg/kg
Propofol
1-3 mg/kg
Normal roc induction dose
0.6-1.2mg/kg
RSI roc induction dose
1-1.2 mg/kg
Normal succs induction dose
0.6-1mg/kg
RSI succs induction dose
1-1.5mg/kg
Etomidate
0.2-0.6 mg/kg
Lidocaine vial:
100mg/5ml= 20mg/ml
propofol vial:
200mg/20ml= 10mg/ml
roc vial:
50mg/5ml= 10mg/ml
Sugammadex vial:
200mg/2ml= 100mg/ml
Ephedrine:
50/ml, must dilute w 9mlNS= 5mg/ml
what suppresses airway reflexes and can be used for asthma before extubation?
Lidocaine 1-1.5 mg 1-3 mins before extubation
Propofol
volatile anesthetics
ketamine causes bronchodilation but can increase secretions
IV fluids decreases viscosity of airway secretions
Vent management for asthma:
limit inspiratory time, increase expiratory time
treatment for bronchospasm:
100% fio2
Increase anesthetic- turn up volatile, give propofol, lidocaine, ketamine
Beta-2 agonist- albuterol
Epi: 1MCG/kg
Hypotension w bradycardia
Ephedrine: 50/ml, must dilute w 9mlNS= 5mg/ml
Hypotension w tachycardia
Neo: 800mcg/10 ml= 80mcg/mL
Hypertension with tachycardia
Prehydrate in hypertensive pts (volume contracted)
Increase sedation
Might be in pain- Fentanyl: 50 mcg
Metop or esmolol
Hypertension with bradycardia
glycopyrrolate: 0.2mg/ml
atrial arrhythmias:
Beta blocker - be careful of bronchospasm- give selective: Metop or esmolol
Verapamil/diltiazem
Amiodarone
ventricular arrhythmias:
CHECK FOR PULSE
Valsalva maneuver - inspiratory hold
procainamide 200 mg
Amiodarone
Lidocaine
SVT:
Valsalva maneuver
adenosine (don’t use in asthmatics)
Amiodarone
Adverse drug reaction:
EPI 1mg
H1 and H2 blocker: benadryl, pepcid
