Induction Of The CV Patient Flashcards
1
Q
3 main Opioids Used:
Which of the 3 is best for Cardio protective properties?
A
Fentanyl
Sulfentanil
Remifentanil (Cardio Protective)
2
Q
Fentanyl Dose
A
3-10 mcg/kg
3
Q
2 attributes of fentanyl
A
- 98% redistributed from plasma in first hour.
- Large volume of distribution
4
Q
Sufentanil Dose
A
0.1-1 mcg/kg
5
Q
5 attributes of Sufentanil
A
- 7-10 x more potent than fentanyl
- > pKa and only 20% ionized
- Half as lipid soluble
- < volume of distribution
- Faster recovery time than fentanyl
6
Q
Remifentanil Dose:
A
0.5-1 mcg/kg
7
Q
Onset and recovery time of Remifentanil:
A
Onset: 1 min
Recovery: 9-20 mins
8
Q
2 attributes of Remifentanil:
A
- Widespread extrahepatic hydrolysis bu nonspecific tissue and blood esterases
- Requires careful provision of post op pain
9
Q
5 hypnotic medications
A
Propofol Etomidate Thiopental Ketamine Scopolamine
10
Q
Propofol dose:
A
1-2 mg/kg
11
Q
2 attributes of Propofol:
A
- < SVR, map, CI, and SV
- > redistribution allowing for quick recovery.
12
Q
Etomidate Dose:
A
0.2 mg/kg
13
Q
4 attributes of Etomidate:
A
- small < in MAP and SVR, > HR and CO
- may initiate myoclonus
- > epileptiform activity in pts with known seizure disorders
- adrenal suppression (unusual)
14
Q
Thiopental (not quizzed on)
A
N/A
15
Q
Ketamine dose:
A
2 mg/kg
