Intubation meds

Question 1

(Sedative meds) 1.
2.
3.
4.
5.
6.

Answer 1

1. Etomidate (Amidate)
2. Midazolam (Versed)
3. Ketamine (Ketalar)
4. Propofol (Diprivan)
5. Lorazepam (Ativan)
6. Diazepam (Valium)

Question 2

(Paralytic/ Neuromuscular blocking meds) 1.
2.
3.

Answer 2

1. Succinylcholine (Anectine)
2. Rocuronium (Norcuron)
3. Vecuronium (Zemuron)

Question 3

(Etomidate/ Amidate) class
Dose:

Answer 3

= Sedative
= 0.2-0.4 mg/kg IV/IO

Question 4

(Etomidate/ Amidate) Onset:
Duration:

Answer 4

= 30 sec
= 5-10 mins

Question 5

(Etomidate/ Amidate) Advan:
Disadv:

Answer 5

= Little effect on B/P. decreases ICP
= Suppresses cortisol, not good for head -injured patients long term.

Question 6

(Midazolam/ Versed) Class:
Dose:

Answer 6

= Sedative
= 0.1-0.3 mg/kg IV/IO

Question 7

(Midazolam/ Versed) Onset:
Duration:

Answer 7

= 2-5 mins
= 15-30 mins

Question 8

(Midazolam/ Versed) Advan:
Disadv:

Answer 8

= Excellent amnesia effects, good sedative
= Hypotension

Question 9

(Ketamine/ Ketalar) Class:
Dose:

Answer 9

= Sedative
= 1-2 mg/kg IV/IO

Question 10

(Ketamine/ Ketalar) Onset:
Duration:

Answer 10

= 30-60 secs
= 10-20mins

Question 11

(Ketamine/ Ketalar) Advan:
Disadv:

Answer 11

= Decreases bronchospasm, little hypotension, amnesia.
= Increases ICP, Hypertension, Tcardia, Laryngospasm, Hallucinations

Question 12

(Propofol/ Diprivan) Class:
Dose:

Answer 12

= Sedative
= 1-2 mg//kg IV/IO

Question 13

(Propofol/ Diprivan) Onset:
Duration:

Answer 13

= < 1 min
= 5-10mins

Question 14

(Propofol/ Diprivan) Advan:
Disadv:

Answer 14

= Rapid onset, good sedative effects
= significant hypotension

Question 15

(Lorazepam/Ativan) class:
Dose:

Answer 15

= Sedative
= 0.05 mg/kg IV/IO

Question 16

(Succinylcholine/ Anectine) Class:
Dose:

Answer 16

= Depolarizing Neuromuscular Blocker paralytic
= 1-1.5 mg/kg IV/IO

Question 17

(Succinylcholine/ Anectine) TTP:
DOP:

Answer 17

= 45-60 secs
= 5-10 mins

Question 18

(Succinylcholine/ Anectine) Contra:
Effects:

Answer 18

= Hyper/K, Neuro/M disease, Crush injury, Burns, raised ICP, trauma
= Hyper/K, Muscle fasciculations, Bradycardia, Prolonged paralysis, Malignant hyperthermia, Increased ICP

Question 19

(Rocuronium/ Norcuron) Class:
Dose:

Answer 19

= Nondepolarizing Neuromuscular Blocker paralytic
= 0.6-1.2 mg/kg IV/IO (If succinylcholine is contraindicated)

Question 20

(Rocuronium/ Norcuron) TTP:
DOP:

Answer 20

= 60-90 secs
= 45-120 mins

Question 21

(Rocuronium/ Norcuron) Contra:
Effects:

Answer 21

= Hypersensitivity
= Minimal cardiovascular side effects, Skeletal muscle weakness, Malignant hyperthermia

Question 22

(Vecuronium/ Zemuron) Class:
Dose:

Answer 22

= Nondepolarizing Neuromuscular Blocker Paralytic
= 0.1 -0.2 mg/kg IV/IO

Question 23

(Vecuronium/ Zemuron) TTP:
DOP:

Answer 23

= 1-3 mins
= 45-90 mins

Question 24

(Vecuronium/ Zemuron) Contra:
Effects:

Answer 24

= hypersensitivity
= Minimal cardiovascular side effects, Skeletal muscle weakness, Malignant hyperthermia

Question 25

(Diazepam/ Valium) class:
pharmacodynamics:

Answer 25

= benzodiazepine (Sedative)
= binds w/ GABA receptors causing a influx of chloride

Question 26

(Diazepam/ Valium) indications:
Contraindications:

Answer 26

= Tcardia from stimulant OD, Sustained seizures, Anxiety, Sedation
= hypersensitivity

Question 27

(Diazepam/ Valium) effects:
dose:

Answer 27

= Resp/depress/, N/V, Sedation/amnesia
= 2.5-10mg in 2.5mg increments slow IV/IO/IM