Matt's Final Practicum Meds! Flashcards
Succinylcholine (Anectine) standard concentration?
20 mg/ml
Succinylcholine Induction dose?
1-1.5 mg/kg
Succinylcholine maintenance dose?
Does NOT have a maintenance dose.
Propofol (Diprivan) standard concentration?
10 mg/ml
200 mg/20 ml in a vial
Propofol Induction dose?
1.5-2.5 mg/kg
Propofol maintenance dose?
100-300 mcg/kg/min
Matt states 100-200 but Hammon goes to 300
What state must the patient be in for you to use Propofol for induction?
Hemodynamically stable, if not you can use etomidate!
Rocuronium (Zemuron) standard concentration?
10 mg/ml
Rocuronium induction dose?
0.6-1.2 mg/kg
Rocuronium maintenance dose?
0.1-0.2 mg/kg
Vecuronium (Norcuron) standard concentration?
1 mg/ml - when diluted with 10ml of NS
Vecuronium Induction dose?
0.08-0.1 mg /kg
Vecuronium maintenance dose?
0.01-0.015 mg/kg
Cisatracurium (Nimbex) standard concentration?
2 mg/ml
Cisatracurium (Nimbex) standard concentration?
2 mg/ml
Cisatracurium intubation dose?
0.15-0.2 mg/kg
Cisatracurium maintenance dose?
0.03 mg/kg
Atracurium (Tracrium) standard concentration?
10 mg /ml
Atracurium induction dose?
0.4-0.5 mg/kg
Atracurium maintenance dose?
0.08-0.1 mg/kg
Etomidate (Amidate) standard concentration?
2 mg/ml
Etomidate induction dose?
0.2-0.4 mg/ml
What types of patients would you use etomidate for induction (compared to propofol)?
cardiac history or hemodynamically unstable
Ketamine (Ketalar) standard concentration?
Varies depending on use, but 50 mg/ml is what we are memorizing for Hammon.
Ketamine induction dose?
1-2 mg/kg
Ketamine, when would you use this for induction?
If the patient is hemodynamically unstable.
2% Lidocaine (xylocaine) standard concentration?
20 mg/ml
Lidocaine induction dose?
1-1.5 mg/kg
Fentanyl (Sumblimaze) standard concentration.
50 mcg/ml
Fentanyl induction dose?
1-2 mcg/kg
which typically comes out to giving 50-100mcg
Glycopyrolate reversal dose?
0.01-0.015 mg/kg
Neostigmine (Bloxiverz) standard concentration?
1 mg/ml
Neostigmine reversal dose and max?
0.03-0.07 mg/kg
max dose 5mg
Sugammadex (Bridion) standard concentration?
100 mg/ml
Sugammadex reversal dose:
TOF 2/4?
PTC 1-2/4?
Immediately after full induction with rocuronium?
TOF 2/4 = 2 mg/kg
PTC 1-2/4 = 4 mg/kg
Immediately after full induction with Roc = 16 mg/kg
What all NMB drugs does Sugammadex reverse?
ROCURONIUM
Vecuronium
(and most minimally pancuronium)
Bupivicaine (Marcaine) standard concentration?
Varies depending on use
Bupivicaine Max dose plain and with epi?
Max dose 2.5 mg/kg plain
Max dose 3.2 mg/kg with epi
Ropivicaine (Naropin) standard concentration?
Varies depending on use
Ropivicaine Max dose plain and with epi?
Max dose 3 mg/kg plain
Max dose 3.5 mg/kg with epi
Phenylephrine (Neo-Synephrine) standard concentration?
10 mg/ml
Phenylephrine how do you mix it according to Matt? (single dilution)
0.1 ml added to 10 ml of NS to make a final concentration of 100 mcg/ml
Phenylephrine how do you mix it according to Hammon?
double dilution
You take 1 ml of phenylephrine (10mg/ml) and place it in 9 ml of NS. Then from that just made 10 ml syringe push out 9 ml (leaving you with 1 ml of phenylephrine mix). Then mix that 1 ml with another 9 ml NS syringe and you will have a final concentration of 100 mcg/ml.
Ephedrine standard concentration?
50 mg/ml
How do you mix Ephedrine?
1 ml diluted with 4 ml of NS to make a final concentration of 10 mg/ml.
(this will give you a 5ml stick)
