Opioids + Narcan

Question 1

OPIOIDS

Dose (intraOp, postop), Onset, Duration:
Morphine

Answer 1

1-10mg IntraOp
5-20mg PostOp
Onset 10-20mins ⏐ Duration 4-5h

Question 2

OPIOIDS

Dose, Onset, Duration:
Fentanyl

Answer 2

1.5-3mcg/kg
Onset 30-60sec ⏐ Duration 1-1.5h

Question 3

OPIOIDS

Dose, Onset, Duration:
Sufentanil

Answer 3

0.3-1mcg/kg
Onset 30-60sec ⏐ 1-1.5hr

Infusion: 0.5-1mcg/kg/hr (close to intraop dose)

Question 4

OPIOIDS

Dose, Onset, Duration:
Remifentanil

Answer 4

0.5 - 1mcg/kg OVER 1 MIN!!!
Onset 30-60sec ⏐ 6-8min

gtt: 0.125-0.375 mcg/kg/MIN

Question 5

OPIOIDS

Dose, Onset, Duration:
Meperidine

Demerol

Answer 5

12.5mg (Shivering)
Onset 5-15min ⏐ Duration 2-4h

Question 6

OPIOIDS

Dose (intra, postop), Onset, Duration:
Hydromorphone

Diluadid

Answer 6

1 - 4mg IntraOp
1.5 - 4mg PostOp (basically the same)
Onset 5-15min ⏐ Duration 2-4hr

Question 7

OPIOIDS

Dose, Onset, Duration:
Naloxone

Narcan

Answer 7

40-80mcg ⏐ Onset 1-5 min⏐ Duration 30min

Opioid REVERSAL