Opoid Drug Dose/Onset/Duration Flashcards

1
Q

Fentanyl induction dose?

A

2-20 mcg/kg induction as adjunct to Volatile Anesthetic

50-150 mcg/kg induction alone for cardiac surgery

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2
Q

Fentanyl onset?

A

30 seconds

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3
Q

Fentanyl peak?

A

5-15 minutes

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4
Q

Fentanyl duration?

A

30-60 minutes

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9
Q

Morphine induction dose?

A

0.1-1 mg/kg

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10
Q

Morphine onset?

A

5 - 10 minutes

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11
Q

Morphine peak?

A

15 minutes

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12
Q

Morphine duration?

A

2 - 4 hours

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13
Q

Meperidine dose?

A

0.5-2 mg/kg

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14
Q

Meperidine onset?

A

30 seconds - 1 minute

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15
Q

Meperidine peak?

A

5-15 minutes

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16
Q

Meperidine duration?

A

2-4 hours

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17
Q

Dilaudid dose

A

0.01 - 0.04 mg/kg or 0.5 -2 mg

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18
Q

Dilaudid onset

A

10 - 15 minutes

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19
Q

Dilaudid peak

A

20 - 30 minutes

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20
Q

Dilaudid duration

A

2 - 3 hours

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21
Q

Ketorlac IV dose?

A

30 mg

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22
Q

Ketorlac onset?

A

10 minutes

23
Q

Ketorlac peak

24
Q

Ketorlac duration?

25
Q

Sufentanil induction dose?

A

0.6 - 4 mcg/kg

26
Q

Sufentanil onset?

A

1-3 minutes

27
Q

Sufentanil peak?

A

3-5 minutes

28
Q

Sufentanil duration?

A

20-45 minutes

29
Alfentanil induction dose?
8-100 mcg/kg induction dose | 0.5-3 mcg/kg/min infusion dose
30
Alfentanil onset?
1-2 minutes
31
Alfentanil duration?
10-15 minutes
32
Alfentanil peak?
1-2 minutes
33
Fentanyl MOA?
Mu opioid receptor Agonist - Inhibits Adenyl Cyclase causing a decrease in Ca influx into the cytoplasm inhibiting the presynaptic Ca channels from opening and preventing release of the neurotransmitter.
34
Alfentanil MOA?
Mu opioid receptor Agonist - Inhibits Adenyl Cyclase causing a decrease in Ca influx into the cytoplasm inhibiting the presynaptic Ca channels from opening and preventing release of the neurotransmitter.
35
Sufentanil MOA?
Mu opioid receptor Agonist - Inhibits Adenyl Cyclase causing a decrease in Ca influx into the cytoplasm inhibiting the presynaptic Ca channels from opening and preventing release of the neurotransmitter.
36
Morphine MOA?
Mu opioid receptor Agonist - Inhibits Adenyl Cyclase causing a decrease in Ca influx into the cytoplasm inhibiting the presynaptic Ca channels from opening and preventing release of the neurotransmitter.
37
Ketorlac MOA?
Inhibiting cyclooxygenase preventing synthesis of prostaglandins
38
Naloxone dose?
0.4-2 mg ( Titrate to effect)
39
Naloxone Onset?
1-2 minutes
40
Naloxone Peak?
5-15 minutes
41
Naloxone Duration?
1-2 hours
42
Naloxone MOA?
Nonselective opoid antagonist - Effectively displaces the opioid from the Mu receptor
43
Sufentanil Metabolism?
Hepatic and Small Intestine
44
Alfentanil Metabolism?
Hepatic with Renal excreation
45
Fentanyl Metabolism?
Hepatic with Pulmonary and renal elimination
45
Morphine Metabolism?
Hepatic phase 1 conjugation
45
Ketorlac Metabolism?
Hepatic
45
Naloxone Metabolism?
Hepatic with Renal elimination