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

A

1-2 hours

24
Q

Ketorlac duration?

A

6 hours

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
Q

Alfentanil induction dose?

A

8-100 mcg/kg induction dose

0.5-3 mcg/kg/min infusion dose

30
Q

Alfentanil onset?

A

1-2 minutes

31
Q

Alfentanil duration?

A

10-15 minutes

32
Q

Alfentanil peak?

A

1-2 minutes

33
Q

Fentanyl MOA?

A

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
Q

Alfentanil MOA?

A

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
Q

Sufentanil MOA?

A

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
Q

Morphine MOA?

A

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
Q

Ketorlac MOA?

A

Inhibiting cyclooxygenase preventing synthesis of prostaglandins

38
Q

Naloxone dose?

A

0.4-2 mg ( Titrate to effect)

39
Q

Naloxone Onset?

A

1-2 minutes

40
Q

Naloxone Peak?

A

5-15 minutes

41
Q

Naloxone Duration?

A

1-2 hours

42
Q

Naloxone MOA?

A

Nonselective opoid antagonist - Effectively displaces the opioid from the Mu receptor

43
Q

Sufentanil Metabolism?

A

Hepatic and Small Intestine

44
Q

Alfentanil Metabolism?

A

Hepatic with Renal excreation

45
Q

Fentanyl Metabolism?

A

Hepatic with Pulmonary and renal elimination

45
Q

Morphine Metabolism?

A

Hepatic phase 1 conjugation

45
Q

Ketorlac Metabolism?

A

Hepatic

45
Q

Naloxone Metabolism?

A

Hepatic with Renal elimination