Opoid Drug Dose/Onset/Duration Flashcards
Fentanyl induction dose?
2-20 mcg/kg induction as adjunct to Volatile Anesthetic
50-150 mcg/kg induction alone for cardiac surgery
Fentanyl onset?
30 seconds
Fentanyl peak?
5-15 minutes
Fentanyl duration?
30-60 minutes
Morphine induction dose?
0.1-1 mg/kg
Morphine onset?
5 - 10 minutes
Morphine peak?
15 minutes
Morphine duration?
2 - 4 hours
Meperidine dose?
0.5-2 mg/kg
Meperidine onset?
30 seconds - 1 minute
Meperidine peak?
5-15 minutes
Meperidine duration?
2-4 hours
Dilaudid dose
0.01 - 0.04 mg/kg or 0.5 -2 mg
Dilaudid onset
10 - 15 minutes
Dilaudid peak
20 - 30 minutes
Dilaudid duration
2 - 3 hours
Ketorlac IV dose?
30 mg
Ketorlac onset?
10 minutes
Ketorlac peak
1-2 hours
Ketorlac duration?
6 hours
Sufentanil induction dose?
0.6 - 4 mcg/kg
Sufentanil onset?
1-3 minutes
Sufentanil peak?
3-5 minutes
Sufentanil duration?
20-45 minutes
Alfentanil induction dose?
8-100 mcg/kg induction dose
0.5-3 mcg/kg/min infusion dose
Alfentanil onset?
1-2 minutes
Alfentanil duration?
10-15 minutes
Alfentanil peak?
1-2 minutes
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.
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.
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.
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.
Ketorlac MOA?
Inhibiting cyclooxygenase preventing synthesis of prostaglandins
Naloxone dose?
0.4-2 mg ( Titrate to effect)
Naloxone Onset?
1-2 minutes
Naloxone Peak?
5-15 minutes
Naloxone Duration?
1-2 hours
Naloxone MOA?
Nonselective opoid antagonist - Effectively displaces the opioid from the Mu receptor
Sufentanil Metabolism?
Hepatic and Small Intestine
Alfentanil Metabolism?
Hepatic with Renal excreation
Fentanyl Metabolism?
Hepatic with Pulmonary and renal elimination
Morphine Metabolism?
Hepatic phase 1 conjugation
Ketorlac Metabolism?
Hepatic
Naloxone Metabolism?
Hepatic with Renal elimination