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Summer Pharm (2016) ** > Oral exam Dosages > Flashcards

Oral exam Dosages Flashcards

1
Q

Atracurium (intermed)

A

Intubate: 0.5mg/kg Maintenance: 0.08-0.1mg/kg q 20-45 min

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2
Q

Cisatracurium(intermed)

A

Intubate: 0.2mg/kg Maintenance: 0.03mg/kg q 40-60 min

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3
Q

Rocuronium (short/intermed)

A

Range: 0.6-1.2mg/kg IV RSI: 0.9-1.2mg/kg IV Maintenance: 0.1-0.2mg/kg IV (0.3-1.2mg/kg from short to long)

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4
Q

Vecuronium (intermed)

A

Intubate: 0.1mg/kg Maintenance: 0.01-0.015mg/kg q 25-45 minutes RSI: 0.3mg/kg

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5
Q

Pancuronium (long)

A

Intubate: 0.1mg/kg Maintenance: 0.01-0.015 mg/kg q 40-60 minutes Cont: 1-1.7mcg/kg/min (decrease in elderly)

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6
Q

Mivacurium (short)

A

Intubate: 0.2mg/kg IV Maintenance: 0.01-0.1mg/kg q 5-15 minutes

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7
Q

d-Tubocurarine (long)

A

0.5mg/kg IV maintenance: 0.05-0.1mg/kg IV

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8
Q

Doxacurium (long)

A

Intubate: 0.05mg/kg IV maintenance: 0.01-0.025 mg/kg q 45 min(decrease in elderly)

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9
Q

Pipercuronium (long)

A

Intubate: 0.1mg/kg Maintenance: 0.01-0.04mg/kg IV q 45-120 min

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10
Q

Morphine (long DOA-3 hours–prototype)

A

2.5-15mg IV pre-op and post-op

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11
Q

Meperidine (1/10 potent as morphine)

A

50-150 mg IM 5mg q5 min IV 12.5mg IV for shivering

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12
Q

Fentanyl (100x more potent than morphine)

A

25-100mcg premed/prn 1-2mcg/kg analgesia 12.5-100mcg intra-op

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13
Q

Sufentanyl (10x more potent than fentanyl, 1000x more potent than morphine)

A

0.1-1mcg/kg bolus 1-2mcg/kg for minor, 2-8 for moderate, 8-50 for sole anesthetic

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14
Q

Alfentanyl (1/5 potency of fentanyl, 10-20x more than morphine)

A

10-20mcg/kg

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15
Q

Remifentanyl (same potency as fentanyl, 100x more than morphine)

A

0.5-1mcg/kg over 60-90sec

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16
Q

Hydromorhpone (5x more potent than morhpine)

A

0.5-2mg IV q 4-6 hours

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17
Q

Nalbuphine

A

0.1-0.3mg/kg IV

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18
Q

Butorphanol

A

0.01-0.04mg/kg IV

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19
Q

Narcan/Naloxone

A

0.1-2mg IV q 2-3 minutes (try lowest dose possible)

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20
Q

Dexmedetomidine

A

1mcg/kg bolus over 10-15 minutes 0.2-1mcg/kg/hour

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21
Q

Ketamine

A

Induction 0.5-2mg/kg (>2 causes delirium) Sedation 0.2-0.5mg/kg Infusion 1-2mg/kg/hr

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22
Q

Etomidate

A

0.3mg/kg IV

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23
Q

Propofol

A

1-2.5mg/kg IV Induction 100-300mcg/kg minute Infusion Sedation 25-100mcg/kg/min 10mg for N/V

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24
Q

Atropine

A

0.01mg/kg for reversal with Endrophonium 0.4-1mg Bradycardia 1mg q 3-5 minutes for asystole

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25
Q

Glycopyrolate

A

0.01-0.02mg/kg IV (with neostigmine) 0.1-0.2mg (antisialogogue)

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26
Q

Scopalamine

A

0.3-0.6mg IV q4-6 hr

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27
Q

Pyridostigmine

A

0.2mg/kg with glyco 0.01mg/kg

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28
Q

Endrophonium

A

0.5-1mg/kg with Atropine 0.01mg/kg

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29
Q

Neostigmine

A

0.05-0.07mg/kg (with glyco 0.01mg/kg)

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30
Q

Physostigmine

A

15-60mcg/kg IV q 1-2 hr

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31
Q

Epinephrine

A

1mg q 3-5minutes for cardiac arrest 1-2mcg/min beta 2 4-5mcg/min beta 1 10-20mcg/min alpha and beta 2-8mcg/kg for low BP

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32
Q

Norepinephrine

A

4-16mcg/min (or 0.01-0.1mcg/kg/min)

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33
Q

Dopamine

A

0.5-2mcg/kg/min low 2-5 medium >10 is large

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34
Q

Dobutamine

A

2-10mcg/kg/min 5 is weak alpha 1

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35
Q

Vasopressin

A

0.04 U/min for sepsis 40U push for cardiac arrest 20U IV for esophageal varices

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36
Q

Isopreterenol

A

0.5-10mcg/min

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37
Q

Ephedrine

A

5-25mg IV

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38
Q

Phenylephrine

A

50-200mcg/kg IV push maintenance 20-50mcg/min double dilute to 100mcg/cc

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39
Q

Ampicillin

A

2g IV 30 min preop

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40
Q

Cefazolin

A

1-2g IV 30 min preop

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41
Q

Gentamycin

A

60-120mg IV (>9mcg/ml is toxic)

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42
Q

Clindamycin

A

600mg IV preop

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43
Q

Vancomycin

A

1g in 250ml over an hour

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44
Q

Metronidazole

A

500mg over 10-20 minutes preop

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45
Q

Ciprofloxacin

A

200-400mg IV over 60 minutes

46
Q

Dantrolene

A

36 vials with 20mg in each, reconstitute with 2L 2.5mg/kg IV bolus followed by 2mg/kg IV q 5 min to a total of 10mg/kg PO 4-8mg/kg/day in 3 divided doses for 3 days

47
Q

Ketorolac

A

30mg IV x 1 or q6 hour, max daily 120mg (do not continue over 5 days)

48
Q

Esmolol

A

5-10mg IV q 3 minutes (max 80)

49
Q

Metoprolol

50
Q

Labetolol

A

5-20mg q 5-10minutes (max 300mg)

51
Q

Propanolol

A

1mg/minute max 3-6mg

52
Q

Trimethephan

A

10-200mcg/kg/min

53
Q

Nitroprusside

A

0.3-0.5 mcg/kg/min for continuous HTN 1-2mcg/kg/min for HTN crisis

54
Q

Nitroglycerine

A

initial 5-10mcg/kg/min, titrate in range 5-200mcg/min

55
Q

Hydralazine

A

2.5-10mg IV or 5-20mg IV q 4 hours

56
Q

Milrinone

A

0.374-0.75 mcg/kg/min 50mcg/kg IV over 10 minute loading dose

57
Q

Clonidine

A

0.2-0.3mg/day

58
Q

Amiodarone

A

150mg over 10 minutes 1mg/min loading infusion

59
Q

Adenosine

A

6mg IV, 12mg, 12mg (6, 12, 12) repeat after 3 minutes for each

60
Q

Digoxin

A

0.5-1mg IV over 12-24 hours, therapeutic window 0.5-2mg

61
Q

Quinidine

A

200-400mg IV (infuse at 10mg/min IV)

62
Q

Procainamide

63
Q

Diltiazem

A

0.25mg/kg loading 5-15mg/hr 20mg IV over 2 minutes, 10mg/hr

64
Q

Verapamil

A

2.5-5mg IV over 1-3min, 5mcg/kg/min drip

65
Q

Nifedipine

A

5mcgk/kg IV

66
Q

Metoclopramide

A

10mg IV over 305 minutes 15-30 min before induction

67
Q

Droperidol

A

0.625-1.25 mg IV

68
Q

Ondansetron

69
Q

Promethazine

70
Q

Omeprazole

A

20mg PO 40mg IV

71
Q

Sodium Citrate

A

15-30 mls PO 15-30 minutes before induction

72
Q

Cimetidine

A

300mg IV over 15-30 min preop

73
Q

Famotidine

A

20mg IV over 2 min

74
Q

Ranitidine

A

50mg IV over 15-30 min

75
Q

Benadryl

A

10-50mg IV q 6-8 hours

76
Q

Phenytoin

A

10-15mg/kg

77
Q

Phenobarbitol

A

For status epilepticus: 10-20mg/kg initially then 5mg/kg q 15-30 min Maintenance: 1-5mg/kg/day PO

78
Q

Thiopental

A

3-5mg/kg IV

79
Q

Methohexitol

A

1-2mg/kg IV

80
Q

Prazosin

A

1mgPO at bedtime

81
Q

Phentolamine

A

1-5mg IV bolus

82
Q

Phenoxybenzamine

A

10-120mg/day PO

83
Q

Hydrocortisone

A

25mg IV + whatever they take 50-75mg IV moderate surgery 50-150mg IV extreme stress

84
Q

Methylpredisolone

A

10-250mg IV

85
Q

Dexamethasone

86
Q

Furosemide

A

start with 5mg IV (0.1-1mg/kg IV)

87
Q

Hydrochlorothiazide

A

25-100mg PO/day

88
Q

Mannitol

A

0.25-1g/kg over 60 minutes

89
Q

Albuterol

A

100mcg per puff (2 puffs) q 4-6hr (do not exceed 16-20 puffs)

90
Q

Terbutaline

A

200mcg per puff 0.25mg SQ

91
Q

Ipratroprium

A

40-80mcg puff MDI (rinse mouth) 2-4 puffs per day

92
Q

Heparin

A

5000Units q 8-12 hrs

93
Q

Protamine

A

1m/100U of Heparin

94
Q

Glucagon

A

1-5mg IV 0.3mg for SOO spasm

95
Q

Insulin

A

1U decreases glucose 40-50 points

96
Q

Octreotide

A

50-100mcg/hr 25-100mcg prn 50mcg/hr for esophageal varices

97
Q

Oxytocin

A

10-40 U in 1L at 0.5-1mU/min

98
Q

Nitrous

A

VP 38,770 BG 0.47 MAC 105

99
Q

Halothane

A

VP 244 BG 2.4 MAC .74

100
Q

Enflurane

A

VP 175 BG 1.8 MAC 1.7

101
Q

Isoflurane

A

VP 239 BG 1.4 MAC 1.2

102
Q

Desflurane

A

VP 669 BG .42 MAC 6

103
Q

Sevoflurane

A

VP 157 BG .69 MAC 2.05

104
Q

Lidocaine

A

Max dose 4mg/kg or 7mg/kg with Epi Spinal dose 30-100mg ACLS 1mg/kg

105
Q

Bupivicaine

A

Max dose 2.5mg/kg Spinal dose .75% 15-20mg

106
Q

Diazepam

A

premed oral 10-15mg premed IV 0.2mg/kg induction 0.5-1mg/kg IV anticonvulsant 0.1mg/kg IV

107
Q

Midazolam

A

1-2.5 mg IV premed peds 0.5mg/kg PO induction 0.1-0.2mg/kg IV

108
Q

Lorazepam

A

50mcg/kg (1-4mg IV–max 4)

109
Q

Flumazenil

A

0.2mg IV, wait 2 min, 0.1mg q 60 seconds (max 3)

110
Q

Succinylcholine

A

1-1.5mg/kg IV intubating laryngospasm 20-40mg IV IM intubating 2.5-4mg/kg continuous infusion 2.5mg/min

Summer Pharm (2016) ** (17 decks)

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