Quiz 4 Flashcards
what are some Depolarizing and Non-depolarizing NMBAs?
Depolarizing:
- Succinylcholine (Anectine)
Non-depolarizing:
- Pancuronium (Pavulon)
- Rocuronium (Zemuron)
- Vecuronium (Norcuron)
- Cisatracurium (Nimbex)
what are depolarizing and Non-depolarizing NMBAs used for?
Both:
-decrease spontaneous breathing
- decrease oxygen consumption
- paralysis
Depolarizing:
- Duration: 7-12 mins
- Intubation
Non-polarizing:
- Duration: 35-120 mins
- Continuous paralysis (pt. on continuous mechanical ventilation)
What is the purpose of NMBAs and what should be given with them?
- Main purpose: Paralysis
- ALWAYS give wth a sedative
what are the drugs of Benzodiazepines ?
- Ativan
- Valium
- Versed
what are the uses for Benzodiazepines ?
- Anxiolytics: used for anxiety
what are the reversal agents for non-depolarizing NMBAs?
- Neostigmine
- Sugammadex
- Edrophonium
what is Precedex used for?
- ventilated patients
- stimulates Alpha 2 receptors
what are the side effects of Precedex?
- bradycardia
- hypotension
what agents have the suffix
-onium?
Non-depolarizing agents
what is the most common duo of meds given for conscious sedation?
Versed and fentanyl
what is the purpose of analgesia?
- pain reliever
ANSWER IS PAIN
Why do we use a train four device?
used to monitor the depth of paralysis
what are the H’s and T’s?
H:
- Hypovolemia
- Hyperkalemia
- Hydrogen Ion (acidosis)
T:
- Tamponade (cardiac)
- Tension Pneumothorax
- Toxins (drug OD)
- Thrombosis
How do we do a pain assessment?
- Visual analog scale
- number scale
- PQRST
What is the main side effect of an opioid?
- Respiratory depression
What is the reversal agent for opioids?
Narcan
what are the anesthetic drugs?
- ketamine
- propofol (diprivan)
- ## etomidate
what do Non-steroidal anti- inflammatory agents do ? (NSAIDS)
- Anti-inflammatory
- Antipyretic (fever reducer)
- Analgesic (pain reliever)
What are some common NSAIDS?
- aspirin
- ibuprofen
what are the routes of administration for ACLS medications?
First line: IV
then:
- IO (bone)
- ET tube
what are the Antiarrhythmic Drugs?
Purpose: gets heart back into rhythm
- Lidocaine
- Procainamide
- Amiodarone
what is the drug and dosage for stable ventricular tachycardia?
- Amiodarone
Dosage: - stable: 150mg
what do we give atropine for?
symptomatic sinus bradycardia
what is the dose of atropine?
1mg every 5 mins till HR is 60
- no more than 3 doses are to be given.
what is adenosine used for?
Supraventricular tachycardia (SVT)
- long pause in heart rythym after admitting
- has a half-life of 10 seconds
what is the dosage for adenosine?
Initial: 6mg (double if needed)
what is the dosage for amiodarone?
- stable: 150mg
- Unstable: Starting dose = 300mg
What is NAVEL?
N - Narcan
A - Atropine
V - Vasopressin, Valium, Versed
E - Epinephrine
L - Lidocaine
what is the main ACLS medication and dosage for pulseless rythyms?
- Epinephrine
Dosage: - 1mg every 3-5 mins
- No limit
what is NAVEL used for?
drugs that can go down an ET tube
what is the beta blocker in atrial rhythms
Sotalol (betapace)
what are the 4 pulseless rhythms?
- V Fib
- Asystole
- Pulseless Ventricular tachycardia
- PEA
