Rapid Sequence Intubation (RSI) - Induction Agents for sedation

Question 1

Etomidate trade name

Answer 1

Amidate

Question 2

Etomidate is an induction agent, preferred for awake sedation because of

Answer 2

fast onset

short half-life

Question 3

Etomidate dose

Answer 3

0.3 mg/kg

Question 4

Etomidate onset

Answer 4

30-60 sec

Question 5

Etomidate duration

Answer 5

3-12 min

Question 6

Etomidate causes no change (almost no change) in

Answer 6

BP, CO

Question 7

Etomidate has no

Answer 7

analgesic properties

Question 8

Upon waking, etomidate patients can

Answer 8

vomit

Question 9

Etomidate contraindications

Answer 9

Septic shock

Addison’s disease (adrenal suppression)

Question 10

Midazolam trade name

Answer 10

Versed

Question 11

Midazolam used for

Answer 11

sedation/anxiolysis with anterograde amnesia

Question 12

Midazolam is also useful in

Answer 12

seizures (Versed is a Benzo)

Question 13

Midazolam dose (varies based on protocol)

Answer 13

2.5-5 mg IV

Question 14

Midazolam onset

Answer 14

60-90 sec

Question 15

Midazolam duration

Answer 15

15-30 min

Question 16

Reversal agent for Midazolam

Answer 16

Flumazenil (Romazicon)

Question 17

Use lowest dose possible and do not use with other benzodiazepine medications

Answer 17

Midazolam or propofol

Question 18

Propofol trade name

Answer 18

Diprivan

Question 19

Hypnotic with no analgesic properties (milk of amnesia)

Answer 19

propofol

Question 20

Propofol dose (varies based on protocol)

Answer 20

1.5 mg/kg IV

Question 21

Propofol onset

Answer 21

15-45 sec

Question 22

Propofol duration

Answer 22

5-10 min

Question 23

Decreases cerebral perfusion pressure (CPP) and MAP

Answer 23

Propofol

Question 24

Contraindications for Propofol

Answer 24

Patients with a head injury

Patients that are hemodynamically unstable

Question 25

This medication is a safer induction agent in shocky patients

Answer 25

Ketamine