Rapid Sequence Intubation (RSI) - Induction Agents for sedation Flashcards

1
Q

Etomidate trade name

A

Amidate

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2
Q

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

A

fast onset

short half-life

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3
Q

Etomidate dose

A

0.3 mg/kg

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4
Q

Etomidate onset

A

30-60 sec

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5
Q

Etomidate duration

A

3-12 min

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6
Q

Etomidate causes no change (almost no change) in

A

BP, CO

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7
Q

Etomidate has no

A

analgesic properties

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8
Q

Upon waking, etomidate patients can

A

vomit

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9
Q

Etomidate contraindications

A

Septic shock

Addison’s disease (adrenal suppression)

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10
Q

Midazolam trade name

A

Versed

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11
Q

Midazolam used for

A

sedation/anxiolysis with anterograde amnesia

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12
Q

Midazolam is also useful in

A

seizures (Versed is a Benzo)

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13
Q

Midazolam dose (varies based on protocol)

A

2.5-5 mg IV

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14
Q

Midazolam onset

A

60-90 sec

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15
Q

Midazolam duration

A

15-30 min

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16
Q

Reversal agent for Midazolam

A

Flumazenil (Romazicon)

17
Q

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

A

Midazolam or propofol

18
Q

Propofol trade name

A

Diprivan

19
Q

Hypnotic with no analgesic properties (milk of amnesia)

A

propofol

20
Q

Propofol dose (varies based on protocol)

A

1.5 mg/kg IV

21
Q

Propofol onset

A

15-45 sec

22
Q

Propofol duration

A

5-10 min

23
Q

Decreases cerebral perfusion pressure (CPP) and MAP

A

Propofol

24
Q

Contraindications for Propofol

A

Patients with a head injury

Patients that are hemodynamically unstable

25
Q

This medication is a safer induction agent in shocky patients

A

Ketamine