RSI/Sedation Flashcards

0
Q

Etomidate (Amidate)

Class

A

Hypnotic

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1
Q

Etomidate

Another Name

A

Amidate

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2
Q

Amidate

Another Name

A

Etomidate

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3
Q

Etomidate (Amidate)

Description

A

Ultra short acting, non-barbiturate hypnotic w/ no analgesic effects and limited cardiovascular and respiratory effects

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4
Q

Etomidate (Amidate)

Indications

A

Induce sedation for RSI

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5
Q

Etomidate (Amidate)

Contraindications

A

None

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6
Q

Etomidate (Amidate)

Precautions

A

Head injury if no paralytics used, marked hypotension, severe asthma or severe cardiovascular disease

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7
Q

Etomidate (Amidate)

Dosage/Route

A

0.1 to 0.3 mg/kg IV over 10-15 seconds

Pedi: Children >10 years, same as adult

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8
Q

Haloperidol

Another Name

A

Haldol

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9
Q

Haldol

Another Name

A

Haloperidol

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10
Q

Haloperidol (Haldol)

Class

A

Antipsychotic

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11
Q

Haloperidol (Haldol)

Description

A

Believed to block dopamine receptors in the brain associated with mood and behavior, is a potent antiemetic, impairs temperature regulation

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12
Q

Haloperidol (Haldol)

Indications

A

Acute psychotic episodes

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13
Q

Haloperidol (Haldol)

Contraindications

A

Parkinson’s, seizure disorder, coma, alcohol depression, CNS depression, thyrotoxicosis, and with other sedatives

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14
Q

Haloperidol (Haldol)

Precautions

A

Orthostatic Hypotension

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15
Q

Haloperidol (Haldol)

Dosage/Route

A

2 to 5 mg IM, usually mixed with Benadryl to avoid EPS reactions

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16
Q

Ketamine

Another Name

A

Ketalar

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17
Q

Ketalar

Another Name

A

Ketamine

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18
Q

Ketamine (Ketalar)

Class

A

Sedative/Hypnotic and Analgesic

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19
Q

Ketamine (Ketalar)

Description

A

Dissociative agent for rapid sequence induction/intubation and for sedation

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20
Q

Ketamine (Ketalar)

Indication

A

Sedation for RSI, chemical restraint

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21
Q

Ketamine (Ketalar)

Contraindications

A

HTN

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22
Q

Ketamine (Ketalar)

Precautions

A

Must monitor vitals during use

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23
Q

Ketamine (Ketalar)

Dosage/Route

A

1-4.5 mg/kg IV

3-8 mg IM

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24
Q

Ketamine (Ketalar)

Pedi Dosage/Route

A

0.5-3.0 mg/kg IV, IM

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25
Q

Pancuronium

Another Name

A

Pavulon

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26
Q

Pavulon

Another Name

A

Pancuronium

27
Q

Pancuronium (Pavulon)

Class

A

Non-depolarizing Neuromuscular Blocker

28
Q

Pancuronium (Pavulon)

Description

A

Non-depolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension

29
Q

Pancuronium (Pavulon)

Indications

A

Facilitate endotracheal intubation

30
Q

Pancuronium (Pavulon)

Contraindications

A

Tachycardia

31
Q

Pancuronium (Pavulon)

Dosage/Route

A

0.04 to 0.1 mg/kg IV

Pedi: same as adult

32
Q

Propofol

Another Name

A

Diprivan

33
Q

Diprivan

Another Name

A

Propofol

34
Q

Propofol (Diprivan)

Class

A

Sedative hypnotic, short acting

35
Q

Propofol (Diprivan)

Description

A

Produces rapid and brief state of general anesthesia

36
Q

Propofol (Diprivan)

Indications

A

Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated patients

37
Q

Propofol (Diprivan)

Contraindications

A

Hypovolemia, know sensitivity including soybean oil, peanuts, and eggs

38
Q

Profolol (Diprivan)

Precautions/Side Effects

A

Seizure, apnea, dysrhythmias, asystole, hypotension, hypertension

39
Q

Propofol (Diprivan)

Induction Dosage/Route:

A

1.5-3 mg/kg IV,IO

40
Q

Propofol (Diprivan)

Pedi Induction Dosage/Route:

A

2.5-3.5 mg/kg IV/IO

41
Q

Popofol (Diprivan)

Maintenance infusion

A

25-75 ug/kg/min IV, IO

42
Q

Propofol (Diprivan)

Maintenance Infusion Pedi

A

125-300 ug/kg/min IV,IO

43
Q

Rocuronium Bromide

Another Name

A

Zemuron

44
Q

Zemuron

Another Name

A

Rocuronium Bromide

45
Q
Rocuronium Bromide (Zemuron) 
Class
A

Non-depolarizing Neuromuscular Blocker

46
Q
Rocuronium Bromide (Zemuron)
Description
A

Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis

47
Q
Rocuronium  Bromide (Zemuron) 
Indications
A

RSI

48
Q
Rocuronium Bromide (Zemuron)
Precautions/Side Effects
A

Bronchospasm, wheezing, rhonchi, respiratory depression, apnea, dysrhythmias, tachycardia

49
Q
Rocuronium Bromide (Zemuron)
Dosage/Route
A

0.6-1.2 mg/kg IV, IO

Pedi: Same

50
Q

Succinylcholine

Another Name

A

Anectine

51
Q

Anectine

Another Name

A

Succinylcholine

52
Q

Succinylcholine (Anectine)

Class

A

Depolarizing Neuromuscular Blocker

53
Q

Succinylcholine (Anectine)

Description

A

Ultra short acting depolarizing neuromuscular blocker

54
Q

Succinylcholine (Anectine)

Indications

A

Facilitated Endotracheal Intubation

55
Q

Succinylcholine (Anectine)

Contraindications

A

Family Hx malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hrs, mysthina gravitas, MS, ALS

56
Q

Succinylcholine (Anectine)

Precautions

A

Severe burns, spinal cord injury

57
Q

Succinylcholine (Anectine)

Dosage/Route

A

1-1.5 mg/kg IV,IM

Pedi: 1-2mg/kg IV/IM

58
Q

Vecuronium

Another Name

A

Norcuron

59
Q

Norcuron

Another Name

A

Vecuronium

60
Q

Vecuronium (Norcuron)

Class

A

Non-depolarizing Skeletal Muscle Relaxant

61
Q

Vecuronium (Norcuron)

Description

A

Non-depolarizing skeletal muscle relaxant similar to pancuromium with minimal cardiovascular effects

62
Q

Vecuronium (Norcuron)

Indications

A

Facilitated Endotracheal Intubation

63
Q

Vecuronium (Norcuron)

Contraindications

A

None

64
Q

Vecuronium (Norcuron)

Precautions

A

Hepatic impairment, impaired fluid and electrolyte or acid/base balance, severe obesity, myasthenia gravis, elderly, dibilitated patients, or malignant hyperthermia

65
Q

Vecuronium (Norcuron)

Dosage/Route

A

0.1 mg/kg IV

Pedi: same as adult