RSI/Sedation Flashcards
Etomidate (Amidate)
Class
Hypnotic
Etomidate
Another Name
Amidate
Amidate
Another Name
Etomidate
Etomidate (Amidate)
Description
Ultra short acting, non-barbiturate hypnotic w/ no analgesic effects and limited cardiovascular and respiratory effects
Etomidate (Amidate)
Indications
Induce sedation for RSI
Etomidate (Amidate)
Contraindications
None
Etomidate (Amidate)
Precautions
Head injury if no paralytics used, marked hypotension, severe asthma or severe cardiovascular disease
Etomidate (Amidate)
Dosage/Route
0.1 to 0.3 mg/kg IV over 10-15 seconds
Pedi: Children >10 years, same as adult
Haloperidol
Another Name
Haldol
Haldol
Another Name
Haloperidol
Haloperidol (Haldol)
Class
Antipsychotic
Haloperidol (Haldol)
Description
Believed to block dopamine receptors in the brain associated with mood and behavior, is a potent antiemetic, impairs temperature regulation
Haloperidol (Haldol)
Indications
Acute psychotic episodes
Haloperidol (Haldol)
Contraindications
Parkinson’s, seizure disorder, coma, alcohol depression, CNS depression, thyrotoxicosis, and with other sedatives
Haloperidol (Haldol)
Precautions
Orthostatic Hypotension
Haloperidol (Haldol)
Dosage/Route
2 to 5 mg IM, usually mixed with Benadryl to avoid EPS reactions
Ketamine
Another Name
Ketalar
Ketalar
Another Name
Ketamine
Ketamine (Ketalar)
Class
Sedative/Hypnotic and Analgesic
Ketamine (Ketalar)
Description
Dissociative agent for rapid sequence induction/intubation and for sedation
Ketamine (Ketalar)
Indication
Sedation for RSI, chemical restraint
Ketamine (Ketalar)
Contraindications
HTN
Ketamine (Ketalar)
Precautions
Must monitor vitals during use
Ketamine (Ketalar)
Dosage/Route
1-4.5 mg/kg IV
3-8 mg IM
Ketamine (Ketalar)
Pedi Dosage/Route
0.5-3.0 mg/kg IV, IM
Pancuronium
Another Name
Pavulon
Pavulon
Another Name
Pancuronium
Pancuronium (Pavulon)
Class
Non-depolarizing Neuromuscular Blocker
Pancuronium (Pavulon)
Description
Non-depolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension
Pancuronium (Pavulon)
Indications
Facilitate endotracheal intubation
Pancuronium (Pavulon)
Contraindications
Tachycardia
Pancuronium (Pavulon)
Dosage/Route
0.04 to 0.1 mg/kg IV
Pedi: same as adult
Propofol
Another Name
Diprivan
Diprivan
Another Name
Propofol
Propofol (Diprivan)
Class
Sedative hypnotic, short acting
Propofol (Diprivan)
Description
Produces rapid and brief state of general anesthesia
Propofol (Diprivan)
Indications
Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated patients
Propofol (Diprivan)
Contraindications
Hypovolemia, know sensitivity including soybean oil, peanuts, and eggs
Profolol (Diprivan)
Precautions/Side Effects
Seizure, apnea, dysrhythmias, asystole, hypotension, hypertension
Propofol (Diprivan)
Induction Dosage/Route:
1.5-3 mg/kg IV,IO
Propofol (Diprivan)
Pedi Induction Dosage/Route:
2.5-3.5 mg/kg IV/IO
Popofol (Diprivan)
Maintenance infusion
25-75 ug/kg/min IV, IO
Propofol (Diprivan)
Maintenance Infusion Pedi
125-300 ug/kg/min IV,IO
Rocuronium Bromide
Another Name
Zemuron
Zemuron
Another Name
Rocuronium Bromide
Rocuronium Bromide (Zemuron) Class
Non-depolarizing Neuromuscular Blocker
Rocuronium Bromide (Zemuron) Description
Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis
Rocuronium Bromide (Zemuron) Indications
RSI
Rocuronium Bromide (Zemuron) Precautions/Side Effects
Bronchospasm, wheezing, rhonchi, respiratory depression, apnea, dysrhythmias, tachycardia
Rocuronium Bromide (Zemuron) Dosage/Route
0.6-1.2 mg/kg IV, IO
Pedi: Same
Succinylcholine
Another Name
Anectine
Anectine
Another Name
Succinylcholine
Succinylcholine (Anectine)
Class
Depolarizing Neuromuscular Blocker
Succinylcholine (Anectine)
Description
Ultra short acting depolarizing neuromuscular blocker
Succinylcholine (Anectine)
Indications
Facilitated Endotracheal Intubation
Succinylcholine (Anectine)
Contraindications
Family Hx malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hrs, mysthina gravitas, MS, ALS
Succinylcholine (Anectine)
Precautions
Severe burns, spinal cord injury
Succinylcholine (Anectine)
Dosage/Route
1-1.5 mg/kg IV,IM
Pedi: 1-2mg/kg IV/IM
Vecuronium
Another Name
Norcuron
Norcuron
Another Name
Vecuronium
Vecuronium (Norcuron)
Class
Non-depolarizing Skeletal Muscle Relaxant
Vecuronium (Norcuron)
Description
Non-depolarizing skeletal muscle relaxant similar to pancuromium with minimal cardiovascular effects
Vecuronium (Norcuron)
Indications
Facilitated Endotracheal Intubation
Vecuronium (Norcuron)
Contraindications
None
Vecuronium (Norcuron)
Precautions
Hepatic impairment, impaired fluid and electrolyte or acid/base balance, severe obesity, myasthenia gravis, elderly, dibilitated patients, or malignant hyperthermia
Vecuronium (Norcuron)
Dosage/Route
0.1 mg/kg IV
Pedi: same as adult