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medic 17 drug cards > RSI/Sedation > Flashcards

RSI/Sedation Flashcards

1
Q

Propofol

name

A

diprivan

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2
Q

Propofol

Class

A

Sedative hypnotic, short acting

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3
Q

Propofol

Description

A

produces rapid and brief state of general anesthesia

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4
Q

Propofol

Indications

A

Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated patients

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5
Q

Propofol

Contraindications

A

hyporvolemia, known sensitivity including soy bean oil, peanuts, eggs

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6
Q

Propofol

Precautions/Side Effects

A

Seizure, apnea, dsyrythmias, asystole, hypotension, hypertension

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7
Q

Propofol

Dosage/Route

A

Induction Dose 1.5-3 mg/kg IV/IO
Maintenance 25-75 ug/kg/min IV/IO

Pedi Doses
Induction 2.5-3.5 mg/kg IV/IO
Maintenance 125-300 ug/kg/min IV/IO

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8
Q

Pavulon

Name

A

Pancuronium

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9
Q

Pavulon

Class

A

Non depolarizing neuromuscular blocker

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10
Q

Pavulon

Description

A

causes paralysis without bronchospasm or hypotension

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11
Q

Pavulon

Indications

A

to facilitate ET intubation

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12
Q

Pavulon

Contraindications

A

Tachycardia

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13
Q

Pavulon

Dose/Rate

A

0.04-0.1 mg/kg IV

Pedi Dose- same as adult

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14
Q

Vecuronium

Name

A

Norcuron

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15
Q

Vecuronium

Class

A

non depolarizing skeletal muscle relaxant

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16
Q

Vecuronium

Description

A

Similar to pancuronium w/ minimal cardiovascular effects

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17
Q

Vecuronium

Indications

A

Facilitated ET intubation

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18
Q

Vecuronium

Contraindications

A

None

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19
Q

Vecuronium

Precautions

A

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

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20
Q

Vecuronium

Does/Route

A

0.1 mg/kg IV

Pedi- Same

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21
Q

Zemuron

Name

A

Rocuronium Bromide

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22
Q

Zemuron

Class

A

Non depolarizing neuromuscular blocker

23
Q

Zemuron

Description

A

antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis

24
Q

Zemuron

Indications

A

RSI

25
Q

Zemuron

Precautions/Side Effects

A

bronchospasm, wheezing, rhonchi, respiratory depression, apnea, dysrythmias, tachycardia

26
Q

Zemuron

Dose/Route

A

0.6-1.2 mg/kg IV/IO

Pedi- Same

27
Q

Ketamine

name

A

Ketalar

28
Q

Ketamine

Class

A

Sedative/hypnotic and analgesic

29
Q

Ketamine

Description

A

Dissociative agent for RSI and for sedation. Has strong amnestic properties

30
Q

Ketamine

Indications

A

Induce sedation for RSI

31
Q

Ketamine

Contraindications

A

None

32
Q

Ketamine

Precautions

A

Must monitor vitals during use

33
Q

Ketamine

Dose/Route

A

1-4.5 mg/kg IV
3-8 mg/kg IM

Pedi Dose- 0.5-3.0 mg/kg IV/IM

34
Q

Etomidate

Name

A

Amidate

35
Q

Etomidate

Class

A

Hypnotic

36
Q

Etomidate

Description

A

Ultra short acting non barbituate hypnotic w/ no analgesic effect and limited cardiovascular +respiratory effects

37
Q

Etomidate

Indications

A

Induce sedation for RSI

38
Q

Etomidate

Contraindications

A

None

39
Q

Etomidate

Precautions

A

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

40
Q

Etomidate

Dose/Route

A

0.1-0.3 mg/kg IV over 15-30 seconds

Pedi dose- children > 10 years same as adult

41
Q

Anectine

Name

A

succinylcholine

42
Q

Anectine

Class

A

depolarizing neuromuscular blocker

43
Q

Anectine

Description

A

ultra short acting depolarizing neuromuscular blocker

44
Q

Anectine

Indications

A

Facilitated ET intubation

45
Q

Anectine

Contraindications

A

family history of malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hours, myastenia gravis, MS, ALS

46
Q

Anectine

Precautions

A

severe burns, spinal cord injury

47
Q

Anectine

Dose/Route

A

1-1.5 mg/kg IV/IM

Pedi dose- 1-2 mg/kg IV/IM

48
Q

Haldol

Name

A

Haloperidol

49
Q

Haldol

Class

A

Antipsychotic

50
Q

Haldol

Description

A

Blocks dopamine receptors in the brain believed to be accociated with mood and behavior, potent antiemetic, impairs temp regulation

51
Q

Haldol

Indications

A

Acute psychotic episodes

52
Q

Haldol

Contraindications

A

parkinsons disease, seizures, coma, alcohol depression, CNS depression, thyrotoxicosis, other sedatives

53
Q

Haldol

Precautions

A

orthostatic hypotension

54
Q

Haldol

Dose/Route

A

2-5mg IM mixed with benadryl to avoid EPS reactions

medic 17 drug cards (75 decks)

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