Sedation

Question 1

All Sedation meds

Answer 1

• Dexmedetomidine (Precedex *)
• Lorazepam (Ativan)
• Midazolam (Vrsed*)
• Fentanyl
• Hydromorphone (Dilaudid*)
• Propofol
• Ketamin

Question 2

Dexmedetomidine (Precedex*) (start, titrate, max dose)

Answer 2

Start @ 0.2 mcg/kg/hr (Physician order bolus 1 mcg/kg over 10 min)
Titrate 0.1 mcg/kg/hr every 5-10 min
Max dose 1.5 mcg/kg/hr

Question 3

Lorazepam (Ativan*) (start, titrate, max dose)

Answer 3

Start @ 0.5 mg/hr (Physician order bolus 1-5 mg IVP over 2min)
Titrate 0.5 mg/hr over 10 min
Max dose 10 mg/hr

Question 4

Midazolam (Versed*) (start, titrate, max dose)

Answer 4

Start @ 0.5 mg/hr (Physician order bolus 1-5 mg)
Titrate 1 mg/hr over 5 min
Max dose 20 mg/hr

Question 5

Fentanyl (start, titrate, max dose)

Answer 5

Start @ 25 mcg/hr
Titrate 25 mcg/hr every 30 min
Max dose 300 mcg/hr

Question 6

Morphine (start, titrate, max dose)

Answer 6

Start @ 1 mg/hr (Physician order bolus 2-4 mg)
Titrate 0.5 mg/hr every 30 min
Max dose 15 mg/hr

Question 7

Hydromorphone (Dilaudid*) (start, titrate, max dose)

Answer 7

Start @ 0.5 mg/hr (Physician order bolus 0.25-2mg)
Titrate 0.25mg/hr every 30 min
Max dose 4 mg/hr

Question 8

Propofol (start, titrate, max dose)

Answer 8

Start @ 5 mg/hr
Titrate 5 mcg/kg/min every 5 min
Max doe 80 mcg/kg/min

Question 9

Ketamine (start, titrate, max dose)

Answer 9

Start @ ??? ( Physician ordered bolus 1-2 mg/kg)
Titrate 5 mcg/kg/min every 30 min
Max dose 25 mcg/kg/min
Administer w/ benzo and wean off slowly