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Paramedic Drugs Bridgeport > Sedation/RSI > Flashcards

Sedation/RSI Flashcards

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1
Q

Name/Class Etomidate

A

Amidate/Hypnotic

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2
Q

Discription of Etomidate

A

Etomidate is an ultra short acting nonbarbiturate hypnotic with no analgesic effects and limited cardiovascular and respiratory effects.

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3
Q

indications of etomidate

A

induce sedation for rapid sequence intubation

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4
Q

contraindictions of etomidate

A

none

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5
Q

Precautions of etomidate

A

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

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6
Q

Dosage/route of etomidate

A

0.1-0.3 mg/kg IV over 15 to 30 sec

Pedi:children>10, same as adults

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7
Q

Name/class for haloperidol

A

Haldol/antipsychotic

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8
Q

Description of haloperidol

A

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

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9
Q

indications of haloperidol

A

acute psychotic episodes

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10
Q

contraindictions of haloperidol

A

Parkinsons disease, seizure disorders, coma, alcohol depression, CNS depressions, and thyrotoxicosis, and with other sedatives

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11
Q

Precautions of haloperidol

A

Orthostatic Hypotension

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12
Q

dosage/route of haloperidol

A

2-5 mg IM. Normally mixed with benadryl to avoid EPS reaction

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13
Q

Name/Class of Pancuronium

A

Pavulon/nondepolarizing neuromuscular blocker

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14
Q

description of Pancuronium

A

Pancuronium is a nondepolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension

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15
Q

indications of Pancuronium

A

to facilitate endotracheal intubation

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16
Q

Contraindictions of Pancuronium

A

Tachycardia

17
Q

dosage/route of Pancuronium

A
  1. 04 to 0.1 mg/kg IV

pedi: same as adult

18
Q

name/class of succinylcholine

A

Anectine/depolarizing neuromuscular blocker

19
Q

description of succinylcholine

A

succinylcholine is an ultra short acting depolarizing neuromuscular blocker

20
Q

indications of succinylcholine

A

Facilitated endotracheal intubation

21
Q

Contraindictions of succinylcholine

A

faimly history of malignent hyperthermia, penetrating eye injury, narrow-angle glaucoma. hyperkalemia, crash injury, burns over 24 hours

22
Q

precautions of succinylcholine

A

severe burns, spinial cord injury

23
Q

dosage/route of succinylcholine

A

1-1.5 mg/kg IV/IM

pedi 1-2 mg/kg IV/IM

24
Q

name/class of Vecuronium

A

Norcuron/nondepolarizing skeletal muscle relaxant

25
Q

Description of Vecuronium

A

Vecuronium is a nondepolarizing skeletal muscle relaxant similiar to pancuronium with minimal cardiovascular effects

26
Q

indications of Vecuronium

A

Facilitated endotracheal intubation

27
Q

Contraindictions of Vecuronium

A

none

28
Q

precautions of Vecuronium

A

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

29
Q

Dosage of Vecuronium

A

0.1 mg/kg IV

pedi same as adult

30
Q

Name/class of Rocuronium Bromide

A

Zemuron/ Nonpolarizing neuromuscular blocker

31
Q

Description of Rocuronium Bromide

A

Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis

32
Q

precautions/side effects of Rocuronium Bromide

A

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

33
Q

dosage/route of Rocuronium Bromide

A

0.6-1.2 mg/kg IV/IO

pedi same as adult

34
Q

name/class of propofol

A

Diprivan/Sedative hypnotic, short-acting

35
Q

description of propofol

A

produces rapid and brief state of general anesthesia

36
Q

indications of propofol

A

Anesthesia induction, anesthesia maintenance, sedation for mechanically ventillated patients.

37
Q

Contraindictions of propofol

A

Hypovolemia, known sensitivity including soybean oil, peanuts, eggs

38
Q

Precautions/side effects of propofol

A

Seizure,apnea,dysrhythmias, asystole, hypotension,hypertension

39
Q

Dosage/route of propofol

A

induction dose:1.5-3 mg/kg IV,IO Maintenance infusion: 25-75 ug/kg/min IV,IO
Pedi Induction dose:2.5-3.5 mg/kg IV,IO maintenance infusion 125-300 ug/kg/min IV,IO

Paramedic Drugs Bridgeport (12 decks)

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