Sedation/RSI Drugs

Question 1

Name/Class Etomidate

Answer 1

Amidate/Hypnotic

Question 2

Discription of Etomidate

Answer 2

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

Question 3

indications of etomidate

Answer 3

induce sedation for rapid sequence intubation

Question 4

contraindictions of etomidate

Answer 4

none

Question 5

Precautions of etomidate

Answer 5

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

Question 6

Dosage/route of etomidate

Answer 6

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

Pedi:children>10, same as adults

Question 7

Name/class for haloperidol

Answer 7

Haldol/antipsychotic

Question 8

Description of haloperidol

Answer 8

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

Question 9

indications of haloperidol

Answer 9

acute psychotic episodes

Question 10

contraindictions of haloperidol

Answer 10

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

Question 11

Precautions of haloperidol

Answer 11

Orthostatic Hypotension

Question 12

dosage/route of haloperidol

Answer 12

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

Question 13

Name/Class of Pancuronium

Answer 13

Pavulon/nondepolarizing neuromuscular blocker

Question 14

description of Pancuronium

Answer 14

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

Question 15

indications of Pancuronium

Answer 15

to facilitate endotracheal intubation

Question 16

Contraindictions of Pancuronium

Answer 16

Tachycardia

Question 17

dosage/route of Pancuronium

Answer 17

0. 04 to 0.1 mg/kg IV

pedi: same as adult

Question 18

name/class of succinylcholine

Answer 18

Anectine/depolarizing neuromuscular blocker

Question 19

description of succinylcholine

Answer 19

succinylcholine is an ultra short acting depolarizing neuromuscular blocker

Question 20

indications of succinylcholine

Answer 20

Facilitated endotracheal intubation

Question 21

Contraindictions of succinylcholine

Answer 21

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

Question 22

precautions of succinylcholine

Answer 22

severe burns, spinial cord injury

Question 23

dosage/route of succinylcholine

Answer 23

1-1.5 mg/kg IV/IM

pedi 1-2 mg/kg IV/IM

Question 24

name/class of Vecuronium

Answer 24

Norcuron/nondepolarizing skeletal muscle relaxant

Question 25

Description of Vecuronium

Answer 25

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

Question 26

indications of Vecuronium

Answer 26

Facilitated endotracheal intubation

Question 27

Contraindictions of Vecuronium

Answer 27

none

Question 28

precautions of Vecuronium

Answer 28

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

Question 29

Dosage of Vecuronium

Answer 29

0.1 mg/kg IV | pedi same as adult

Question 30

Name/class of Rocuronium Bromide

Answer 30

Zemuron/ Nonpolarizing neuromuscular blocker

Question 31

Description of Rocuronium Bromide

Answer 31

Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis

Question 32

precautions/side effects of Rocuronium Bromide

Answer 32

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

Question 33

dosage/route of Rocuronium Bromide

Answer 33

0.6-1.2 mg/kg IV/IO | pedi same as adult

Question 34

name/class of propofol

Answer 34

Diprivan/Sedative hypnotic, short-acting

Question 35

description of propofol

Answer 35

produces rapid and brief state of general anesthesia

Question 36

indications of propofol

Answer 36

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

Question 37

Contraindictions of propofol

Answer 37

Hypovolemia, known sensitivity including soybean oil, peanuts, eggs

Question 38

Precautions/side effects of propofol

Answer 38

Seizure,apnea,dysrhythmias, asystole, hypotension,hypertension

Question 39

Dosage/route of propofol

Answer 39

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