Simulation Drugs Flashcards
Phenylephrine color
violet
Phenylephrine vial concentration
10mg/ml
Phenylephrine syringe concentration
100mcg/ml
Phenylephrine reconstitution
draw 1ml from vial mix with 9ml NS; the draw 1ml from this vial and mix with another 9ml of NS
Phenylephrine dose
50-150mcg
Phenylephrine onset
<1min
Phenylephrine duration
15-20min
Phenylephrine considerations
reflex bradycardia
Phenylephrine syringe size
10ml
ephedrine color
violet
ephedrine vial concentration
50mg/ml
ephedrine syringe size
10ml
ephedrine syringe concentration
5mg/ml
ephedrine adult dose
5-10mg
ephedrine onset
<1min
ephedrine duration
10-60min
ephedrine consideration
tachyphylaxis after 50mg
ephedrine reconstitution
draw 1ml from vial mix with 9ml NS
epinephrine color
violet
epinephrine vial concentration
standard stock, 1mg/ml, 1:1000
epinephrine syringe concentration
10ml syringe, 0.1mg/ml
epinephrine ACLS dose
1mg q3-5 min
epinephrine onset
<1 min
epinephrine duration
5-10 min
atropine color
green
atropine vial concentration
0.4mg/ml or 1mg/ml
atropine adult dose
15mcg/kg
atropine onset
<1min
atropine duration
1-2 hrs
atropine syringe size and concentration
0.4mg/ml or 1mg/ml in 1ml or 3ml syringes
succinylcholine color
red
succinylcholine vial concentration
20mg/ml
succinylcholine syringe size and concentration
20mg/ml in 10ml syringes
succinylcholine adult dose
1-1.5 mg/kg
succinylcholine onset
30s-60s
succinylcholine duration
5-15 min
succinylcholine considerations
MH, Hyperkalemia, pediatrics, IOP, ICP, gastric pressure
rocuronium color
red
rocuronium vial concentration
10mg/ml
rocuronium syringe concentration and size
10mg/ml in 5ml syringe
rocuronium dose
0.6mg/kg regular; 1.2mg/kg RSI
rocuronium onset
1-3 min non-RSI; 1 min RSI
rocuronium duration
30-60min
midazolam color
orange
midazolam vial concentration
2mg/ml
midazolam syringe size and concentration
2mg/ml in 3ml syringe
midazolam dose
0.02-0.04mg/kg
midazolam onset
2min
midazolam duration
1-6 hrs
midazolam consideration
don’t give pt >70 yrs old in simulation
fentanyl color
blue
fentanyl vial concentration
50mcg/ml
fentanyl syringe size and concentration
50mcg/ml in 3ml or 5 ml syringe
fentanyl adult dose
1-3mcg/kg for induction; 0.5-1mcg/kg for breakthrough pain
fentanyl onset
3-5 min
fentanyl duration
30-60 min
propofol color
yellow
propofol vial concentration
10mg/ml
propofol syringe size and concentration
10mg/ml in 20ml syringes
propofol adult dose
1.5-2.5 mg/kg
propofol onset
<40 sec
propofol duration
5-10 min
Lidocaine color
grey
lidocaine vial concentration
2%, 20mg/ml
lidocaine syringe size and concentration
5ml syringe with 20mg/ml
lidocaine dose
1-1.5mg/kg IBW
lidocaine onset
45-90 sec
lidocaine duration
10-20 min
vecuronium color
red
vecuronium vial concentration
10mg powder
vecuronium syringe size and concentration
1mg/ml in 10ml syringe
vecuronium adult dose
0.1mg/kg IBW
vecuronium onset
2-5 min
vecuronium DOA
30-60min
cisatracurium color
red
cisatracurium vial concentration
2mg/ml
cisatracurium syringe size and concentration
2mg/ml in 10ml syringe
cisatracurium adult dose
0.1-0.2mg/kg
cisatracurium onset
Up to 2 min
cisatracurium DOA
30-60min
cisatracurium consideration
good in kidney pt, Hoffman elimination
etomidate color code
yellow
etomdiate vial concentration
2mg/ml
etomdiate syringe size and concentration
2mg/ml in 10ml syringes
etomdiate adult dose
0.1-0.4mg/kg TBW
etomdiate onset
<60 sec
etomdiate DOA
3-10 min
ketamine color code
yellow
ketamine vial concentration
varies
ketamine syringe size and concentration
dilute to 10mg/ml in syringe of choice
ketamine doses (both induction and multimodal)
1-2.5mg/kg for induction; 0.2-0.5mg/kg for multimodal pain mgnt
ketamine onset
30sec
ketamine DOA
5-15 min
remifentanil color
blue
remifentanil vial concentration
1mg/ml
remifentanil syringe size and concentration
50mcg/ml in 20ml syringe; draw up 1 ml Remi and dilute with 19ml NS
remifentanil dose
0.25-1 mcg/kg IBW for bolus; 0.05-0.2 mcg/kg/min for gtt
remifentnanil onset
< 1 min
remifentanil DOA
4min
remifentanil consideration
need long lasting opioid before turning off
