Summer Drug List Flashcards

0
Q
Amidate (Etomidate)
Drug class 
Concentration
Dose
Onset/Peak/Duration
A
Induction Agent
Carboxylate imidazole
2 mg/cc
0.2-0.4 mg/kg
Onset 15-30 seconds
Peak 1 min
Duration 3-10 min
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1
Q
Diprivan (Propofol)
Drug class
Concentration
Dose
Onset/peak/duration
A
Induction agent
Isopropylphenol
10 mg/cc
1-2.5 mg/kg for induction
Onset 15-30 seconds
Peak 1 min
Duration 5-10 minutes
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2
Q
Brevital (methohexital na)
Drug class
Concentration
Dose
Onset/peak/duration
A
Induction agent
Barbiturate
10 mg/cc
2 mg/kg
Onset 20-40 seconds
peak 45 seconds
duration 5-10 minutes
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3
Q
Ketalar (ketamine hcl)
Drug class
Concentration
Dose
Onset/peak/duration
A
Induction agent
Phencyclidine derivative
50 mg/cc
0.2 mg/kg (analgesic)
to 2-4 mg/kg (induction)
Onset 30-60 sec
peak 2-3 min
duration 60-90 min
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4
Q
Sublimaze (fentanyl)
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Phenylpiperidine synthetic
50 mcg/cc
25-100 mcg for analgesia, 
up to > 100 mcg/kg for cardiac anesthetic
Onset 15-30 sec
peak 3-5 min
duration 30-60 min in analgesic doses, duration of action increases with > doses
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5
Q
Sufenta (sufentanil)
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Phenylpiperidine synthetic
50 mcg/cc
0.2-0.6 mcg/kg as adjunct to inhalation anesthesia, 
8-30 mcg/kg for cardiac
Onset 15-30 sec
peak 3-5 min
duration 20-45 min in analgesic doses, duration of action increases with > doses
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6
Q
Demerol (meperidine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Phenylpiperidine synthetic
25-100 mg/cc
25-100 mg adult, 
0.5-2 mg/kg peds
Onset 30-60 sec
peak 5-15 min
duration 2-4 hrs
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7
Q
Morphine
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Phenanthrene alkaloid
1-15 mg/cc
2-15 mg adult, 
0.1 mg/kg peds
Onset 30-60 sec
peak 15-30 min
duration 3-4 hrs
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8
Q
Dilaudid (hydromorphone)
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Semi-synthetic phenanthrene
1 or 2 mg/ml
0.25-2 mg adult, 
0.01-0.04 mg/kg peds
Onset 30-60 sec
peak 3-5 min
duration 2-3 hrs
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9
Q
Ultiva (remifentanil)
Drug class
Concentration
Dose
Onset/peak/duration
A
Opioid
Phenylpiperidine synthetic
1 or 2 mg vials for reconstitution
0.05-0.2 mcg/kg/min
Onset 15 sec
peak 1 min
duration 5-10 min
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10
Q
Anectine (succinylcholine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Muscle relaxant - depolarizing
Depolarizer
20 mg/cc
1-1.5 mg/kg for intubation
Onset 30-60 sec
peak 1 min
duration 3-5 min
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11
Q
Nimbex (cisatracurium)
Drug class
Concentration
Pre-treatment
Dose
Onset/peak/duration
A
Muscle relaxant - non-depolarizing
Benzylisoquinolinium
2 mg/cc
1-2 mg pre-treatment
0.1 mg/kg for intubation 
Onset 3-5 min
peak 5-10 min
duration 20-35 min
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12
Q
Norcuron (vecuronium)
Drug class
Concentration
Pre-treatment
Dose
Onset/peak/duration
A
Muscle relaxant - non-depolarizing 
Aminosteroid
1 mg/cc (requires reconstitution)
1-2 mg pre-treatment
0.1 mg/kg for intubation 
Onset 3-5 min
peak 5-10 min
duration 20-35 min
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13
Q
Zemuron (rocuronium)
Drug class
Concentration
Pre-treatment
Dose
Onset/peak/duration
A
Muscle relaxant - non-depolarizing 
Aminosteroid
10 mg/cc
5 mg pre-treatment
0.6-1 mg/kg for intubation (1 mg/kg to intubate in 60 sec)
Onset 1-2 min
peak 3-5 min
duration 20-35 min
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14
Q
Pavulon (pancuronium)
Drug class
Concentration
Pre-treatment
Dose
Onset/peak/duration
A
Muscle relaxant - non-depolarizing 
Aminosteroid
1 or 2 mg/ml
1-2 mg pre-treatment
0.08-0.1 mg/kg
Onset 3-5 min
peak 5-10 min
duration 60-90 min
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15
Q
Atropine
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Tertiary amine anticholinergic
0.4 mg/cc
15-70 mcg/kg peds, adults - 0.6-1.2 mg with neostigmine
Onset 15-30 sec
peak 2 min
duration 1-2 hrs
16
Q
Robinul (glycopyrrolate)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Quaternary ammonium anticholinergic
0.2 mg/cc
10-20 mcg/kg
Onset 1 min
peak 5 min
duration 2-4 hrs
17
Q
Narcan (naloxone)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Opioid antagonist
0.4 mg/cc
1-10 mcg/kg, repeated as required
Onset 1-2 min
peak 5-15 min
duration 1-4 hrs
18
Q
Enlon (edrophonium)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Quaternary ammonium anticholinesterase
10 mg/cc
0.5-1 mg/kg
Onset 30-60 sec
peak 1-5 min
duration 5-20 min
19
Q
Prostigmine (neostigmine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Carbamyl ester anticholinesterase
0.5 or 1 mg/cc
25-70 mcg/kg
Onset 1-3 min
peak 5-7 min
duration 40-60 min
20
Q
Regonal (pyridostigmine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Carbamyl ester anticholinesterase
5 mg/cc
0.1-0.3 mg/kg
Onset 2-5 min
peak 5-15 min
duration 90 min
21
Q
Romazicon (flumazenil)
Drug class
Concentration
Dose
Onset/peak/duration
A
Reversal
Benzodiazepine antagonist
1 mg/cc
8-15 mcg/kg, 0.2 mg typical adult dose increments, up to 1 mg
Onset 1-2 min
peak 6-10 min
duration 30-60 min
22
Q
Neosynephrine (phenylephrine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Vasoactive drug
Synthetic direct alpha 1 agonist
10 mg/cc
40-100 mcg
Onset 30-45 sec
peak 1-2 min
duration 15-20 min
23
Q
Brevibloc (esmolol)
Drug class
Concentration
Dose
Onset/peak/duration
A
Vasoactive drug
Beta 1 antagonist
10 mg/cc
10-15 mg bolus
Onset 2 min
peak 5 min
duration 10-15 min
24
Q
Ephedrine
Drug class
Concentration
Dose
Onset/peak/duration
A
Vasoactive drug
Synthetic indirect & direct alpha 1, beta 1,2
25-50 mg/cc
5-10 mg incremental doses
Onset 1 min
peak 2-5 min
duration 10-60 min
25
Q
Trandate (labetalol)
Drug class
Concentration
Dose
Onset/peak/duration
A
Vasoactive drug
Alpha 1, beta 1,2 antagonist
5 mg/cc
0.1-0.5 mg/kg
Onset 1-2 min
peak 5-10 min
duration 2-4 hrs
26
Q
Apresoline (hydralazine)
Drug class
Concentration
Dose
Onset/peak/duration
A
Vasoactive drug
Vascular smooth muscle dilator
20 mg/cc
Adults - 2.5-20 mg
Onset 10-20 min
peak 30-60 min
duration 3-6 hrs
27
Q
Versed (midazolam)
Drug class
Concentration
Dose
Onset/peak/duration
A
Anxiolytic
Benzodiazepine
1 or 5 mg/cc
50-75 mcg/kg peds, typical adult dose - 2 mg
Onset 1-5 min
peak 5-30 min
duration 2-6 hrs
28
Q
Decadron (dexamethasone)
Drug class
Concentration
Dose
Onset/peak/duration
A
Corticosteroid
4 mg/cc
0.0625 mg/kg peds - 5-10 mg adults
Onset 5 min
peak 12-24 hrs
duration 36-54 hrs
29
Q
Zofran (ondansetron)
Drug class
Concentration
Dose
Onset/peak/duration
A
5-HT3 receptor antagonist
4 mg/ml
0.15 mg/kg peds, 4 mg adult
Onset 5 min
peak 1 hr
duration 4-6 hrs
30
Q
Anzemet (dolasetron)
Drug class
Concentration
Dose
Onset/peak/duration
A
5-HT3 receptor antagonist
12.5 mg/ampule
0.15-0.45 mg/kg (12.5 to 25 mg)
Onset 5 min
peak 1 hr
duration 4-6 hrs