TxWes Guide pt1 Flashcards
BENZOS
Dose (IV, PO), Onset, Duration:
Diazepam
Valium
Valium
0.1mg/kg IV
Onset 1-5mins ⏐Duration 2-6h
0.2mg/kg PO
BENZOS
Dose, Onset, Duration:
Lorazepam
Ativan
Ativan
0.04mg/kg ⏐ Onset 1-5mins ⏐Duration 6-10h
BENZOS
Dose, Onset, Duration:
Midazolam
Versed
Versed
1-5mg or 0.01-0.05mg/kg ⏐Onset 1-5mins ⏐Duration 15-80min
BENZOS
Dose, Onset, Duration:
Flumazenil
Romazicon
Romazicon
0.2mg ⏐ Onset 1-5mins ⏐Duration 30mins!!! (may need redose to outlast BZD)
Repeat 0.1 q 1min –> MAX 3mg
BENZO REVERSAL
OPIOIDS
Dose (intraOp, postop), Onset, Duration:
Morphine
1-10mg IntraOp
5-20mg PostOp
Onset 10-20mins ⏐ Duration 4-5h
OPIOIDS
Dose, Onset, Duration:
Fentanyl
1.5-3mcg/kg
Onset 30-60sec ⏐ Duration 1-1.5h
OPIOIDS
Dose, Onset, Duration:
Sufentanil
0.3-1mcg/kg
Onset 30-60sec ⏐ Duration 1-1.5hr
Infusion: 0.5-1mcg/kg/hr (close to intraop dose)
OPIOIDS
Dose, Onset, Duration:
Remifentanil
LOAD: 0.5 - 1mcg/kg OVER 1 MIN!
Onset 30-60sec ⏐ Duration 6-8min
gtt: 0.125-0.375 mcg/kg/min
OPIOIDS
Dose, Onset, Duration:
Meperidine
Demerol
Demerol
12.5mg (Shivering)
Onset 5-15min ⏐ Duration 2-4h
OPIOIDS
Dose (intra, postop), Onset, Duration:
Hydromorphone
Diluadid
Dilaudid
1 - 4mg IntraOp
1.5 - 4mg PostOp (basically the same)
Onset 5-15min ⏐ Duration 2-4hr
OPIOIDS
Dose, Onset, Duration:
Naloxone
Narcan
Narcan
40-80mcg ⏐ Onset 1-5 min⏐ Duration 30min
Opioid REVERSAL
INDUCTION MEDS
Dose (induction, sedation gtt, TIVA gtt), Onset, Duration:
Propofol
1.5-2.5mg/kg Induction
25-100 mcg/kg/min Sedation
100-300 mcg/kg/min TIVA
Onset 30-60sec ⏐ 1-8mins
Induction
Dose, Onset:
Etomidate
0.3mg/kg ⏐ Onset 1 min
Induction
Dose (induction, IV analgesia), Onset, Duration:
Ketamine
0.5-1.5mg/kg Induction
0.2-0.5 mg/kg IV Analgesia
Onset 1 min⏐ 10-20min
4 - 8 mg/kg IM
Induction Dose
Dose, Onset, Duration:
Midazolam
Versed
Versed
0.1-0.2mg/kg Induction
Onset 30-60sec ⏐ Duration 5-10min
*may precede dose w/ Fentanyl 50-100mcg
Dose (Bolus and Infusion):
Dexmedetomidine
Precedex
Precedex
Bolus 0.5-1mcg/kg over 10mins
Infusion 0.2 - 0.7 mcg/kg/hr
Usually on-hand 200mcg/2ml > mix with 48cc NS ⇒ 4mcg/ml
Inhalation
MAC, VP, Blood:Gas Co.:
Sevoflurane
Ultane
MAC 1.8
VP 157
Blood:gas Coefficient 0.69
Inhalation
MAC, VP, Blood:Gas Co.:
Desflurane
Suprane
MAC 6.6
VP 669
Blood:gas Coefficient 0.42
Inhalation
MAC, VP, Blood:Gas Co.:
Isoflurane
Forane
MAC 1.17
VP 238
Blood:gas Coefficient 1.46
Inhalation
MAC, VP, Blood:Gas Co.:
Nitrous Oxide
MAC 104
VP 🚀 38,770 gas
Blood Coefficient 0.46
Muscle Relaxants
Dose, Onset, Duration:
Succinylcholine
Anectine
Anectine
1-1.5 mg/kg
Onset 30-60sec ⏐Durations 5-10min
Muscle Relaxants
Dose, Onset, Duration:
Cisatricurium
Nimbex
Nimbex
0.1 mg/kg
Onset 2-3min ⏐ Duration 40-75min
Hoffman Elimination
Muscle Relaxants
Dose, Onset, Duration:
Vecuronium
Norcuron
Norcuron
0.1 mg/kg
Onset 2-3min⏐ 45-90min