unit II meds

Question 1

Fentanyl

Answer 1

1-5 mcg/kg for 1st hour (50 mcg q 45 min)

Supply 50 mcg/mL

Last top up dose needs 30-45 minutes before pt will breathe

Question 2

Sufentanil

Answer 2

0.5-1 mcg/kg

supply 50 mcg/mL

Question 3

Sufentanil gtt

Answer 3

0.5-1 mcg/kg/HOUR

<2 hrs on gtt of 30 min before breathing

>2hrs on gtt off 45 min

Question 4

Alfentanil

Answer 4

10-30 mcg/kg

Supply 500 mcg/mL

Question 5

Remifentanil Loading

Answer 5

0.5-1 mcg/kg over 1 min

Supply 1 and 5 mg vials

Question 6

Remifentanil gtt

Answer 6

0.1-1 mcg/kg/min

off 6 min before breathing

Question 7

Morphine post-op pain

Answer 7

5-20 mg IV titrated (1-2 mg per titration)

Supply 10 mg/mL

Question 8

Hydromorphone post-op pain

Answer 8

1. 5-4 mg IV titrated
   (0. 2-0.4 mg per titration)

Question 9

Meperidine post-op shivering

Answer 9

12.5 mg IV

variable supply

Question 10

Naloxone respiratory depression

Answer 10

40-80 mcg prn

Supply 400 mcg/mL

Question 11

Codeine

Answer 11

PO 15-60 mg q

Q 4-6 h max 360 mg

PO morphine eq. 0.15

Question 12

Oxycodone

Answer 12

PO 5-15 mg

Q 4-6 h

MAX 80 mg

PO morphine eq. 1.5

Question 13

Hydrocodone

Answer 13

PO 15 mg

Q 4-6 h

MAX 60 mg

PO morphine eq. 1

Question 14

Tramadol

Answer 14

PO 50-100 mg

Q 4-6 h

MAX 400 mg

PO morphine eq. 0.1

Question 15

Methadone

Answer 15

PO 5-30 mg

Q 12

PO morphine eq. 4-14 not constant

Question 16

PO drug dose x Morphine factor

Answer 16

PO morphine dose (Morphine IV:PO = 1:3)

Question 17

Acetaminophen (Ofirmev)

Answer 17

1000 mg (>60 kg) q 4-6 hrs over 15 min Supply 10 mg/mL MAX 4000 mg/day

Question 18

Acetaminophen (Ofirmev) PEDI

Answer 18

age 2-12= 15 mg/kg MAX 75 mg/kg/day

Question 19

Acetaminophen adult PO

Answer 19

650 mg for fever 1000 mg pain q 4-6 hrs (1000 MAX)

Question 20

Acetaminophen pedi PO

Answer 20

<60 kg: PO 10 mg/kg fever pain 30-40 mg/kg

Question 21

Ketorolac (Toradol)

Answer 21

30 mg q 6 hrs (MAX 120 mg/day) supply 30 mg/mL; 5 day limit > 65 y/o 15 mg (60 mg/day MAX)

Question 22

Ibuprofen (Caldalor)

Answer 22

400-800 mg Q 6 given over 30 min supply 100 mg/ml: dilute to 4 mg/mL give lower dose for fever 3200 MAX >17 yrs

Question 23

Gabapentin

Answer 23

PO 300-900 mg pre-op/post-op TID (MAX 1800 mg/day) adjunct to multi-modal pain mngmnt