unit II meds Flashcards
Fentanyl
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
Sufentanil
0.5-1 mcg/kg
supply 50 mcg/mL
Sufentanil gtt
0.5-1 mcg/kg/HOUR
<2 hrs on gtt of 30 min before breathing
>2hrs on gtt off 45 min
Alfentanil
10-30 mcg/kg
Supply 500 mcg/mL
Remifentanil Loading
0.5-1 mcg/kg over 1 min
Supply 1 and 5 mg vials
Remifentanil gtt
0.1-1 mcg/kg/min
off 6 min before breathing
Morphine post-op pain
5-20 mg IV titrated (1-2 mg per titration)
Supply 10 mg/mL
Hydromorphone post-op pain
- 5-4 mg IV titrated
(0. 2-0.4 mg per titration)
Meperidine post-op shivering
12.5 mg IV
variable supply
Naloxone respiratory depression
40-80 mcg prn
Supply 400 mcg/mL
Codeine
PO 15-60 mg q
Q 4-6 h max 360 mg
PO morphine eq. 0.15
Oxycodone
PO 5-15 mg
Q 4-6 h
MAX 80 mg
PO morphine eq. 1.5
Hydrocodone
PO 15 mg
Q 4-6 h
MAX 60 mg
PO morphine eq. 1
Tramadol
PO 50-100 mg
Q 4-6 h
MAX 400 mg
PO morphine eq. 0.1
Methadone
PO 5-30 mg
Q 12
PO morphine eq. 4-14 not constant
PO drug dose x Morphine factor
PO morphine dose (Morphine IV:PO = 1:3)
Acetaminophen (Ofirmev)
1000 mg (>60 kg) q 4-6 hrs over 15 min Supply 10 mg/mL MAX 4000 mg/day
Acetaminophen (Ofirmev) PEDI
age 2-12= 15 mg/kg MAX 75 mg/kg/day
Acetaminophen adult PO
650 mg for fever 1000 mg pain q 4-6 hrs (1000 MAX)
Acetaminophen pedi PO
<60 kg: PO 10 mg/kg fever pain 30-40 mg/kg
Ketorolac (Toradol)
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)
Ibuprofen (Caldalor)
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
Gabapentin
PO 300-900 mg pre-op/post-op TID (MAX 1800 mg/day) adjunct to multi-modal pain mngmnt
