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Versed cautions
elderly, hepatic disease, synergy with narcotics
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Propofol Induction dose
1-2.5mg/kg
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Propofol Infusion dose
25-200mcg/kg/min
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Propofol use
induction, sedation, MAC
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Propofol cautions
soy and egg allergy, bacterial growth 6 hours, hypotension, elderly, burns
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Etomidate dose
0.2-0.3mg/kg
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What induction drug is used for patients with heart problems?
Etomidate
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Etomidate cautions
painful injection, myoclonus, PONV
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[Ketamine]
varies, usually 50mg/ml
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Ketamine induction dose
1-2mg/kg
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Ketamine use
induction, analgesia, amnesia
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Ketamine Cautions
emergence delirium
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Ketamine Pros
narcotic dependent alternative, no apnea, doesn't cross placenta
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fentanyl dose low
1-2mcg/kg
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fentanyl dose moderate
2-20mcg/kg
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Fentanyl time to reach peak effect
3-5 min
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Fentanyl duration
30-60 min
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fentanyl cautions
synergy with midazolam, 100x more potent than morphine
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fentanyl class
synthetic opioid
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Meperidine dose for PO shivering IV
12.5-25mg
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Meperidine cautions
neurotoxic, renal disease
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meperidine class
synthetic opioid
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morphine dose intraoperative
0.1-1mg/kg
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Morphine onset time
15-30 min
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Morphine duration
3-6 hours
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Morphine use
long analgesia
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Morphine cautions
respiratory depression, PONV, pruritis
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Hydromorphine alternative name
dilaudid
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Hydromorphone dose
0.5-2mg
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Hydromorphone use
analgesia
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Naloxone class
opioid antagonist
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Lidocaine use IV
blunt airway reflexes, prevent burn of propofol
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[Succinylcholine]
20mg/ml
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Succinylcholine dose intubation
1-2mg/kg
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Succinylcholine onset time
30 sec
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Succinylcholine duration
3-5 min
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Succinylcholine use
RSI, intubation, laryngospasm
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Succinylcholine class
depolarizing NMBD
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fasiculation caused by what paralyzing drug
Succinylcholine
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Succinylcholine metabolism
plasma cholinesterase, not dependent on liver or kidneys
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Rocuronium dose
.6-1.2 mg/kg
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Rocuronium onset time
1-2 min
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Rocuronium use
paralysis, RSI
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Rocuronium pros
can be used for RSI at high dose
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What NMBD should not be used if K+ levels are high?
Succinylcholine
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[Vecuronium]
10 mg powder, 1mg/ml final
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Vecuronium onset time
3-5 min
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Vecuronium duration
20-35 min
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Vecuronium dose for maintenance
0.01mg/kg
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Vecuronium class
non-depolarizing
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Cisatracurium dose intubation
0.1-0.15mg/kg
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Cisatracurium class
non-depolarizing
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Cisatracurium good for patients with what dysfunction
renal or hepatic
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Neostigmine dose
0.04-0.07 mg/kg
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Neostigmine caution
BLUDS
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Neostigmine use
NMB reversal
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Neostigmine class
anticholinesterase
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What is required before using Neostigmine?
minimum 1 of 4 twitches
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Neostigmine used with what drug to prevent BLUDS?
Glycopyrrolate
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Glycopyrrolate reversal dose
.2mg per 1 mg neostigmine
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Glycopyrrolate dose pre-med
.2mg IM
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[Atropine] intraoperatively
0.4mg/ml
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Atropine dose bradycardia
0.4-0.6mg
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Atropine has what effect?
dramatic increase HR
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Who should get an RSI?
GERD, trauma
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What is not performed during an RSI
bag mask ventilation
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Define MAC (drug related)
Minimum Alveolar Concentration
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Define MAC anesthesia
Monitored Anesthesia Care
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