EM RSI

  1. Rocuronium - paralyzing dose
    0.6 - 1.2 mg/kg

    Onset: 2 min
  2. Vecuronium - paralyzing dose
    0.15 - 0.25 mg/kg

    Onset: 2.5 - 5 min
  3. Succinylcholine - paralyzing dose
    1.5 - 3.0 mg/kg

    Onset: < 1 min
  4. Rocuronium - defasciculating dose
    0.06 mg/kg

    1/10 paralytic dose

    Onset: 2 min
  5. Vecuronium - defasciculating dose
    0.01 mg/kg

    1/10 paralytic dose

    Onset: 2.5 - 5 min
  6. Succinylcholine - defasciculating dose
    0.1 mg/kg

    1/10 paralytic dose

    Onset: < 1 min
  7. Etomidate - RSI dose
    0.3 - 0.4 mg/kg

    Onset: 1 min
  8. Fentanyl - RSI dose
    2 - 10 mcg/kg

    Onset: 1 min
  9. Ketamine - RSI dose
    1 - 2 mg/kg

    Onset: < 1 min
  10. Midazolam (Versed) - RSI dose
    0.1 - 0.3 mg/kg

    Onset: 2 min
  11. Propofol - RSI dose
    1 - 2.5 mg/kg

    Onset: < 1 min
  12. Thiopental - RSI dose
    3 - 5 mg/kg

    Onset: < 1 min
  13. Lidocaine - premedication
    1 - 2 mg/kg
  14. Fentanyl - premedication
    1 mcg/kg
  15. Atropine - premedication
    0.02 mg/kg
  16. Rocuronium - Indications & Side Effects
    • concern for ICP and eye pressures
    • minimal BP changes
    • no brochospasm

    SE - tachycardia and mild histamine release
  17. Succinylcholine - Indications & Side Effects
    rapid onset

    SE - fasciculations, hyperkalemia, increased ICP and eye pressures. Avoid in open globe, subacute burns, muscle dennervation, renal failure and pacemaker.
  18. Vecuronium - Indications & Side Effects
    non-depolarizer, minimal tachycardia

    SE - prolonged action
Author
ssherwo
ID
68086
Card Set
EM RSI
Description
Typical uses, dosages and side effects of commonly used Rapid Sequence Intubation medications.
Updated