2nd Drawer Run Down

Question 1

Amidate

Answer 1

Etomidate, 20 mg/10 ml
GABA mimetic
dose: 0.3-0.6 mg/kg, onset 30-40 sec, durat: 3-10 min
cardioprotective, lowers ICP, adrenocortical depression

Question 2

0.25 % Bupivicaine

Answer 2

75 mg/30 ml
2.5 mg/ml
longest acting

Question 3

Sensorcaine

Answer 3

epi + bupivicaine 0.5%
150 mg/3 ml
5 mg/ml

Question 4

25% Mannitol

Answer 4

12.5 g/50 ml, 250 mg/ml
osmotic diuretic, does not undergo reabsorption
dose: 25-50 grams + 20-40 of lasix

Question 5

0.5% Bupivicaine

Answer 5

10 ml

Question 6

Xylocaine

Answer 6

epi + lidocaine 2%

400 mg/20 ml, 20 mg/ml

Question 7

Sodium Citrate

Answer 7

solution

lowers gastric pH

Question 8

Marcaine

Answer 8

spinal solution, bupivicaine with glucose

2 ml

Question 9

Labetolol

Answer 9

syringe, 20 mg/4ml
beta-blocker, 10-20 mg/dose Q 10 mins
dose: 0.1-0.5 mg/kg, max 300 mg
target - lower B/P

Question 10

0.9% NS

Answer 10

vial

Question 11

Phenylephrine

Answer 11

syringe, 80 mcg/ml
0.8 mg/10 ml
alpha - drop HR

Question 12

Sterile Water

Answer 12

vial

Question 13

Atropine and Epinephrine

Answer 13

Syringes
atropine: 0.1 mg/10 ml, 1 mg/ml - dose = 0.02 mg/kg
anticholinergic
epinephrine: 1 mg/10 ml, 100 mcg/ml - dose = 1 mg for arrest, peds 0.01 mg/kg

Question 14

Calcium Gluconate

Answer 14

Less potent than Calcium chloride (3x less), need central line
admin for low Ca or Mag toxicity

Question 15

Bicarbonate

Answer 15

raises pH - dose based on labs

Question 16

Orifermev

Answer 16

Acetaminophen, vial
<60 kg, dose 15 mg/kg, infuse over 15 mins
half life 2-4 hrs, hepatic clearance

Question 17

Propofol

Answer 17

vial, 1000mg/100 ml

10 mg/ml

Question 18

Nitroglycerin

Answer 18

100 mg/250 ml vial
venous dilator, some arterial (nipride dilates both)
initial dose = 0.2 mcg/kg/min
NTG –> NO –> cGMP = vasodilation

Question 19

Neostigmine

Answer 19

Anticholinesterase, syringe 5 mg/5 ml
dose 0.02-0.08 mg/kg
2 TOF twitches = 0.07 mg/kg
304 TOF twitches = 0.04 mg/kg
give robinul as well - 0.2 mg per ! mg of neostigmine
onset = 1-5 min, duration 30-60 min

Question 20

Albumin 5%

Answer 20

250 ml bag

colloid - intravascular fluid expander

Question 21

Potassium Chloride

Answer 21

20 mEq/100 ml bag
dose = 10-20 mEq over 30 mins - central line
to lower K - CaCl, lasix, insulin

Question 22

Dopamine

Answer 22

400 mg/250 ml bag
1600 mcg/ml
alpha 1, alpha 2, beta 1
dose= low = 2-5 mcg/kg/min (renal)
medium = heart = 5-10 mcg/kg/min
high = vasoconstrict = 10-20 mcg/kg/min

Question 23

Dobutamine

Answer 23

1000mg/250 ml bag
4,000 mcg/ml
dose = 2.5-20 mcg/kg/min
mostly beta, some alpha

Question 24

Tranexemic Acid Kit

Answer 24

a lot like amicar - anti-fibrinolytic, prevents blood loss
dose = 20 mg/kg IV, or 1 gram
inhibits breakdown of fibrin clots, prevents plug dissolution

Question 25

M.M. Beta Blockers

Answer 25

Lopressor - Metoprolol - decrease HR (4-6 hr) Labetolol - decrease BP (24 hrs) Esmolol - for high HR and BP, "test dose" for labetolol