Doses Flashcards

(110 cards)

1
Q

Atracurium (intermed)

A

Intubate: 0.5mg/kg
Maintenance: 0.08-0.1mg/kg q 20-45 min

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2
Q

Cisatracurium(intermed)

A

Intubate: 0.2mg/kg
Maintenance: 0.03mg/kg q 40-60 min

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3
Q

Rocuronium (short/intermed)

A

Range: 0.6-1.2mg/kg IV
RSI: 0.9-1.2mg/kg IV
Maintenance: 0.1-0.2mg/kg IV (0.3-1.2mg/kg from short to long)

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4
Q

Vecuronium (intermed)

A

Intubate: 0.1mg/kg
Maintenance: 0.01-0.015mg/kg q 25-45 minutes
RSI: 0.3mg/kg

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5
Q

Pancuronium (long)

A

Intubate: 0.1mg/kg
Maintenance: 0.01-0.015 mg/kg q 40-60 minutes
Cont: 1-1.7mcg/kg/min (decrease in elderly)

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6
Q

Mivacurium (short)

A

Intubate: 0.2mg/kg IV
Maintenance: 0.01-0.1mg/kg q 5-15 minutes

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7
Q

d-Tubocurarine (long)

A
  1. 5mg/kg IV

maintenance: 0.05-0.1mg/kg IV

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8
Q

Doxacurium (long)

A

Intubate: 0.05mg/kg IV
maintenance: 0.01-0.025 mg/kg q 45 min(decrease in elderly)

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9
Q

Pipercuronium (long)

A

Intubate: 0.1mg/kg
Maintenance: 0.01-0.04mg/kg IV q 45-120 min

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10
Q

Morphine (long DOA-3 hours–prototype)

A

2.5-15mg IV pre-op and post-op

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11
Q

Meperidine (1/10 potent as morphine)

A

50-150 mg IM
5mg q5 min IV
12.5mg IV for shivering

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12
Q

Fentanyl (100x more potent than morphine)

A

25-100mcg premed/prn
1-2mcg/kg analgesia
12.5-100mcg intra-op

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13
Q

Sufentanyl (10x more potent than fentanyl, 1000x more potent than morphine)

A

0.1-1mcg/kg bolus

1-2mcg/kg for minor, 2-8 for moderate, 8-50 for sole anesthetic

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14
Q

Alfentanyl (1/5 potency of fentanyl, 10-20x more than morphine)

A

10-20mcg/kg

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15
Q

Remifentanyl (same potency as fentanyl, 100x more than morphine)

A

0.5-1mcg/kg over 60-90sec

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16
Q

Hydromorhpone (5x more potent than morhpine)

A

0.5-2mg IV q 4-6 hours

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17
Q

Nalbuphine

A

0.1-0.3mg/kg IV

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18
Q

Butorphanol

A

0.01-0.04mg/kg IV

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19
Q

Narcan/Naloxone

A

0.1-2mg IV q 2-3 minutes (try lowest dose possible)

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20
Q

Dexmedetomidine

A

1mcg/kg bolus over 10-15 minutes

0.2-1mcg/kg/hour

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21
Q

Ketamine

A

Induction 0.5-2mg/kg (>2 causes delirium)
Sedation 0.2-0.5mg/kg
Infusion 1-2mg/kg/hr

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22
Q

Etomidate

A

0.3mg/kg IV

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23
Q

Propofol

A

1-2.5mg/kg IV Induction
100-300mcg/kg minute Infusion
Sedation 25-100mcg/kg/min
10mg for N/V

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24
Q

Atropine

A

0.01mg/kg for reversal with Endrophonium
0.4-1mg Bradycardia
1mg q 3-5 minutes for asystole

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25
Glycopyrolate
0. 01-0.02mg/kg IV (with neostigmine) | 0. 1-0.2mg (antisialogogue)
26
Scopalamine
0.3-0.6mg IV q4-6 hr
27
Pyridostigmine
0.2mg/kg with glyco 0.01mg/kg
28
Endrophonium
0.5-1mg/kg with Atropine 0.01mg/kg
29
Neostigmine
0.05-0.07mg/kg (with glyco 0.01mg/kg)
30
Physostigmine
15-60mcg/kg IV q 1-2 hr
31
Epinephrine
``` 1mg q 3-5minutes for cardiac arrest 1-2mcg/min beta 2 4-5mcg/min beta 1 10-20mcg/min alpha and beta 2-8mcg/kg for low BP ```
32
Norepinephrine
4-16mcg/min (or 0.01-0.1mcg/kg/min)
33
Dopamine
0.5-2mcg/kg/min low 2-5 medium >10 is large
34
Dobutamine
2-10mcg/kg/min | 5 is weak alpha 1
35
Vasopressin
0.04 U/min for sepsis 40U push for cardiac arrest 20U IV for esophageal varices
36
Isopreterenol
0.5-10mcg/min
37
Ephedrine
5-25mg IV
38
Phenylephrine
50-200mcg/kg IV push maintenance 20-50mcg/min double dilute to 100mcg/cc
39
Ampicillin
2g IV 30 min preop
40
Cefazolin
1-2g IV 30 min preop
41
Gentamycin
60-120mg IV (>9mcg/ml is toxic)
42
Clindamycin
600mg IV preop
43
Vancomycin
1g in 250ml over an hour
44
Metronidazole
500mg over 10-20 minutes preop
45
Ciprofloxacin
200-400mg IV over 60 minutes
46
Dantrolene
36 vials with 20mg in each, reconstitute with 2L 2.5mg/kg IV bolus followed by 2mg/kg IV q 5 min to a total of 10mg/kg PO 4-8mg/kg/day in 3 divided doses for 3 days
47
Ketorolac
30mg IV x 1 or q6 hour, max daily 120mg (do not continue over 5 days)
48
Esmolol
5-10mg IV q 3 minutes (max 80)
49
Metoprolol
5mg IV
50
Labetolol
5-20mg q 5-10minutes (max 300mg)
51
Propanolol
1mg/minute max 3-6mg
52
Trimethephan
10-200mcg/kg/min
53
Nitroprusside
0.3-0.5 mcg/kg/min for continuous HTN | 1-2mcg/kg/min for HTN crisis
54
Nitroglycerine
initial 5-10mcg/kg/min, titrate in range 5-200mcg/min
55
Hydralazine
2.5-10mg IV or 5-20mg IV q 4 hours
56
Milrinone
0.374-0.75 mcg/kg/min | 50mcg/kg IV over 10 minute loading dose
57
Clonidine
0.2-0.3mg/day
58
Amiodarone
150mg over 10 minutes | 1mg/min loading infusion
59
Adenosine
6mg IV, 12mg, 12mg (6, 12, 12) repeat after 3 minutes for each
60
Digoxin
0.5-1mg IV over 12-24 hours, therapeutic window 0.5-2mg
61
Quinidine
200-400mg IV (infuse at 10mg/min IV)
62
Procainamide
1-4mg/min
63
Diltiazem
0.25mg/kg loading 5-15mg/hr 20mg IV over 2 minutes, 10mg/hr
64
Verapamil
2.5-5mg IV over 1-3min, 5mcg/kg/min drip
65
Nifedipine
5mcgk/kg IV
66
Metoclopramide
10mg IV over 305 minutes 15-30 min before induction
67
Droperidol
0.625-1.25 mg IV
68
Ondansetron
4-8mg IV
69
Promethazine
7-25mg IV
70
Omeprazole
20mg PO | 40mg IV
71
Sodium Citrate
15-30 mls PO 15-30 minutes before induction
72
Cimetidine
300mg IV over 15-30 min preop
73
Famotidine
20mg IV over 2 min
74
Ranitidine
50mg IV over 15-30 min
75
Benadryl
10-50mg IV q 6-8 hours
76
Phenytoin
10-15mg/kg
77
Phenobarbitol
For status epilepticus: 10-20mg/kg initially then 5mg/kg q 15-30 min Maintenance: 1-5mg/kg/day PO
78
Thiopental
3-5mg/kg IV
79
Methohexitol
1-2mg/kg IV
80
Prazosin
1mgPO at bedtime
81
Phentolamine
1-5mg IV bolus
82
Phenoxybenzamine
10-120mg/day PO
83
Hydrocortisone
25mg IV + whatever they take 50-75mg IV moderate surgery 50-150mg IV extreme stress
84
Methylpredisolone
10-250mg IV
85
Dexamethasone
4-10mg IV
86
Furosemide
start with 5mg IV (0.1-1mg/kg IV)
87
Hydrochlorothiazide
25-100mg PO/day
88
Mannitol
0.25-1g/kg over 60 minutes
89
Albuterol
100mcg per puff (2 puffs) q 4-6hr (do not exceed 16-20 puffs)
90
Terbutaline
200mcg per puff | 0.25mg SQ
91
Ipratroprium
40-80mcg puff MDI (rinse mouth) 2-4 puffs per day
92
Heparin
5000Units q 8-12 hrs
93
Protamine
1m/100U of Heparin
94
Glucagon
1-5mg IV | 0.3mg for SOO spasm
95
Insulin
1U decreases glucose 40-50 points
96
Octreotide
50-100mcg/hr 25-100mcg prn 50mcg/hr for esophageal varices
97
Oxytocin
10-40 U in 1L at 0.5-1mU/min
98
Nitrous
VP 38,770 BG 0.47 MAC 105
99
Halothane
VP 244 BG 2.4 MAC .74
100
Enflurane
VP 175 BG 1.8 MAC 1.7
101
Isoflurane
VP 239 BG 1.4 MAC 1.2
102
Desflurane
VP 669 BG .42 MAC 6
103
Sevoflurane
VP 157 BG .69 MAC 2.05
104
Lidocaine
Max dose 4mg/kg or 7mg/kg with Epi Spinal dose 30-100mg ACLS 1mg/kg
105
Bupivicaine
Max dose 2.5mg/kg | Spinal dose .75% 15-20mg
106
Diazepam
premed oral 10-15mg premed IV 0.2mg/kg induction 0.5-1mg/kg IV anticonvulsant 0.1mg/kg IV
107
Midazolam
1-2.5 mg IV premed peds 0.5mg/kg PO induction 0.1-0.2mg/kg IV
108
Lorazepam
50mcg/kg (1-4mg IV--max 4)
109
Flumazenil
0.2mg IV, wait 2 min, 0.1mg q 60 seconds (max 3)
110
Succinylcholine
1-1.5mg/kg IV intubating laryngospasm 20-40mg IV IM intubating 2.5-4mg/kg continuous infusion 2.5mg/min