Matt's Final Practicum Meds!

Question 1

Succinylcholine (Anectine) standard concentration?

Answer 1

20 mg/ml

Question 2

Succinylcholine Induction dose?

Answer 2

1-1.5 mg/kg

Question 3

Succinylcholine maintenance dose?

Answer 3

Does NOT have a maintenance dose.

Question 4

Propofol (Diprivan) standard concentration?

Answer 4

10 mg/ml

200 mg/20 ml in a vial

Question 5

Propofol Induction dose?

Answer 5

1.5-2.5 mg/kg

Question 6

Propofol maintenance dose?

Answer 6

100-300 mcg/kg/min

Matt states 100-200 but Hammon goes to 300

Question 7

What state must the patient be in for you to use Propofol for induction?

Answer 7

Hemodynamically stable, if not you can use etomidate!

Question 8

Rocuronium (Zemuron) standard concentration?

Answer 8

10 mg/ml

Question 9

Rocuronium induction dose?

Answer 9

0.6-1.2 mg/kg

Question 10

Rocuronium maintenance dose?

Answer 10

0.1-0.2 mg/kg

Question 11

Vecuronium (Norcuron) standard concentration?

Answer 11

1 mg/ml - when diluted with 10ml of NS

Question 12

Vecuronium Induction dose?

Answer 12

0.08-0.1 mg /kg

Question 13

Vecuronium maintenance dose?

Answer 13

0.01-0.015 mg/kg

Question 14

Cisatracurium (Nimbex) standard concentration?

Answer 14

2 mg/ml

Question 15

Cisatracurium (Nimbex) standard concentration?

Answer 15

2 mg/ml

Question 16

Cisatracurium intubation dose?

Answer 16

0.15-0.2 mg/kg

Question 17

Cisatracurium maintenance dose?

Answer 17

0.03 mg/kg

Question 18

Atracurium (Tracrium) standard concentration?

Answer 18

10 mg /ml

Question 19

Atracurium induction dose?

Answer 19

0.4-0.5 mg/kg

Question 20

Atracurium maintenance dose?

Answer 20

0.08-0.1 mg/kg

Question 21

Etomidate (Amidate) standard concentration?

Answer 21

2 mg/ml

Question 22

Etomidate induction dose?

Answer 22

0.2-0.4 mg/ml

Question 23

What types of patients would you use etomidate for induction (compared to propofol)?

Answer 23

cardiac history or hemodynamically unstable

Question 24

Ketamine (Ketalar) standard concentration?

Answer 24

Varies depending on use, but 50 mg/ml is what we are memorizing for Hammon.

Question 25

Ketamine induction dose?

Answer 25

1-2 mg/kg

Question 26

Ketamine, when would you use this for induction?

Answer 26

If the patient is hemodynamically unstable.

Question 27

2% Lidocaine (xylocaine) standard concentration?

Answer 27

20 mg/ml

Question 28

Lidocaine induction dose?

Answer 28

1-1.5 mg/kg

Question 29

Fentanyl (Sumblimaze) standard concentration.

Answer 29

50 mcg/ml

Question 30

Fentanyl induction dose?

Answer 30

1-2 mcg/kg | which typically comes out to giving 50-100mcg

Question 31

Glycopyrolate reversal dose?

Answer 31

0.01-0.015 mg/kg

Question 32

Neostigmine (Bloxiverz) standard concentration?

Answer 32

1 mg/ml

Question 33

Neostigmine reversal dose and max?

Answer 33

0.03-0.07 mg/kg | max dose 5mg

Question 34

Sugammadex (Bridion) standard concentration?

Answer 34

100 mg/ml

Question 35

Sugammadex reversal dose: TOF 2/4? PTC 1-2/4? Immediately after full induction with rocuronium?

Answer 35

TOF 2/4 = 2 mg/kg PTC 1-2/4 = 4 mg/kg Immediately after full induction with Roc = 16 mg/kg

Question 36

What all NMB drugs does Sugammadex reverse?

Answer 36

ROCURONIUM Vecuronium (and most minimally pancuronium)

Question 37

Bupivicaine (Marcaine) standard concentration?

Answer 37

Varies depending on use

Question 38

Bupivicaine Max dose plain and with epi?

Answer 38

Max dose 2.5 mg/kg plain | Max dose 3.2 mg/kg with epi

Question 39

Ropivicaine (Naropin) standard concentration?

Answer 39

Varies depending on use

Question 40

Ropivicaine Max dose plain and with epi?

Answer 40

Max dose 3 mg/kg plain | Max dose 3.5 mg/kg with epi

Question 41

Phenylephrine (Neo-Synephrine) standard concentration?

Answer 41

10 mg/ml

Question 42

Phenylephrine how do you mix it according to Matt? (single dilution)

Answer 42

0.1 ml added to 10 ml of NS to make a final concentration of 100 mcg/ml

Question 43

Phenylephrine how do you mix it according to Hammon? | double dilution

Answer 43

You take 1 ml of phenylephrine (10mg/ml) and place it in 9 ml of NS. Then from that just made 10 ml syringe push out 9 ml (leaving you with 1 ml of phenylephrine mix). Then mix that 1 ml with another 9 ml NS syringe and you will have a final concentration of 100 mcg/ml.

Question 44

Ephedrine standard concentration?

Answer 44

50 mg/ml

Question 45

How do you mix Ephedrine?

Answer 45

1 ml diluted with 4 ml of NS to make a final concentration of 10 mg/ml. (this will give you a 5ml stick)