RSI/Sedation Flashcards

(66 cards)

0
Q

Etomidate (Amidate)

Class

A

Hypnotic

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1
Q

Etomidate

Another Name

A

Amidate

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2
Q

Amidate

Another Name

A

Etomidate

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3
Q

Etomidate (Amidate)

Description

A

Ultra short acting, non-barbiturate hypnotic w/ no analgesic effects and limited cardiovascular and respiratory effects

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4
Q

Etomidate (Amidate)

Indications

A

Induce sedation for RSI

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5
Q

Etomidate (Amidate)

Contraindications

A

None

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6
Q

Etomidate (Amidate)

Precautions

A

Head injury if no paralytics used, marked hypotension, severe asthma or severe cardiovascular disease

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7
Q

Etomidate (Amidate)

Dosage/Route

A

0.1 to 0.3 mg/kg IV over 10-15 seconds

Pedi: Children >10 years, same as adult

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8
Q

Haloperidol

Another Name

A

Haldol

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9
Q

Haldol

Another Name

A

Haloperidol

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10
Q

Haloperidol (Haldol)

Class

A

Antipsychotic

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11
Q

Haloperidol (Haldol)

Description

A

Believed to block dopamine receptors in the brain associated with mood and behavior, is a potent antiemetic, impairs temperature regulation

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12
Q

Haloperidol (Haldol)

Indications

A

Acute psychotic episodes

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13
Q

Haloperidol (Haldol)

Contraindications

A

Parkinson’s, seizure disorder, coma, alcohol depression, CNS depression, thyrotoxicosis, and with other sedatives

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14
Q

Haloperidol (Haldol)

Precautions

A

Orthostatic Hypotension

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15
Q

Haloperidol (Haldol)

Dosage/Route

A

2 to 5 mg IM, usually mixed with Benadryl to avoid EPS reactions

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16
Q

Ketamine

Another Name

A

Ketalar

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17
Q

Ketalar

Another Name

A

Ketamine

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18
Q

Ketamine (Ketalar)

Class

A

Sedative/Hypnotic and Analgesic

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19
Q

Ketamine (Ketalar)

Description

A

Dissociative agent for rapid sequence induction/intubation and for sedation

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20
Q

Ketamine (Ketalar)

Indication

A

Sedation for RSI, chemical restraint

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21
Q

Ketamine (Ketalar)

Contraindications

A

HTN

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22
Q

Ketamine (Ketalar)

Precautions

A

Must monitor vitals during use

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23
Q

Ketamine (Ketalar)

Dosage/Route

A

1-4.5 mg/kg IV

3-8 mg IM

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24
Ketamine (Ketalar) | Pedi Dosage/Route
0.5-3.0 mg/kg IV, IM
25
Pancuronium | Another Name
Pavulon
26
Pavulon | Another Name
Pancuronium
27
Pancuronium (Pavulon) | Class
Non-depolarizing Neuromuscular Blocker
28
Pancuronium (Pavulon) | Description
Non-depolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension
29
Pancuronium (Pavulon) | Indications
Facilitate endotracheal intubation
30
Pancuronium (Pavulon) | Contraindications
Tachycardia
31
Pancuronium (Pavulon) | Dosage/Route
0.04 to 0.1 mg/kg IV | Pedi: same as adult
32
Propofol | Another Name
Diprivan
33
Diprivan | Another Name
Propofol
34
Propofol (Diprivan) | Class
Sedative hypnotic, short acting
35
Propofol (Diprivan) | Description
Produces rapid and brief state of general anesthesia
36
Propofol (Diprivan) | Indications
Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated patients
37
Propofol (Diprivan) | Contraindications
Hypovolemia, know sensitivity including soybean oil, peanuts, and eggs
38
Profolol (Diprivan) | Precautions/Side Effects
Seizure, apnea, dysrhythmias, asystole, hypotension, hypertension
39
Propofol (Diprivan) | Induction Dosage/Route:
1.5-3 mg/kg IV,IO
40
Propofol (Diprivan) | Pedi Induction Dosage/Route:
2.5-3.5 mg/kg IV/IO
41
Popofol (Diprivan) | Maintenance infusion
25-75 ug/kg/min IV, IO
42
Propofol (Diprivan) | Maintenance Infusion Pedi
125-300 ug/kg/min IV,IO
43
Rocuronium Bromide | Another Name
Zemuron
44
Zemuron | Another Name
Rocuronium Bromide
45
``` Rocuronium Bromide (Zemuron) Class ```
Non-depolarizing Neuromuscular Blocker
46
``` Rocuronium Bromide (Zemuron) Description ```
Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis
47
``` Rocuronium Bromide (Zemuron) Indications ```
RSI
48
``` Rocuronium Bromide (Zemuron) Precautions/Side Effects ```
Bronchospasm, wheezing, rhonchi, respiratory depression, apnea, dysrhythmias, tachycardia
49
``` Rocuronium Bromide (Zemuron) Dosage/Route ```
0.6-1.2 mg/kg IV, IO | Pedi: Same
50
Succinylcholine | Another Name
Anectine
51
Anectine | Another Name
Succinylcholine
52
Succinylcholine (Anectine) | Class
Depolarizing Neuromuscular Blocker
53
Succinylcholine (Anectine) | Description
Ultra short acting depolarizing neuromuscular blocker
54
Succinylcholine (Anectine) | Indications
Facilitated Endotracheal Intubation
55
Succinylcholine (Anectine) | Contraindications
Family Hx malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hrs, mysthina gravitas, MS, ALS
56
Succinylcholine (Anectine) | Precautions
Severe burns, spinal cord injury
57
Succinylcholine (Anectine) | Dosage/Route
1-1.5 mg/kg IV,IM | Pedi: 1-2mg/kg IV/IM
58
Vecuronium | Another Name
Norcuron
59
Norcuron | Another Name
Vecuronium
60
Vecuronium (Norcuron) | Class
Non-depolarizing Skeletal Muscle Relaxant
61
Vecuronium (Norcuron) | Description
Non-depolarizing skeletal muscle relaxant similar to pancuromium with minimal cardiovascular effects
62
Vecuronium (Norcuron) | Indications
Facilitated Endotracheal Intubation
63
Vecuronium (Norcuron) | Contraindications
None
64
Vecuronium (Norcuron) | Precautions
Hepatic impairment, impaired fluid and electrolyte or acid/base balance, severe obesity, myasthenia gravis, elderly, dibilitated patients, or malignant hyperthermia
65
Vecuronium (Norcuron) | Dosage/Route
0.1 mg/kg IV | Pedi: same as adult