RSI/Sedation Flashcards

(54 cards)

1
Q

Propofol

name

A

diprivan

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2
Q

Propofol

Class

A

Sedative hypnotic, short acting

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3
Q

Propofol

Description

A

produces rapid and brief state of general anesthesia

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4
Q

Propofol

Indications

A

Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated patients

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5
Q

Propofol

Contraindications

A

hyporvolemia, known sensitivity including soy bean oil, peanuts, eggs

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6
Q

Propofol

Precautions/Side Effects

A

Seizure, apnea, dsyrythmias, asystole, hypotension, hypertension

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7
Q

Propofol

Dosage/Route

A

Induction Dose 1.5-3 mg/kg IV/IO
Maintenance 25-75 ug/kg/min IV/IO

Pedi Doses
Induction 2.5-3.5 mg/kg IV/IO
Maintenance 125-300 ug/kg/min IV/IO

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8
Q

Pavulon

Name

A

Pancuronium

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9
Q

Pavulon

Class

A

Non depolarizing neuromuscular blocker

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10
Q

Pavulon

Description

A

causes paralysis without bronchospasm or hypotension

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11
Q

Pavulon

Indications

A

to facilitate ET intubation

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12
Q

Pavulon

Contraindications

A

Tachycardia

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13
Q

Pavulon

Dose/Rate

A

0.04-0.1 mg/kg IV

Pedi Dose- same as adult

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14
Q

Vecuronium

Name

A

Norcuron

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15
Q

Vecuronium

Class

A

non depolarizing skeletal muscle relaxant

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16
Q

Vecuronium

Description

A

Similar to pancuronium w/ minimal cardiovascular effects

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17
Q

Vecuronium

Indications

A

Facilitated ET intubation

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18
Q

Vecuronium

Contraindications

A

None

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19
Q

Vecuronium

Precautions

A

Hepatic or renal impairment, impaired fluid and electrolyte or acid/base balance, severe obesity, myasthenia gravis, elderly, debilitated patients, malignant hyperthermia

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20
Q

Vecuronium

Does/Route

A

0.1 mg/kg IV

Pedi- Same

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21
Q

Zemuron

Name

A

Rocuronium Bromide

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22
Q

Zemuron

Class

A

Non depolarizing neuromuscular blocker

23
Q

Zemuron

Description

A

antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis

24
Q

Zemuron

Indications

25
Zemuron Precautions/Side Effects
bronchospasm, wheezing, rhonchi, respiratory depression, apnea, dysrythmias, tachycardia
26
Zemuron Dose/Route
0.6-1.2 mg/kg IV/IO Pedi- Same
27
Ketamine name
Ketalar
28
Ketamine Class
Sedative/hypnotic and analgesic
29
Ketamine Description
Dissociative agent for RSI and for sedation. Has strong amnestic properties
30
Ketamine Indications
Induce sedation for RSI
31
Ketamine Contraindications
None
32
Ketamine Precautions
Must monitor vitals during use
33
Ketamine Dose/Route
1-4.5 mg/kg IV 3-8 mg/kg IM Pedi Dose- 0.5-3.0 mg/kg IV/IM
34
Etomidate Name
Amidate
35
Etomidate Class
Hypnotic
36
Etomidate Description
Ultra short acting non barbituate hypnotic w/ no analgesic effect and limited cardiovascular +respiratory effects
37
Etomidate Indications
Induce sedation for RSI
38
Etomidate Contraindications
None
39
Etomidate Precautions
Head injury if no paralytics used, marked hypotension, severe asthma, cardiovascular disease
40
Etomidate Dose/Route
0.1-0.3 mg/kg IV over 15-30 seconds Pedi dose- children > 10 years same as adult
41
Anectine Name
succinylcholine
42
Anectine Class
depolarizing neuromuscular blocker
43
Anectine Description
ultra short acting depolarizing neuromuscular blocker
44
Anectine Indications
Facilitated ET intubation
45
Anectine Contraindications
family history of malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hours, myastenia gravis, MS, ALS
46
Anectine Precautions
severe burns, spinal cord injury
47
Anectine Dose/Route
1-1.5 mg/kg IV/IM Pedi dose- 1-2 mg/kg IV/IM
48
Haldol Name
Haloperidol
49
Haldol Class
Antipsychotic
50
Haldol Description
Blocks dopamine receptors in the brain believed to be accociated with mood and behavior, potent antiemetic, impairs temp regulation
51
Haldol Indications
Acute psychotic episodes
52
Haldol Contraindications
parkinsons disease, seizures, coma, alcohol depression, CNS depression, thyrotoxicosis, other sedatives
53
Haldol Precautions
orthostatic hypotension
54
Haldol Dose/Route
2-5mg IM mixed with benadryl to avoid EPS reactions