Sedation/RSI

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Author:
wesparm
ID:
149645
Filename:
Sedation/RSI
Updated:
2012-04-23 18:08:00
Tags:
Medic 13
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Description:
Sedation/RSI medic drugs
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  1. Etomidate (Amidate)
    - Hypnotic

    - Description: Etomidate is an ultra-short-acting nonbarbituate hypnotic with no analgesic effects and limited cardiovascular and respiratory effects.

    - Indications: Induce sedation for rapid sequence intubation.

    - Contraindications: None

    - Precautions: Head injury if no paralytics used, marked hypotension, severe asthma, or severe cardiovascular disease.

    • - Dosage/Route: 0.1-0.3 mg/kg over 15-30 seconds.
    • - Pedi: children > 10 years, same as adults
  2. Pancuronium (Pavulon)
    - Nondepolarizing neuromuscular blocker

    - Description: Pancuronium is a nondepolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension. (It does not cause fasciculations associated with polarizing agents)

    - Indications: To fascilitate endotracheal intubation

    - Contraindications: Tachycardia

    • - Dosage/Route: 0.04-0.1 mg/kg IV
    • - Pedi: same as adult
  3. Vecuronium (Norcuron)
    - Nondepolarizing skeletal muscle relaxant

    - Description: Vecuronium is a nondepolarizing skeletal muscle relaxant similar to pancuronium with minimal cardiovascular effects.

    - Indications: Facilitated endotracheal intubation.

    - Contraindications: None

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

    • - Dosage/Route: 0.08-0.1 mg/kg IV
    • - Pedi: same as adult
  4. Succinylcholine (Anectine)
    - Depolarizing Neuromuscular Blocker

    - Description: Succinylcholine is an ultra-short-acting depolarizing neuromuscular blocker.

    - Indications: Facilitated endotracheal intubation

    - Contraindications: Family history of malignant hyperthermia, penetrating eye injury, narrow angle glaucoma, hyperkalemia.

    - Precautions: Severe burn or crush injury, hyperkalemia, spinal cord injury

    • - Dosage/Route: 1-1.5 mg/kg IV/IM
    • - Pedi: 1-2 mg/kg IV/IM
  5. Haloperidol (Haldol)
    - Antipsychotic

    - Description: Haloperidol is believed to block dopamine receptors in the brain associated with mood and behavior. Is a potent antiemetic, and impairs temperature regulation.

    - Indications: Acute psychotic episode

    - Contraindications: Parkinson's disease, seizure disorders, coma, alcohol depression, CNS depression, and thyrotoxicosis, and with other sedatives

    - Precautions: Orthostatic Hypotension

    - Dosage/Route: 2-5 mg IM

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