Sedation/RSI(Broken Up)

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Author:
Dthiery237
ID:
192749
Filename:
Sedation/RSI(Broken Up)
Updated:
2013-01-16 18:54:08
Tags:
Medic 14
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Description:
Etomidate, Haldol, Pavulon, Anectine, Vecuroium, Zemuron, Propofal
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  1. Etomidate (Amidate)

    Class?
    Hypnotic
  2. Etomidate (Amidate)

    Description?
    Etomidate is an ultra-short-acting non barbiturate hypnotic with no analgesic effects and limited cardiovascular and respiratory effects.
  3. Etomidate (Amidate)

    Indication?
    Induce sedation for rapid sequence intubation.
  4. Etomidate (Amidate)

    Contraindications?
    None.
  5. Etomidate (Amidate)

    Precautions?
    Head injury if no paralytics used, marked hypotension, sever asthma, or severe cardiovascular disease.
  6. Etomidate (Amidate)

    Dosage/ Route?
    • 0.1 to 0.3 mg/kg IV over 15 to 30 sec.
    • Pedi: Children> 10 years, same as adults.
  7. Haloperidol (Haldol)

    Class?
    Anti-Psychotic
  8. Haloperidol (Haldol)

    Description?
    Haloperidol is believed to block dopamine receptors in the brain associated with mood and behavior , is a potent antiemetic, and impairs temperature regulation.
  9. Haloperidol (Haldol)

    Indication?
    Acute psychotic episodes.
  10. Haloperidol (Haldol)

    Contraindications?
    Parkinson's disease , seizure disorders , coma, alcohol depression, cns depression, and thyrotoxicosis, and with other sedatives.
  11. Haloperidol (Haldol)

    Precautions?
    Orthostatic Hypotension.
  12. Haloperidol (Haldol)

    Dosage/Route?
    2 to 5 mg IM. Normally mixed with Benadryl to avoid EPS reactions.
  13. Pancuronium(Pavulon)

    Class?
    Non depolarizing Neuromuscular blocker.
  14. Pancuronium(Pavulon)

    Description?
    Pancuronium is a nondepolarizing neuromuscular blocker that causes paralysis without bronchospasm or hypotension, it does not cause the fasciculations associated with polarizing agents
  15. Pancuronium(Pavulon)

    Indications?
    To facilitate endotracheal intubation.
  16. Pancuronium(Pavulon)

    Contraindications?
    Tachycardia.
  17. Pancuronium(Pavulon)

    Dosage/ Route?
    • 0.04 to 0.1 mg/kg IV.
    • Pedi: Same as adult.
  18. Succinylcholine (Anectine)

    Class?
    Depolarizing Neuromuscular Blocker
  19. Succinylcholine (Anectine)

    Description?
    Succinylcholine is an ultra- short-acting depolarizing neuromuscular blocker.
  20. Succinylcholine (Anectine)

    Indications?
    Facilitated endotracheal intubation.
  21. Succinylcholine (Anectine)

    Contraindications?
    Family history of malignant hyperthermia,penetrating eye injury, narrow angle glaucoma, hyperkalemia, crush injury, burns over 24 hrs.
  22. Succinylcholine (Anectine)

    Precautions?
    Sever burns, spinal cord injury.
  23. Succinylcholine (Anectine)

    Dosage/Route?
    • 1 to 1.5 mg/kg IV/IM
    • Pedi: 1 to 2 mg/kg IV/IM.
  24. Vecuroium(Norcuron)

    Class?
    Non depolarizing skeletal muscle relaxant.
  25. Vecuroium(Norcuron)

    Description?
    Vecuronium is a Non depolarizing skeletal muscle relaxant similar to pancuronium with minimal cardiovascular effects.
  26. Vecuroium(Norcuron)

    Indications?
    Facilitated endotracheal intubation.
  27. Vecuroium(Norcuron)

    Contraindications?
    None.
  28. Vecuroium(Norcuron)

    Precautions?
    hepatic or renal impairment, impaired fluid and electrolyte or acid/base balance, sever obesity, myasthenia gravis, elderly, debilitated patients, or malignant hyperthermia.
  29. Vecuroium(Norcuron)

    Dosage/Route?
    • 0.1 mg/kg IV.
    • Pedi:Same as adult.
  30. Rocuronium Bromide (Zemuron)

    Class?
    Nondepolarizing neuromuscular blocker.
  31. Rocuronium Bromide (Zemuron)

    Description?
    Antagonizes acetylcholine at the motor end plate producing skeletal muscle paralysis.
  32. Rocuronium Bromide (Zemuron)

    Indication?
    Rapid sequence intubation.
  33. Rocuronium Bromide (Zemuron)

    Precautions?
    Bronchospasm, wheezing, rhonchi,respiratory depression,apena, dysrhythmias, tachycardia.
  34. Rocuronium Bromide (Zemuron)

    Dosage/Route?
    • 0.6-1.2 mg/kg IV, IO
    • Pedi:Same
  35. Propofol (Diprivan)

    Class?
    Sedative hypnotic, short acting.
  36. Propofol (Diprivan)

    Description?
    Produces rapid and brief state of general anesthesia.
  37. Propofol (Diprivan)

    Indications?
    Anesthesia induction, anesthesia maintenance, sedation for mechanically ventilated Pts.
  38. Propofol (Diprivan)

    Contraindications?
    Hypovolemia,known sensitivity including soybean oil,peanuts, and eggs.
  39. Propofol (Diprivan)

    Contraindications?
    Seizure, apena, dysrhythmias, asystole, hypotension, hypertension.
  40. Propofol (Diprivan)

    Dosage/ Route?
    • Induction dose:1.5-3 mg/kg IV, IO
    • Maintenance infusion: 25-75 ug/kg/min IV,IO
    • Pedi:
    • Induction dose:2.5 to 3.5 mg/kg IV IO
    • Maintenance infusion: 125-300 ug/kg/min IV/IO

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