Medic 14 Sedation/RSI V3

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  1. Etomidate (Amidate)

    Class?
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    Hypnotic.
  2. Etomidate (Amidate)

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

    Indication?
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    Induce sedation for RSI.
  4. Etomidate (Amidate)

    Contraindications?
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    None.
  5. Etomidate (Amidate)

    Precautions?
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    • Head injury if no paralytics used
    • Marked hypotension
    • Severe asthma
    • Severe cardiovascular disease
  6. Etomidate (Amidate)

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

    Class?
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    Anti-Psychotic
  8. Haloperidol (Haldol)

    Description?
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    • 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?
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    Acute psychotic episodes.
  10. Haloperidol (Haldol)

    Contraindication?
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    • Parkinson's disease
    • Seizure disorders
    • Coma
    • Alcohol depression
    • CNS depression
    • Thyrotoxicosis
    • With other sedatives
  11. Haloperidol (Haldol)

    Precautions?
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    Orthostatic hypotension.
  12. Haloperidol (Haldol)

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

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

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

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

    Contraindications?
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    Tachycardia
  17. Pancuronium (Pavulon)

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

    Class?
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    Depolarizing Neuromuscular Blocker
  19. Succinylchoine (Anectine)

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

    Indication?
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    To Facilitate endotracheal intubation.
  21. Succinycholine (Anectine)

    Contraindications?
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    • Family history of malignant hyperthermia 
    • penetrating eye injury
    • Narrow-angle glaucoma
    • Hyperkalemia
    • Crush injury
    • burns over 24 hours
  22. Succynlcholine (Anectine)

    Precautions?
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    • Severe burns
    • Spinal cord injury
  23. Succinylcholine (Anectine)

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

    Class?
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    Non Depolarizing Skeletal muscle relaxant
  25. Vecuronium (Norcuron)

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

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

    Contraindications?
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    None.
  28. Vecuronium (Norcuron)

    Precautions?
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    • Hepatic or renal impairment
    • Impaired fluid and electrolyte or acid/base balance
    • Severe obesity
    • myasthenia gravis
    • elderly
    • debilitated patients
    • malignant hyperthermia
  29. Vecuronium (Norcuron)

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

    Class?
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    Non depolarizing neuromuscular blocker
  31. Rocuronium Bromide (Zemuron)

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

    Indications?
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    RSI
  33. Rocuronium Bromide (Zemuron)

    Contraindications?
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    None.
  34. Rocuronium Bromide (Zemuron)

    Precautions/side effects?
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    • Bronchospasm
    • Wheezing
    • rhonchi
    • respiratory depression
    • apnea
    • dysthymias
    • tachycardia
  35. Rocuronium Bromide (Zemuron)

    Dosage/Route?
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    • Adult:0.6-1.2 mg/kg IV/IO
    • Pedi: Same as adult
  36. Propofol (Diprivan)

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

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

    Indication?
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    • Anesthesia induction
    • anesthesia maintenance
    • sedation for mechanically ventilated patients.
  39. Propofol (Diprivan)

    Contraindication?
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    • Hypovolemia
    • Known hypersensivity to soybean oil, peanuts and eggs
  40. Propofol (Diprivan)

    Precautions?
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    • Seizure
    • apnea
    • dysthrythmias
    • asystole
    • hypotension
    • hypertension
  41. Propofol (Diprivan)

    Dosage/Route?
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    • Adult:
    • Induction dose: 1.5- 3mg/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

Card Set Information

Author:
Dthiery237
ID:
193464
Filename:
Medic 14 Sedation/RSI V3
Updated:
2013-01-18 01:22:55
Tags:
Medic 14
Folders:

Description:
Etomidate, Haldol,Pavulon, Anectine, Vecuroium, Zemuron, Propoful
Show Answers:

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