Medic 14 Sedation/RSI V3

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Dthiery237
ID:
193464
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Medic 14 Sedation/RSI V3
Updated:
2013-01-17 20:22:55
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Medic 14
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Description:
Etomidate, Haldol,Pavulon, Anectine, Vecuroium, Zemuron, Propoful
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  1. Etomidate (Amidate)

    Class?


    Hypnotic.
  2. Etomidate (Amidate)

    Description?

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

    Indication?

    Induce sedation for RSI.
  4. Etomidate (Amidate)

    Contraindications?

    None.
  5. Etomidate (Amidate)

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

    Dosage/Route?

    • 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?

    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)

    Contraindication?

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

    Precautions?

    Orthostatic hypotension.
  12. Haloperidol (Haldol)

    Dosage/Route?

    • Adult: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 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?

    To facilitate endotracheal intubation.
  16. Pancuronium (Pavulon)

    Contraindications?

    Tachycardia
  17. Pancuronium (Pavulon)

    Dosage/Route?

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

    Class?
    Depolarizing Neuromuscular Blocker
  19. Succinylchoine (Anectine)

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

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

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

    Precautions?

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

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

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

    Description?

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

    Indications?

    Facilitated endotracheal intubation.
  27. Vercuronium (Norcuron)

    Contraindications?
    None.
  28. Vecuronium (Norcuron)

    Precautions?
    • 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?

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

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

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

    Indications?
    RSI
  33. Rocuronium Bromide (Zemuron)

    Contraindications?
    None.
  34. Rocuronium Bromide (Zemuron)

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

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

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

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

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

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

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

    Dosage/Route?
    • 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

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