What's my name?
Dissociative anesthetic, indicated for induction and maintenance of general anesthesia
Ketamine
First line vasopressor for septic shock
Norepinephrine
Fentanyl
0.5-1mcg/kg Q 30-60min
Pt stable with 1st degree heart block
Atropine IV/IO 0.5mg bolus, repeat q-5 minutes (Max 3mg)
Opioid overdose
Naloxone (Narcan)
Acts as an anxiolytic/hypnotic, anticonvulsant and sedative. Indicated for preoperative sedation, induction, and maintenance of general anesthesia.
Midazolam
First line pressor for burn shock
Vasopressin
Rocuronium
1mg/kg IV push q 30-45min
(range is 0.6-1.2 mg/kg)
Pt in cardiac arrest with shockable rhythm
Epinephrine (1:10,000) 1mg IV/IO
Benzodiazepine overdose
Flumazenil
Binds to opioid receptors within the CNS increasing pain threshold and altering pain reception. Indicated for moderate to severe acute and chronic pain, pain from MI, and preanesthetic medication.
Morphine
What is the dose for push-dose epinephrine?
5-20mcg IV q2-5min
Ketamine
0.1-0.2mg/kg IV/IO q 10-30min
0.5mg/kg IM/IN q10-30min
Pt in stable SVT
Adenosine
1st dose - 6mg rapid IV push, followed by flush
2nd dose - 12mg
Organophosphate poisoning
Pralidoxime Chloride (2-pam chloride)
Antifibrinolytic agent, hemostatic agent. Displaces plasminogen from fibrin resulting in inhibition of fibrinolysis and inhibits the proteolytic activity of plasmin.
Tranexamic acid (TXA)
Dose for Norepinephrine for treatment of hypotension and shock
2-20mcg/minute, titrate to effect.
Maintenance - 2-4mcg/minute
Ondansetron
4-8mg IV/IO/IM/PO
Pt c/o chest pain with no right side involvement, O2 and aspirin administered
Nitro 0.4mg SL q 5min
Acetaminophen overdose
Acetylcysteine
Replaces water and electrolytes, increases intravascular sodium concentration, may induce diuresis. Indicated for refractory elevated ICP due head injuries.
Hypertonic Saline 3% Sodium Chloride
Dopamine order: 5 mcg/kg/min.
Bag is labeled:. Dopamine 400 mg in 250ml NS.
Pt weight= 63 kg.
*Solve as a group*
Dose ordered x weight (if weight based) x volume x time / Have (dose of drug you have; must match units in dose ordered)
1. Desired (dose ordered) = 5 mcg/kg/min x (pt weight) 63 kg
2. Have = 400 mg Dopamine; must convert to mcg by multiplying by 1000
3. Volume = 250 ml (volume in IV bag)
4. Also include time conversion of 60 min/hr
Answer: 11.8 ml/hr----this is what the pump must be set at (-round up to 12ml/hr)
Acetazolamide (for AMS)
125-250mg bid
Pt is stable with wide-QRS tachycardia
Amiodoraone
150mg IV over 10min
Propofol reversal
Physostigmine