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Flashcards in Box 1 Deck (132)
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1

Generic name for Versed?

Midazolam

2

Classification of Versed?

Benzodiazepine

3

Contraindications for Versed?

GLAUCOMA!
lactation, pregnancy, CNS depression

4

Usual dose of Versed given before Intubation?

2-5mg

5

If Versed is used as the sole medication in intubation how much would you give?

0.1-0.2mg/kg IV

6

Versed dose for pre-op kids?

0.5mg/kg oral (20mg max)

7

Versed MOA?

binds to GABA receptor increases the frequency of chloride channel opening, resulting in postsynaptic membrane hyperpolarization and neuronal transmissions is inhibited.

8

Versed Elimination half-time?

Half-life 1-3 hours

9

Versed onset IV?

30-60 sec.

10

Versed Peak IV?

2-6 min.

11

Does Versed pass through the BBB?

Yes

12

Versed is supplied in the vial as what concentration?

5mg/ml or 2mg/ml

13

Reversal for Versed?

Flumazenil

14

If Versed is given for paradoxical vocal cord motion and/or strider post surgery, how much will you give?

0.5-1mg IV

15

How fast should you push Versed?

over 2 min (slowly)

16

Trade name for Fentanyl?

Sublimaze

17

Classification of Fentanyl?

Opioid Agonist

18

Contraindications to Fentanyl?

If elderly or hypovolemic, reduce dose.

Crosses the placenta and may produce depression of respiration in the neonate.

May have prolonged respiratory depression after cessation of TD patch.

19

Induction dose of Fentanyl?

50-100 IV mcg is normal

20

Why do we give Fentanyl before intubation?

attempt to blunt circulatory response to direct laryngoscopy.

21

Why is Fentanyl given before or during surgery?

blunt sudden changes in level of surgical stimulation.

22

Analgesia dose of Fentanyl for adults?

1 to 2 mcg/kg

23

Epidural bolus dose of Fentanyl, and infusion rate?

bolus: 1 to 2 mcg/kg (same as analgesic dose)

infusion: 2 to 60 mcg/hr

24

Spinal dose of Fentanyl?

one time dose of 0.1-0.4mcg/kg

25

Fentanyl MOA?

Opioids mimic the actions of enkephalins, endorphins, and dynorphins (endogenous ligands) by binding to opioid receptors, resulting in activation of pain-modulating (antinociceptive) systems.
Causes analgesia and anesthesia.

26

Fentanyl IV onset?

within 30 sec.

27

Epidural/Spinal onset of Fentanyl?

4-10 min.

28

Duration of Fentanyl:
IV
Epidural/spinal

IV 30-60 min.
Epidural/Spinal 4-8 hours

29

Reversal for Fentanyl?

Narcan 0.2 to 0.4 mg IV

30

Fentanyl typically comes supplied in a vial as what concentraiton?

250mcg/5ml