Anesthesia

Question 1

Midazolam T1/2

Answer 1

1.5-3 hrs

Question 2

Fentanyl T1/2

Answer 2

2-4 hrs

Question 3

Propofol T1/2

Answer 3

0.5-1.5 hrs

Question 4

Ketamine T1/2

Answer 4

2-3 hrs

Question 5

Precedex T1/2

Answer 5

2 hrs

Question 6

Flumazenil T1/2

Answer 6

0.7-1.3 hrs

Question 7

Naloxone T1/2

Answer 7

0.5-1.5 hrs

Question 8

Midazolam dosage

Answer 8

0.02-0.1 mg/kg (< 5mg)

Question 9

Fentanyl dosage

Answer 9

1-2 mcg/kg (< 200 mcg)

Question 10

Propofol dosage (conservative)

Answer 10

0.5 mg/kg
(0.5-1.5 mg/kg bolus; 75 mcg/kg infusion)

Question 11

Ketamine dosage

Answer 11

0.5-1.0 mg/kg bolus; 0.1-0.5 mg/kg/hr infusion

Question 12

Precedex dosage

Answer 12

0.5-1.0 mcg/kg (slow administration over 10-20 minutes)
0.2-0.7 mcg/kg/hr infusion

Question 13

___ is also an analgesic

Answer 13

Ketamine

Question 14

___ increases secretions

Answer 14

Ketamine

Question 15

___ burns on injection

Answer 15

Propofol

Question 16

Precedex negatives

Answer 16

Bradycardia and hypotension

Question 17

Precedex positives

Answer 17

Minimal respiratory depression

Question 18

Flumazenil dosage

Answer 18

0.2 mg q1min (3 mg max)

Question 19

Naloxone dosage

Answer 19

0.4 mg q2-3 min

Question 20

How to treat chest wall rigidity?

Answer 20

NM blocker or
Deepen sedation with propofol + PPV

Question 21

How long must you monitor patient if flumazenil or naloxone was used?

Answer 21

2 hrs

Question 22

3 causes of hypoxia during sedation

Answer 22

obstruction
hypoventilation (oversedation) = PPV
bronchospasm/laryngospasm

Question 23

How to treat hypotension?

Answer 23

Stop propofol
trendelenburg
fluids
ephedrine/phenylephrine

Question 24

Succinylcholine dosage

Answer 24

0.5-1.0 mg/kg

Question 25

Epinephrine dosage

Answer 25

0.3-0.5 mg IM

Question 26

Ephedrine dosage

Answer 26

5-10 mg (50 mg max) BP and HR

Question 27

Phenylephrine dosage

Answer 27

50-200 mcg bolus BP only Can cause reflex bradycardia