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RSI #4

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Name the 4 most common induction agents...Etomidate, Ketamine, Propofol, Midazolam(midazolam is not recommended)
Etomidate dose...0.3mg/kg
Ketamine dose...1-2mg/kg
Propofol dose...2mg/kg
Depolarizing neuromuscular blocker...Succinylcholine
Nondepolarizing neuromuscular blocker (name 2)...Rocuronium and Vecuronium
Succinylcholine dose...1-1.5mg/kg
Rocuronium dose...1-1.2mg/kg
Vecuronium dose...0.1-0.2mg/kg
Induction agent with rapid onset.....short duration.....cerebroprotective.....not associated with hypotension.....hemodynamically neutral in comparison with other agents.....most common induction agent used in the United StatesEtomidate (Amidate)
Induction agent that creates a dissociative state (feeling like they are detached from themselves).....analgesic properites.....bronchodilator.....may increase intracranial pressure.....consider for patients with asthma or anaphylactic shock.....avoid in patients with known or suspected aortic dissection, abdominal aortic aneurysm, and acute MI.Ketamine (Ketalar)
Induction agent with rapid onset.....short duration.....cerebroprotective...mycardial depressant.....decreases systemic vascular resistancePropofol (Diprovan)
Paralytic agent with rapid onset (45-60 sec).....shortest duration of action (8-10 min).....use with caution in patients with known or suspected hyperkalemia, burns, crush injuries, intra-abdominal sepsis or neuromuscular diseaseSuccinylcholine (Anectine)
Paralytic agent with a slightly longer onset of action (60-75 sec)....longer duration of action (30-60 min).....does not result in muscle depolarization or defasciculation.....does not exacerbate hyperkalemiaRocuronium (Zemuron)
Paralytic agent that is less desirable due to longer onset of action (2-3 min).....longer duration of action )30-60 min).....no muscle depolarization or defasciculations.....does not exacerbate hyperkalemiaVecuronium (Norcuron)


Martinsburg, WV

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