Page 104 - 2023 SMOG Digital

REPEATABILITY/ MAX DOSE NO REPEAT q10‐20min prn for pain q20‐30min prn MAX 4mcg/kg 15mg q6hr; MAX 120mg/day prn for sedation if BP/Resp stable 1/2 to full dose q10‐20min prn for sedation or 1‐3 mg/kg/hr infusion Titrate to effect Titrate to effect NO REPEAT prn q15‐30min if BP/Resp stable prn q30

DURATION UNK 10‐20min 20‐30min 4‐6hrs Variable 10‐20min 3‐10min Infusion 5‐10min 10‐30min 30‐60min 5‐9min 40‐90min Infusion Consistent Infusion 5‐10min UNK 20‐60min 4‐6hr 4‐6hr 5‐15min 4‐8hr 4hr 1‐4hr 1‐4hr 5‐15min UNK UNK 4‐6hr 20‐30min 3‐5min 3‐5min Maintain dri

RESTRICTIONS/ WARNINGS Give <3 hrs from injury/surgery HTN, Emergence Resp depression Not for Battlefield Trauma Resp/BP drop; Head Tx HTN, emergence, avoid sub‐ dissociative doses Hypotension (up to 30% of MAP) Hypotension (up to 30% of MAP) Repeat doses can cause adrenal suppression BP/Resp dro

INDICATIONS Int/Ext Hemorrhage Analgesia Analgesia, Sedation, AMI Musculoskeletal Pain Pain, Anxiolytic, AMI Dissociative Sedation/ RSI RSI/General Anesthesia (Non‐analgesic) General Anesthesia Maint. (Non‐analgesic) Sedation, RSI (Non‐ analgesic) Sedation, Seizures RSI/ Maint of paralysis

LARGE ADULT (100kg) 220lbs 10‐20mg 50‐100mcg 10mg 100‐200mg 50‐150mg 1000‐7500mcg/min 30mg 5‐10mg 100mg 125mg 10mg

ADULT (80kg) 176lbs 2g in 100cc NS over 10min or slow IVP 8‐16mg 40‐80mcg 15mg IV or 15‐30mg IM 8mg 80‐160mg 40‐120mg 800‐6000mcg/min 24mg 4‐8mg 80mg 100mg 8mg 2‐20mcg IVP q2‐5min or 2‐20mcg/min IV/IO infusion Start 2‐20mcg/min infusion initially. (adjust for BP) Once BP is appropriate,
SMALL ADULT (6kg) 132lbs 6‐12mg 30‐60mcg 6mg 60‐120mg 30‐90mg 600‐4500mcg/min 18mg 3‐6mg 60mg 75mg 6mg

STANDARD DOSING 2000mg IV/IO 0.1‐0.2mg/kg IV/IO >1 min 0.5‐1mcg/kg IV/IO >3‐5 min 15mg IV or 15‐30mg IM 2‐5mg IV/IO or 0.1mg/kg IV 1‐2mg/kg IV/IO >2 min 1‐2.5mg/kg bolus IV/IO, q5‐10min prn 10‐75mcg/kg/min IV/IO 0.3mg/kg IV/IO push 0.05‐0.1mg/kg IV/IO >1 min 0.6‐1.2mg/kg IV/IO push 1‐1.5mg/kg

DRUG SEDATION ** = Controlled Substance Methylprednisolone/Solu‐Medrol (See also: Methylprednisolone) (See also Morphine or Fentanyl for AMI pain)
ANTI‐FIBRINOLYTIC Tranexamic Acid (TXA) ANALGESIA Ketamine ** LOW‐DOSE Fentanyl (Sublimaze) ** Ketorolac (Toradol) Morphine ** Ketamine ** HIGH DOSE Propofol (Bolus) Propofol (Constant Infusion) Etomidate Midazolam (Versed)** PARALYTICS Rocuronium (Zemuron) Succinylcholine Vecuronium P

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