Surgical Prophylaxis and Anesthesia Dosing
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Questions and Answers

What is the correct dosing range for Etomidate when administered intravenously?

  • 0.2-0.3 mg/kg (correct)
  • 0.4-0.5 mg/kg
  • 0.1-0.2 mg/kg
  • 0.3-0.4 mg/kg

    • Which antibiotic has a maximum dosing limit of 600 mg for intravenous administration?

  • Cefazolin
  • Tobramycin
  • Clindamycin (correct)
  • Vancomycin

    • What is the maximum dose of Propofol when administered as an infusion?

  • 10-50 mcg/kg/min
  • 300-500 mcg/kg/min
  • 50-300 mcg/kg/min (correct)
  • 500-700 mcg/kg/min

    • Which of the following medications is used for analgesia with a dosing range of 0.5-2 mcg/kg?

    <p>Fentanyl</p> Signup and view all the answers

    What is the maximum dose for Tobramycin during intravenous administration?

    <p>360 mg</p> Signup and view all the answers

    Which antibiotic is administered at a dose of 50 mg/kg but cannot exceed 2 g per dose?

    <p>Ampicillin</p> Signup and view all the answers

    For which medication is there a caution noted due to the maximum allowable dose?

    <p>Ketorolac</p> Signup and view all the answers

    What is the dosing interval for administering Clindamycin when given intravenously?

    <p>q6h</p> Signup and view all the answers

    What is the maximum dosage of Lorazepam for an intravenous administration in a pediatric patient?

    <p>4 mg</p> Signup and view all the answers

    What is the correct dosage of Epinephrine for a cardiac arrest situation in pediatric patients?

    <p>0.1 mg/ml</p> Signup and view all the answers

    For a newborn patient requiring resuscitation, what is the intravenous dosage of Epinephrine?

    <p>0.01 mg/kg</p> Signup and view all the answers

    Which of the following pediatric patients would receive a Foley catheter gauge of 5 Fr?

    <p>Child aged 2-3 years</p> Signup and view all the answers

    What volume of Midazolam should be administered initially for a pediatric patient requiring IV treatment?

    <p>0.15 mg/kg</p> Signup and view all the answers

    What is the correct infusion rate for Fosphenytoin for a pediatric patient?

    <p>20 mg PE/kg over 30 min</p> Signup and view all the answers

    For a patient with bradycardia, what is the recommended dosage of Epinephrine?

    <p>0.01 mg/kg</p> Signup and view all the answers

    How much Phenytoin should be administered over 20-60 minutes for a pediatric patient?

    <p>20 mg/kg</p> Signup and view all the answers

    What is the maximum dosage for magnesium sulfate when administered intravenously?

    <p>2 gm</p> Signup and view all the answers

    What is the recommended loading dose of dexmedetomidine?

    <p>0.5 mcg/kg</p> Signup and view all the answers

    Which of the following medications has a maximum dosage of 250 mg for treating asthma?

    <p>Methylprednisolone</p> Signup and view all the answers

    What is the maximum dose of ondansetron when administered intravenously?

    <p>4 mg</p> Signup and view all the answers

    What is the administration method and dosage for lorazepam?

    <p>IV: 0.05 mg/kg; max 2 mg</p> Signup and view all the answers

    What is the correct dosing for naloxone when used for newborn resuscitation?

    <p>0.1 mg/kg</p> Signup and view all the answers

    Which medication has a maximum daily dosage of 60 mg?

    <p>Prednisone</p> Signup and view all the answers

    What is the recommended administration for ketamine regarding initial and subsequent doses?

    <p>IV 0.5-1 mg/kg; followed by 0.25-0.5 mg/kg as needed</p> Signup and view all the answers

    What is the maximum dose of Amiodarone for a child experiencing VT/VF arrest?

    <p>12 mg</p> Signup and view all the answers

    For a 2-3 year old, what is the recommended rapid bolus dose of Amiodarone?

    <p>5 mg/kg</p> Signup and view all the answers

    At what age can a child receive an intravenous dose of Atropine at 0.02 mg/kg?

    <p>4-6 years</p> Signup and view all the answers

    What is the appropriate intravenous dosage of Dextrose 50% for children?

    <p>0.5 g/kg</p> Signup and view all the answers

    What is the recommended infusion rate for Hydrocortisone succinate in status asthmaticus?

    <p>4-6 mg/kg q4-6h</p> Signup and view all the answers

    What is the proper dosage of Magnesium sulfate for intravenous administration in children?

    <p>25-50 mg/kg</p> Signup and view all the answers

    How should Intralipid (fat emulsion 20%) be administered intravenously for children?

    <p>1 mL/kg over 1 min, then 0.25 mL/kg/min</p> Signup and view all the answers

    What is the nebulized dose of Ipratropium recommended for children experiencing asthma exacerbation?

    <p>250-500 mcg</p> Signup and view all the answers

    Study Notes

    Medications and Dosages

    • Etomidate: Administer IV at 0.2-0.3 mg/kg for sedation.
    • Ketamine: Administer:
      • IV: 1-2 mg/kg
      • IM: 3-5 mg/kg
    • Propofol:
      • Induction: IV at 2.5-5 mg/kg
      • Infusion: 50-300 mcg/kg/min.

    Antibiotics for Surgical Prophylaxis

    • Ampicillin: IV at 50 mg/kg, maximum 2 g every 6 hours.
    • Cefazolin: IV at 30 mg/kg, maximum 2 g every 4 hours.
    • Clindamycin: IV at 20 mg/kg, maximum 600 mg every 6 hours.
    • Tobramycin: IV at 7.5 mg/kg, maximum 360 mg (no intra-op re-dosing).
    • Metronidazole: IV at 10 mg/kg, maximum 500 mg every 12 hours.
    • Vancomycin: IV at 15 mg/kg, maximum 1 g every 6 hours.

    Analgesia

    • Fentanyl: IV at 0.5-2 mcg/kg; PACU dose is 0.5 mcg/kg.
    • Ketorolac: IV at 0.5 mg/kg every 6 hours (maximum 30 mg), with caution in pediatric patients.

    Pediatric Vital Signs and Equipment Sizes

    • Different age groups require specific vital signs and equipment measurements; for example:
      • Premature infants: SBP 55-62, HR 30-60, RR 30-60.
      • Newborns: SBP 65, HR 30-60, RR 30-60.

    Emergency Drugs for Pediatrics

    • Epinephrine (0.1 mg/ml):
      • Cardiac Arrest, Bradycardia: IV/IO at 0.01 mg/kg.
      • Anaphylaxis: IM at 0.01 mg/kg every 15 minutes up to 2 doses.
    • Lorazepam: IV at 0.05-0.1 mg/kg (maximum 4 mg); PR at 0.1 mg/kg.

    Anticonvulsants and Dosage Guidelines

    • Midazolam: IV at 0.15 mg/kg then 50 mcg/kg/hr infusion.
    • Diazepam: IV at 0.05-0.3 mg/kg (max 10 mg for children under 5 years).
    • Phenobarbital: IV at 10-20 mg/kg over 60 minutes (max 800 mg).

    Broncodialators for Asthma Exacerbation

    • Epinephrine: For <5 kg, 0.5 mg/kg/dose; for >5 kg, 2.5-5 mg/dose. Administer nebulized, diluted in saline.
    • Hydrocortisone: IV 4-6 mg/kg every 4-6 hours for status asthmaticus.
    • Ipratropium: 250-500 mcg by nebulization every 20 minutes for 3 doses.

    Emergency Protocols

    • Hypotension Treatment in Pediatrics:
      • 1 year: 1-2 mg/kg IV.
      • IM: 2.5-4 mg/kg.
    • Dexmedetomidine:
      • Loading dose at 0.5 mcg/kg.
      • Infusion at 0.2-0.7 mcg/kg/hr.

    Important Contacts for Anesthesia

    • Department of Anesthesiology: Ext. 7827
    • Anesthesia Library: Ext. 2435
    • PACU: Ext. 2515
    • Pre-admission: Ext. 2134

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    Description

    This quiz covers key anesthetic agents and their dosages, specifically in the context of surgical prophylaxis and recovery room protocols. Learn about the administration of Etomidate and Ketamine, their dosing guidelines, and best practices for intraoperative re-dosing. Perfect for OR nurses and healthcare practitioners involved in surgical care.

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