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?

Fentanyl Signup and view all the answers

What is the maximum dose for Tobramycin during intravenous administration?

360 mg Signup and view all the answers

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

Ampicillin Signup and view all the answers

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

Ketorolac Signup and view all the answers

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

q6h Signup and view all the answers

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

4 mg Signup and view all the answers

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

0.1 mg/ml Signup and view all the answers

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

0.01 mg/kg Signup and view all the answers

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

Child aged 2-3 years Signup and view all the answers

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

0.15 mg/kg Signup and view all the answers

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

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

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

0.01 mg/kg Signup and view all the answers

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

20 mg/kg Signup and view all the answers

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

2 gm Signup and view all the answers

What is the recommended loading dose of dexmedetomidine?

0.5 mcg/kg Signup and view all the answers

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

Methylprednisolone Signup and view all the answers

What is the maximum dose of ondansetron when administered intravenously?

4 mg Signup and view all the answers

What is the administration method and dosage for lorazepam?

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

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

0.1 mg/kg Signup and view all the answers

Which medication has a maximum daily dosage of 60 mg?

Prednisone Signup and view all the answers

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

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

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

12 mg Signup and view all the answers

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

5 mg/kg Signup and view all the answers

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

4-6 years Signup and view all the answers

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

0.5 g/kg Signup and view all the answers

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

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

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

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

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

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

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

250-500 mcg 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.