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Fentanyl (Sublimaze)
Dose: 12.5-50mcg IV
Frequency: 5-10 minutes
Duration: 30-60 minutes
ETC: observe for thoracic muscle rigidity
Hydromorphone (Dilaudid)
Dose: 0.2-0.5mg IV
Frequency: 5-10 minutes
Duration: 2-3 hours
ETC: resp depression
Morphine
Dose: 1-4mg IV
Frequency: 2-15 minutes
Duration: 4-5 hours
ETC: resp depression, histamine release
Meperidine (Demerol)
Dose: 12.5-25mg
Frequency: 2-15 minutes
Duration: 2-3 hours
ETC: Not recommended as first choice analgesic, tx for postop shivering
Reversal Agent for Opiods
Naloxone (Narcan)
Naloxone (Narcan)
Dose: 0.1-0.2mg IV
Frequency: 2-3 minute intervals
Duration: 30-45 minutes
Infusion: 5mcg/kg/hr
Midazolam (Versed)
Dose: 0.5-5mg IV over 2-5 minutes
Frequency:
Duration: 20-30 minutes
ETC: observe for paradoxical CNS reactions
Diazepam (Valium)
Dose: 2-10mg IV (less that 5mg/minute)
Frequency:
Duration: 1 hour
ETC: burns when given IV; lipid soluble
Lorazepam (Ativan)
Dose: 1-2mg over 1-5 minutes
Frequency: 2-6 hours