Pain/agitation LC

dexmedetomidine

B: precedex

dexmedetomidine class

A2 adrenergic agonist; sedative

dexmedetomidine indication

ICU sedation

dexmedetomidine dose

0.2-1.5mcg/kg/hr IV infusion

dexmedetomidine adjustments

r: no h: yes

dexmedetomidine ADR

CV: severe bradycardia (m: hr + ECG)

propofol

b: diprivan

propofol class

IV general anesthetic

propofol indication

ICU sedation

propofol dose

5mcg/kg/min IV → titrate

propofol adjustments

r: no h: yes

propofol ADR

general/other: propofol infusion syndrome (PRIS) (m: TG + CK/acid-base

ketamine

B: ketalar

ketamine class

NMDA antagonist

ketamine indication

general anesthesia

ketamine dose

0.5-1mg/kg Iv

ketamine adjustments

r and h: no

ketamine ADR

psychiatric: emergence reactions (m: mental status)

phenobarbital

B: various

phenobarbital class

barbiturate

phenobarbital indication

status epilepticus

phenobarbital dose

15-20mg/kg IV

phenobarbital adjustments

r and h: YES

phenobarbital ADR

pulmonary: respiratory depression (m: RR)

fentanyl

B: duragesic; sublime

fentanyl class

opioid analgesic

fentanyl indication

acute severe pain

fentanyl dose

25-50mcg IV q30-60min

fentanyl adjustments

r and h: YES

fentanyl ADR

pulmonary: respiratory depression (m: RR)

hydromorphone

B: dilaudid

hydromorphone class

opioid analgesic

hydromorphone indication

acute pain

hydromorphone dose

0.2-0.5mg IV q2-4h

hydromorphone adjustments

r and h: YES

hydromorphone ADR

pulmonary: respiratory depression (m: RR)

morphine

B MS Contin; kadian

morphine class

opioid analgesic

morphine indication

acute pain

morphine dose

7.5-15mg po. or 1-4mg IV

morphine adjustments

r: yes h: no

morphine ADR

pulmonary: respiratory depression (m: RR)

oxycodone

B: OxyContin; roxicodone

oxycodone class

opioid analgesic

oxycodone indication

acute pain

oxycodone dose

5-15mg po q4-6h

oxycodone adjustments

r and h: YES

oxycodone ADR

pulmonary: respiratory depression (m: RR)

lorazepam

B: Ativan

lorazepam class

BZD

lorazepam indication

status epilepticus

lorazepam dose

4mg IV

lorazepam adjustments

r: no h: yes

lorazepam ADR

pulmonary: respiratory depression (m: RR)

midazolam

B: versed

midazolam class

BZD

midazolam indication

ICU sedation

midazolam dose

1-8mg/hr IV

midazolam adjustments

r and h: no

midazolam ADR

pulmonary: respiratory depression (m: RR)

diazepam

B: valium

diazepam class

BZD

diazepam indication

alcohol withdrawal

diazepam dose

5-10mg po/iv

diazepam adjustments

r: no h: yes

diazepam ADR

pulmonary: respiratory depression (m: RR)

haloperidol

B: haldol

haloperidol class

typical antipsychotic

haloperidol indication

acute agitation

haloperidol dose

2-10mg IM

haloperidol adjustments

r: no h: yes

haloperidol ADR

CV: QT prolongation/torsades (m: ECG)