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- Docement pre-procedure H&P, assessment, ASA classification, patient consent
- Check that crash cart, O2, SPO2 reading equipement, Mask/bag are immediately available.
- Continually monitor pulse ox, mental status, blood pressure
Reversal Drugs
| Drugs |
Initial Dose |
Total Dose |
| Flumazenil; Romazicon (Benzo reversal) |
0.2mg over 15 sec IV, wait 45 sec, then may repeat 0.2mg q 1min x 4. Peds: 0.01mg/kg. |
1mg (10ml)/5min, 3mg in 1 hours |
| Naloxone(Narcan) |
0.1-0.2mg q2min IV; 0.2mg repeat q1-2hours prn: peds=0.005-0.01 IV/IM/SQ/ET |
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Sedation Drugs
| Fentanyl |
50-100mcg slow IV over 1-2 minutes (1-2mcg/kg); titrate to effect |
300 mg in 1 hour |
| Midazolam (Versed) |
1-2mg slow IVP |
5mg in 1 hour |
| Ketamine (Ketalar) |
1-2mg/kg IV over 1-2 min: consider concurrent atropine to minimize hypersalvation. |
|
ASA Classification
| ASA |
Physical Status |
| 1 |
Normal healthy patient |
| 2 |
Mild to moderate systemic disease with no funtional limitations |
| 3 |
Severe systemic disease with functional limitations |
| 4 |
Severe systemic disease that is a constant threat to life |
| 5 |
Moribund patient not expected to survive with or without the intervention |
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