| IV Drug | Dose | Onset | Duration | Adverse Effects |
Reversal (IV PRN) |
|---|---|---|---|---|---|
| Fentanyla (Analgesia) |
1-5 μg/kg |
1 minute |
30-60 minutes |
Apnea Hypotension Sedation Rigid chest |
Naloxoneb 0.01 mg/kg |
| Midazolamc (Sedation) |
0.05-0.1 mg/kg |
1-5 minutes |
20-30 minutes |
Apnea Hypotension Sedation Seizures Paradoxical agitation |
Flumazenil 10-20 μg/kg |
| Vecuronium (Paralysis) |
0.01 mg/kg |
2-3 minutes |
50-70 minutes |
Prolonged paralysis Bronchospasm |
Neostigmined 0.03 mg/kg |
| Atropine (Vagolytic) |
0.02 mg/kg |
1-2 minutes |
30-120 minutes |
Tachycardia Dry, hot skin |
Antidote for neostigmine |
|
aFentanyl: Give over 3-5 minutes to reduce risk of rigid chest (mitigated by paralytic)
bNaloxone: Can give naloxone IV/IM/SC q3-5 minutes PRN (max 2 doses) cMidazolam: Rarely need sedation for intubation; contraindicated in preterm infants dNeostigmine: May cause bradycardia, bronchospasm, and increased secretions |
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