Etomidate: Difference between revisions

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''See [[critical care quick reference]] for drug doses by weight.''
==General==
*Type:
*Dosage Forms:
*Common Trade Names:
==Adult Dosing==
===[[RSI]]===
*0.3 mg/kg bolus IV
*Standard dose = 20mg
===[[Procedural Sedation]]===
*0.15 mg/kg bolus IV
*Standard dose = 10mg)
==Pediatric Dosing==
''See [[critical care quick reference]] for drug doses by weight.''
==[[RSI]]==
==[[RSI]]==
0.3 mg/kg bolus IV {Adult standard = 20mg)
*0.3 mg/kg bolus IV  
*Max: 20mg


==[[Procedural Sedation]]==
==[[Procedural Sedation]]==
0.15 mg/kg bolus IV (Adult standard = 10mg)
*(0.15 mg/kg bolus IV
*Max: 10mg


==Controversy==
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]:
*Lactation:
*Renal Dosing
**Adult
**Pediatric
*Hepatic Dosing
**Adult
**Pediatric
 
==Contraindications==
*Allergy to class/drug
 
==Adverse Reactions==
===Controversy===
"The available evidence suggests that etomidate suppresses adrenal function transiently without
"The available evidence suggests that etomidate suppresses adrenal function transiently without
demonstrating a significant effect on mortality. However, no studies to date have been powered to detect a difference in hospital, ventilator, or ICU length of stay or in mortality."
demonstrating a significant effect on mortality. However, no studies to date have been powered to detect a difference in hospital, ventilator, or ICU length of stay or in mortality."


==Source==
==Pharmacology==
#Hohl CM, Kelly-Smith CH,Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M.  The effect of a bolus dose of Etomidate on cortisol levels, mortality, and health services utilization: a systematic review.  Ann Emerg Med. 2010;56(2):105-113.
*Half-life:
*Metabolism:
*Excretion:
*Mechanism of Action:


==See Also==
==See Also==
*[[Critical care quick reference]]


==Sources==
*Hohl CM, Kelly-Smith CH,Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M.  The effect of a bolus dose of Etomidate on cortisol levels, mortality, and health services utilization: a systematic review.  Ann Emerg Med. 2010;56(2):105-113.
<references/>
[[Category:Drugs]]
[[Category:Drugs]]

Revision as of 03:05, 24 February 2015

See critical care quick reference for drug doses by weight.

General

  • Type:
  • Dosage Forms:
  • Common Trade Names:

Adult Dosing

RSI

  • 0.3 mg/kg bolus IV
  • Standard dose = 20mg

Procedural Sedation

  • 0.15 mg/kg bolus IV
  • Standard dose = 10mg)

Pediatric Dosing

See critical care quick reference for drug doses by weight.

RSI

  • 0.3 mg/kg bolus IV
  • Max: 20mg

Procedural Sedation

  • (0.15 mg/kg bolus IV
  • Max: 10mg

Special Populations

  • Pregnancy Rating:
  • Lactation:
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Controversy

"The available evidence suggests that etomidate suppresses adrenal function transiently without demonstrating a significant effect on mortality. However, no studies to date have been powered to detect a difference in hospital, ventilator, or ICU length of stay or in mortality."

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Sources

  • Hohl CM, Kelly-Smith CH,Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M. The effect of a bolus dose of Etomidate on cortisol levels, mortality, and health services utilization: a systematic review. Ann Emerg Med. 2010;56(2):105-113.