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dosering ANE

doseringen anesthetica

propofol inductie (LBW) 1-2.5 mg/kg (K 2-3.5)
propofol continu (TBW) 2-10 mg/kg/h (K3-15) of 10-8-6 regel (30 min)
propofol TCI inductie en continu inductie 4mcg/ml continu 2.5-3.5
Thiopental inductie (LBW) 3-5mg/kg (K2-8; O 4-5)
Thiopental onderhoud (TBW) 2mg/kg
Midozalam inductie (TBW) 0.1-0.2 mg/kg (V=K)
Midozalam continu (LBW) 0.05-0.2 mg/kg/h
midozalam premed 7.5-15mg PO (K 0.3-0.5 mg/kg
Flumazenil (antagonist van midozalam) 0.1-0.5 mg iv (K 10mcg/kg, max 1 mg)
dexmedetomidine (oplaad) 0.7 mcg/kg in 10-15 min oplossen in NaCl of gluc 5%
dexmedetomidine (continu) 0.2-1.4 mcg/kg/h oplossen in NaCl of Gluc 5%
dexmedetomidine Contra indicatie Hypotensie Bradycardie
MAC Sevo (25, 40 en 80 jaar) MAC SEVO met opiaten 25 jaar 2.6% 40 jaar 2.1% 80 jaar 1.4% met opiaten = MAC<1
etomidaat inductie 0.2 mg/kg (K: 0.3-0.5)
etomidaat - Contra Indicatie - wat geef je bij soja-allergie CI: Bijnierschors insuff bij soja-allergie --> hyponomidate
ketamine (inductie IBW) 1-2 mg/kg (K 0.5-1)
Ketamine (analgesie IBW) 0.25 mg/kg continu 0.1-0.4 mg/kg/h
Ketamine (post-op IBW) 0.125mg/kg bolus, z.n. 2x herhalen 15-30 min
Ketamine Contra Indicaties leeftijd < 18 jaar IHD aneurysmata glaucoom hyperthyreoidie psychose perifeer oogletsel alcohol gebruik hallucinaties
clonidine (algemeen) 75-150 mcg 10 min (max 0.5mg/dag)
clonidine (sedatie) 1-2mcg/kg 10 min; .25-2 mcg/kg/h
Created by: Saint_Diablos