I draw up 5 and 100 when I am using Versed and Demerol, 10 and 250 when I am using Valium and Fentanyl. Drope comes in 5mg ampules, so that is a no brainer too.
When it is my turn, I want fentanyl and versed. On integrated units where recovery is handled by other endo procedure nurses I would say 50 of demerol and 3-5 of versed is pretty typical with gentle docs and healthy outpatients. Females who have had lots of babies might need 75 or even 100 of D, but all these folks will recover and walk out pretty quickly.
Anyone on maintenance opiods or benzos for pain/panic etc is going to be a little tougher to sedate. Anyone taking about 30mg morphine or 10mg diazepam PO at a single dose is going to make my short list for droperidol, along with everyone who drinks alcohol everyday or is currently using marijuana, cocaine or crystal meth. The "seekers" asking about vicodin for the post procedure pain they haven't even felt yet frequently make my drope list too.
If there are some pulmonary issues to consider I'll go heavier on the versed and layoff the D. Patients on maintenance valium I lean away from the versed and push the D a little harder (if I can't talk the doc into using fentanyl). Those little lines on the 5cc syringe of versed are 0.2mg each
Frankly I dilute my Demerol to 10mg:1cc in a 10cc syringe and will go with 2mg incremental doses if it is indicated. My smallest dose on an ancient inpatient was 0.6 of valium and 12mg of Demerol for a very long colonoscopy. Sometimes I can time 5 of versed, 100 of demerol _and_ 5 of drope to all peak at the same time and still have to talk the patient through an EGD.
For obese patients without respiratory compromise I am more than happy to start with 2&50, and then run the versed up in more or less a hurry.
Don't forget to use Starling's Law to advantage when you sedate without fluids hanging. Starling is my friend.
Still have to find my calipers to comply with the latest safety warning about droperidol, went up on fda.gov on 12-05. Gosh I want to be inserviced on propofol.