Airway Management Flashcards

1
Q

Can’t keep SpO2 >90% or 3 failed intubation attempts use the _____________

A

Failed Airway Algorithm

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2
Q

Protruding __________ incisors are a problem when it comes to airway management

A

Upper

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3
Q

The primary rationale for the use of RSI is:

A

to prevent vomiting

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4
Q

When doing the “awake technique’ during the difficult airway algorithm, the best drug for induction is

A

Etomidate

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5
Q

The purpose of pre-oxygenating the RSI candidate is to:

A

Replace the nitrogen in the functional residual capacity with oxygen.

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6
Q

The best way to pre oxygenate a spontaneously breathing pt prior to RSI would be:

A

apply a bvm mask allowing the pt to breath passively through it with a flow at 10-15 LPM

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7
Q

The recommended time to pre-oxygenate a pt properly is _____

A

5 min

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8
Q

List in order who will desat the slowest to who will desat the fastest

A

Illness
Peds
Obesity

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9
Q

Defasciculating prior to administration of succinylcholine will prevent:

A

Elevated ICP during laryngoscopy

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10
Q

Patients with pseudocholinesterase deficiency will _____

A

Demonstrate prolonged duration of action with depolarizing neuromuscular blocking agents

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11
Q

The two reasons we give atropine for peds

A
  1. Dry Secretions

2. Not a well developed sympathetic system

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12
Q

The only fasiculating agent in the US is ______

A

Succinycholine

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13
Q

Nasal Tube Depth Equation

A

ETT size x 4

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14
Q

Primary Proofing examples

A

Subjective assessment

  1. Saw go thru cords
  2. I hear breath sounds
  3. I don’t hear gastric sounds
  4. I see chest rise
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15
Q

Secondary Proofing examples

A

Objective assessment

  1. End-Tidal CO2 Waveform
  2. Bulb Syringe
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16
Q

Etomidate Dose _____

A

0.3 mg/kg

17
Q

Succinylcholine dose ______

A

0.5-1.5 mg/kg

18
Q

Succinylcholine is a ___________ agent

A

depolarizing

19
Q

The only true absolute contraindication to blind nasal intubation is __________

A

Apnea

20
Q

Relative Contraindication for Succinylcholine _________

A
  1. Narrow Angle Glaucoma
  2. Open/Penetrating Eye Injury
  3. Children < 8 yr old (Duchenne)
21
Q

Absolute Contraindications for Succinylcholine

A
  1. Pre-existing hyperkalemia
  2. Previous history of Malignant Hyperthermia
  3. ACh upregulation conditions and disorders such as burns and crush injury
    Demyelinating Disease
22
Q

Signs and Symptoms of Malignant Hyperthermia

A
  1. Increasing ETCO2
  2. Tachycardia, arrhythmias, cardiac arrest
  3. Muscle rigidity, commonly as masseter spasm initially
  4. Profound Acidosis with secondary hyperkalemia
23
Q

Malignant Hyperthermia Treatment`

A

Maximize Oxygenation Immediately
Maximize CO2 off loading immediately (Use 4x normal Ve
Divert to facility with Dantrolene

24
Q

Ca Channel Blockers will kill _______

A

Malignant Hyperthermia Patients

25
Q

Vec Dose _____

A

0.1 mg/kg

26
Q

Roc Dose ____

A

0.6-1.2 mg/kg