Pain Management/Procedural Sedation/RSI

Question 1

Cause for innaccurate CO2 monitoring

Answer 1

circulatory problems

Question 2

Painless jaundice

Answer 2

CA at head of pancreas

Question 3

Avg morphine dose to kill pain

Answer 3

10mg

Question 4

Lasts 4 hrs

Answer 4

Dilaudid or 8mg morphine

Question 5

Lasts 35mins

Answer 5

Fentanyl

Question 6

Drug of choice for unknown cause of pain?

Answer 6

Fentanyl

Question 7

How much Fentanyl = 10mg Morphine?

Answer 7

100mcgrams

Question 8

How much Dilaudid = 8mg Morphine?

Answer 8

1mg

Question 9

How does one titrate IV Morphine for pain?

Answer 9

Increase 5mg q 3-5mins until pain is 0-3

Question 10

Once you know the pain source, switch from Fentanyl to . . .

Answer 10

Longer acting med for pain control

Question 11

Reversal for opiods

Answer 11

Narcan

*AKA Naltroxone

Question 12

Reversal for Benzodiazepines

Answer 12

Flumazenil

Question 13

Combo of Ketamine and Propofol

Answer 13

Ketofol

Question 14

What should you do if you over administer anesthetics and pt stops breathing

Answer 14

Can either bag and breathe for the pt temporarily, OR use reversal drugs

Question 15

No Recall drugs

Answer 15

Etimodate, Propofol, Ketamine

Question 16

Paralytic (NM blocking agents)

Answer 16

Succinylcholine, Rocuronium

Question 17

Paralytic that causes fasciculations

Answer 17

Succinylcholine

Question 18

Tx for Malignant Hyperthermia

Answer 18

Dantroline

Question 19

Cause of Malignant Hyperthermia

Answer 19

Succinylcholine

Question 20

Depolarizing agent, lasts 2-10 mins, increases K+. Don’t use with renal failure, crush injuries, eye trauma, NM disorders.

Answer 20

Succinylcholine

Question 21

Mnemonic for intubation problems

Answer 21

DOPE

Question 22

DOPE “D”

Answer 22

Displaced - usually Rt mainstem bronchus

Question 23

DOPE “O”

Answer 23

Obstructed - kinked or mucus plug, etc

Question 24

DOPE “P”

Answer 24

Pneumothorax - collapsed lung

Question 25

DOPE “E”

Answer 25

Esophagus