Rapid Sequence Intubation Flashcards
When do you paralyze a pt for intubation?
Right at induction
Gold standard sedative
Etomidate
Propofol should be avoided in ppl with ___ allx
egg
Paralytics
When to use Rocuronium over gold standard Succinylcholine?
When hyperK+ is a concern
72hrs after: spinal cord injury, crush injury, severe burn (any 3 after 3 days)
Rhabdomyolysis
Severe, prolonged intra-abdominal infx
Denervating dz (Multiple Sclerosis)
Succinylcholine is a depolarizing neuromuscular junction blocker -> depolarizes -> keeps AP in refractory period -> incr K+ leaks out -> HyperK+
A major CON to Succinylcholine is…
It causes hyperkalemia
It is a depolarizing neuromuscular blocker. Causes a huge AP at the start and then holds it in its refractory period. This causes more K+ to leak out of cell over time
MOA
Gold Standard Paralytic for RSI
Succinylcholine
MOA
Why is Verconium not an ideal paralytic for RSI?
SLOW OOA
Etomidate MOA
Ketamine MOA
Propofol MOA
