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Flashcards in RSI Deck (29)
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1
Q

How many steps

A

7

2
Q

If you oxygenate a healthy individual for 5 mins @ 100% O2 …

A

they can be apenic for 7 minutes without permanent brain damage

3
Q

Ideally you wouldn’t bag b4 intubation due to …

A

Baging - abdominal distention = higher risk for aspiration

4
Q

Sedative/Analgesic take about how many minutes to work

A

3 minutes

5
Q

Sedative for intubation

A

Midazolam (Versed)

0.1 to 0.3 mg/kg IV

6
Q

Analgesic for intubation

A

Fetanyl

2-3 mcg/kg IV

7
Q

Protective Agents (4) prior to intubation

A
  1. Lidocaine
  2. Opioids
  3. Atropine
  4. Defascicultaing Agent
8
Q

What does lidocaine do as a protective agent + dose

A

1.5 mg/kg

Suppresses gag/cough from laryngoscope blade during intubation

Reduce sudden ICP with the blade

9
Q

What do opioids do as a protective agent + dose

A

Fetanyl 1-3 mcg/kg

Dec sympathetic surge and bradycardia from laryngoscope stimulation

10
Q

What does atropine do as a protective agent + dose

A
  1. 01 - 0.02 mg/kg (ped)
  2. 5 - 0.1 mg (adult)

Dec parasympathetic surge and bradycardia from laryngoscope stimulation - pulling back on the vagal stimulation

11
Q

Succ can cause

A

a shuttering of the muscles (fasciculations) around 40 seconds after it is given - making intubation difficult

12
Q

Examples of defasciculating agents

A

Vancuronium (norcuron)

13
Q

Defasciculating Agent dose + protective gaent

A

1/10th of loading dose of neuromuscular blocker

Prevents fasciculations from Succ

14
Q

4 Anesthesisa for RSI

A
  1. Etomidate
  2. Ketamine
  3. Thiopental
  4. Propofol
15
Q

Etomidate dose and precaution

A

0.2 - 0.4 mg/kg

May cause myoclonic activity

16
Q

Ketamine dose and precaution

A

1 - 2 mg/kg

Be careful w/ asthma
May cause hypotension
May cause laryngospasm

17
Q

Thiopental dose and preaution

A

2mg/kg

Contraidicated w/
Burns
Hyperkalemia
Neuromusuclar disorders
Eye Injuries
18
Q

Propofol dose and precaution

A

0.5 - 2 mg/kg

Contraindicated w/ egg allergies

19
Q

7 Ps

A
  1. Prep
  2. Pre-oxygenate
  3. Pre-tx (Sedate)
  4. Paralysis (short acting neuromuscular agent)
  5. Placement
  6. Placement verification
  7. Post-Intubation
20
Q

Adults ET tubing size is usually

A

6.5 to 8.0

21
Q

Pediatric ET tube equation

A

Uncuffed: (Age/4) + 4
Cuffed: (Age/4) + 3
UP TO 12

22
Q

Easy as 1-2-3-4

A

ETT X 1 = ETT Size
ETT X 2 = NG/OG or Folely
ETT x 3 = ETT insertion depth
ETT x 4 = Chest tube

23
Q

4 Paralytic Medications

A
  1. Succ
  2. Pancuronium
  3. Rocuronium
  4. Vecuronium
24
Q

Continuous capnography

A

Rounded waveform

Top between 35-45

25
Q

Kussmaul’s Sign

A

Elevation of JVD during inspiration

26
Q

Succinylcholine

A

1 -2 mg/kg

Contraindicated in head/eye injuries / cardiovascular disease

27
Q

Pancuronium

A

0.01 mg/kg (defasciculating dose)

28
Q

Rocuronium

A

0.6 - 1 mg/kg

Contraindicated in head/eye injuries/ cardiovascular disease

29
Q

Vecuronium

A
  1. 01 mg/kg (defasciculating dose)

0. 1 mg (paralyzing dose)