RSI

Question 1

Lidocaine (RSI)

Answer 1

-Dose: 100mg

-Suspected CVA/TBI, decrease ICP

Question 2

Atropine (RSI)

Answer 2

-Dose: 1 mg

-Bradycardia

-Systolic above 100

Question 3

What are the 2 sedatives (RSI)

Answer 3

Etomidate (Amidate)

Versed (Midazolam)

Question 4

Etomidate (Amidate) (RSI)

Answer 4

Action: Hypnotic
Peak- 1 minute
Duration- 3 to 5 minutes

-Dose: 0.2-0.6 mg/kg SIV

-Hemodynamically unstable

-Fast acting hypnotic

Question 5

Versed (Midazolam) (RSI)

Answer 5

-Dose: 1-2.5 mg slow IVP

-Hemodynamically stable

-SPB over 100

Question 6

What are the 2 paralytics (RSI)

Answer 6

Rocuronium (Zemuron)

Succinylcholine (Anectine)

Question 7

Rocuronium (Zemeron)

Answer 7

Action: Non-depolarization paralytic. Fast onset, Moderate duration (Onset: 1 minute, Duration: 30minutes)

Indications: RSI

Dose: .5-1 mg/kg slow IVP

SFx: Bronchospasm, Arrythmia, Hypotxn, HTN

Notes: Doesn’t effect LOC of pain sensation

Question 8

Succinylcholine (Anectine)

Answer 8

Action: Depolarizing paralytic (Onset 30-60 sec, Duration 4-6 min)

Indications: RSI

Dose: 1-2 mg/kg

SFx: BradcyC, TachyC, HyperK, Trismus, Salivation

Notes: Premed with atropine for the salivation, Does not effect LOC or pain sensation

Question 9

Pancuronium (Pavulon)

Answer 9

Action: Non-depolarizing paralytic. (Duration >90 min, Onset <5 min)

Indications: Paralysis

Dose: .06-1 mg/kg IVP , additional doses .01 mg/kg

SFx: TachyC, bronchospasm, Hypotxn, Apnea

Notes: Not analgesic, Doesn’t alter LOC