83 Orotracheal Intubation Flashcards
What are the treatments in the Orotracheal Intubation medical directive?
Lidocaine
Orotracheal Intubation
What are the INDICATIONS for the Orotracheal Intubation medical directive?
Orotracheal Intubation
What are the CONTRAINDICATIONS for LIDOCAINE in the Orotracheal Intubation medical directive?
Allergy or sensitivity to lidocaine
Unresponsive patient
What are the CONDITIONS for LIDOCAINE in the Orotracheal Intubation medical directive?
Orotracheal Intubation
What is the MAX dose of LIDOCAINE in the Orotracheal Intubation medical directive?
5mg/kg
What it the dosing INTERVAL for LIDOCAINE in the Orotracheal Intubation medical directive?
N/A
How MANY doses can you give of LIDOCAINE in the Orotracheal Intubation medical directive?
20
What are the CONTRAINDICATIONS in the Orotracheal Intubation medical directive?
Age under 50 years old
Current Asthma exacerbation
Not in or near cardiac arrest
What are the CONDITIONS for OROTRACHEAL INTUBATION?
N/A
What is the MAX attempts for OROTRACHEAL INTUBATION?
2
What are reasons to intubate
(MOPS V)
Medication Route
Obstruction
Protection
Suction
Ventilation/ Oxygenation
What medications are able to be used to sedate a person?
Midazolam
Lidocaine
Fentanyl
What medications are used to paralyze a person
Etomidate
Succinylcholine
How do we choose the size for a cuffed ETT?
3.5 + (age/4)
Why do we not intubate people who are less than 50 with a current asthma excacerbation if they are not near cardiac arrest?
They are having a CO2 offloading issue. Prolonged intubation time can lead to cardiac arrest.
How long does lidocaine spray take to work?
1 minute
What is the primary method for confirming ETT placement?
ETCO2 (waveform capnography)
What is the Secondary methods of confirming ETT placement?
ETCO2 (non-waveform device)
Visualization
Auscultation
Chest Rise
Esophageal Detection Device
When must we reconfirm ETT placement?
After every patient movement
Failure of the ETT can be caused by
(DOPE)
Displacement
Obstruction/ Kink
Pneumothorax
Equipment failure
What equipment is needed to Orotracheal intubation?
(SLOPES)
Suction
Larygnoscope/ Lidocaine
Oxygen/ BVM
Pillow
ETT
Syringe/Stylet/ Secure
What is the DOSE of a single SPRAY of LODOCAINE
10mg