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Introduction To ALS > Advance Airway Management > Flashcards

Advance Airway Management Flashcards

1
Q

What does MOANS stand for?

A

Mask seal
Obesity/Obstruction
Age
No teeth
Stiff lungs

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2
Q

What does BOOTS stand for?

A

-Beard
-Obese
-Older
-Toothless
-Snores

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3
Q

What does LEMON stand for?

A

Look externally
Evaluate 3-3-2
Mallampati Score
Obstruction
Neck mobility

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4
Q

3-3-2 Rule

A

Mouth opening - 3 fingers
Under the chin - 3 fingers
Two fingers to the cricoid cartridge

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5
Q

Mallampti Scores

A

Class I is the easiest, Class IV the hardest

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6
Q

What is the goal of airway management

A

Oxygen in
CO2 out
Prevent aspiration

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7
Q

Indications for Endtracheal Intubation

A

Failure of airway maintenance or protection
Failure of ventilation or oxygenation (assess min volume)
Predicted clinical course

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8
Q

Laryngoscopy equipment (STOPICBARS)

A

Suction (yanker tip) & Stethoscope
Tubes
Oxygen via a BVM
Pharmacology
IV Access
Connection & Confirmation
-EKG, NIBP, SpO2, etco2 EDD
Blades and Bougie
Alternate intubation device
Rescue Oxygenation device
Surgical Airway

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9
Q

What does PEEP do?

A

Recruit Alveoli and maintain oxygenation

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10
Q

What does the vagus nerve do?

A

If stimulated will decrease heart rate which will decrease BP

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11
Q

What drug do we use to premeditate peds pts prior to intubation?

A

Atropine, it is anticholenergic so it blocks to parasympathetic nervous system

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12
Q

Which blade is better for large tongues?

A

Miller

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13
Q

What does a score of 2 or higher mean on the LEMON scale

A

Score of 2 or higher indicates a difficult intubation

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14
Q

What is a Mac Blade

A

Curved

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15
Q

What is a miller blade

A

A straight blade

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16
Q

Succinylcholine dose

A

1-1.5mg/kg

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17
Q

Contraindications of succinylcholine

A

Hyperkalemia, rhabdomylsis, muscle trauma, burns, hypertension, bradycardia, hypersensitivity

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18
Q

Indications for succinylcholine

A

To facilitate tracheal intubation and to provide muscle relaxation prior to surgery

19
Q

Fentanyl indications

A

-pain management
-Facilitate intubation
-sensitive to morphine but requires anagelsia

20
Q

Fentanyl dose

A

25 to 50mcg every 10 mins with a max of 150mcg for ACPS

21
Q

Fentanyl contraindications

A

Hypersensitivity

22
Q

Indications for Versed

A

Sedation prior to intubation or cardioversion
Sedation of intubated pts
Sedation of agitated pts
Anticonvulsant

23
Q

Contraindications for versed

A

Hypersensitivity, acute narrow angle glaucoma

24
Q

Versed dose

A

Intubation: 2-5mg IV
Chemical restraint: 2.5-5mg IV/IN
Seizures 2.5-5mg IV 5mg IN

25
Q

Indications for atropine

A

Symptomatic Bradycardia
Organophosphate poisoning
Prior to peds intubation

26
Q

Contraindications for atropine

A

Tachycardia, hypersensitivity to anticholinergics

27
Q

Atropine dose

A

0.5 to 0.6mg IV/IO push up to 3mg

28
Q

The 7ps of ETI

A

-prepare
-preoxygenate
-pretreatment
-paralysis
-position
-placement with proof
-post intubation management

29
Q

Prepare

A

-LEMONS
-BOOTS
-RODS
-SHORT

30
Q

Preoxygenate

A

100% oxygen
3mins or 8 vital capacity breaths

31
Q

Pretreatment

A

Lidocaine if awake
Fentanyl
Or both

32
Q

ET tube confirmation

A

Objective confirmation
-watching the ETT go through the cords
-ETCO2
-Esophageal detector device

33
Q

DOPES

A

Dislodgement
Obstruction
Pneumothorax
Equipment
Sedation

34
Q

Rocuronium dose

A

0.6-1.2mg/kg

35
Q

Rocuronium indications

A

To provide airway paralysis to facilitate ET intubation

36
Q

Rocuronium contraindications

A

Renal dysfunction, liver dysfunction, hypersensitivity, pt is not already under anesthesia

37
Q

Vecronium dose

A

0.08-0.1mg/kg IV

38
Q

Vecronium indications

A

To achieve paralysis for ET intubation

39
Q

Vecronium contraindications

A

Hypersensitivity

40
Q

Lidocaine dose

A

1.5mg/kg
10mg\spray

41
Q

Ketamine dose

A

0.5-1mg/kg

42
Q

Ketamine indications

A

Rapid sequence induction

43
Q

Ketamine contraindications

A

Hypersensitivity, pain, hypertension

44
Q

What does RODS mean

A

restricted mouth opening
obstruction
dislodgement
stiff lung

Introduction To ALS (7 decks)

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