Advanced Airway Management

Question 1

What anatomical structure separates the upper and lower airways?

Answer 1

Larynx

Question 2

MARCHE stands for:

Answer 2

Massive external hemorrhage
Airway
Respiratory
Circulatory
Head Injury
Environment

Question 3

What are the three elements of the pediatric assessment triangle?

Answer 3

Appearance
Circulation
Work of breathing

Question 4

What is the level of atmospheric O2?

Answer 4

21%

Question 5

Every liter per minute of oxygen changes atmospheric oxygen by what percent?

Answer 5

4%

Question 6

What is the range of PEEP on a BVM?

Answer 6

0-20 cm H20

Question 7

What are the elements of HEAVEN criteria?

Answer 7

Hypoxemia
Extremes of size
Anatomic challenges
Vomit, blood, fluid
Exsanguination
Neck mobility

Question 8

Goal for MAP is:

Answer 8

> 65

Question 8

Goal for CVP is:

Answer 8

8-12

Question 9

ETT cuff pressure should be:

Answer 9

20-30 cm H20

Question 9

ETT size formula for kids?

Answer 9

(Age / 4) + 4

Question 9

The alpha wave of ETCO2 waveform should be about what angle?

Answer 9

110

Question 9

If ETT cuff pressure is below __ cm H20 then the likely hood of VAP increases by?

Answer 9

20, 400%

Question 10

The beta wave of ETCO2 waveform should be about what angle?

Answer 10

90

Question 11

What phase of the ETCO2 waveform indicates baseline, inhalation?

Answer 11

I

Question 12

What phase of the ETCO2 waveform indicates the beginning of exhalation?

Answer 12

II

Question 13

What phase of the ETCO2 waveform is where ETCO2 is measured?

Answer 13

III

Question 14

What phase of the ETCO2 waveform indicates the beginning of inhalation?

Answer 14

0

Question 15

On X-Ray, the end of the ETT should lie where?

Answer 15

5 cm above carine (+/- 2 cm)
T2 - T4
Collar bone junction

Question 16

What is the dose for atropine during DSI?

Answer 16

0.02 mg/kg IV
May repeat once.

Question 16

What is the minimum and maximum oer dose for atropine during DSI?

Answer 16

0.1mg minimum
0.5mg maximum

Question 17

What is etomidate?

Answer 17

An induction, sedative agent.

Question 18

What is the dosing for etomidate?

Answer 18

0.3 mg/kg

Question 19

What is the onset of etomidate?

Answer 19

30 seconds

Question 20

What is the duration of etomidate?

Answer 20

5-10 minutes

Question 21

When should etomidate not be given?

Answer 21

Adrenal suppression, sepsis, and more.

Question 22

Does etomidate have cardio side effects?

Answer 22

Minimal

Question 23

What is the dose of fentanyl for DSI?

Answer 23

1-3 mcg/kg

Question 24

What is the drip rate for fentanyl?

Answer 24

1-2 mcg/kg/hr

Question 25

What is the duration of fentanyl?

Answer 25

30-60 minutes

Question 26

What drug inhibits pain pathways, causes peripheral vasodilation by depressing alpha-adrenergic receptors and also decreases: preload, afterload and myocardial O2 demand

Answer 26

Fentanyl

Question 27

What is the induction dose for ketamine?

Answer 27

1-2 mg/kg

Question 28

What is the pain dose for ketamine?

Answer 28

0.1-0.25 mg/kg

Question 29

What is the drip dose for ketaminee?

Answer 29

5-20 mcg/kg/min

Question 30

What is the duration of ketamine?

Answer 30

5-15 minutes

Question 31

What is the induction dose for midazolam?

Answer 31

0.1 mg/kg

Question 32

What is the drip dose for midazolam?

Answer 32

20-100 mcg/kg/hr

Question 33

What is the duration of midazolam?

Answer 33

60-90 minutes

Question 34

What drug acts at level of the limbic, thalamic, and hypothalamic regions of CNS by effects of GABA and decreases nerve cell activityin all CNS?

Answer 34

Midazolam

Question 35

What is the initial dose for propofol?

Answer 35

40 mg every 10 seconds to desired effect

Question 36

What is the bran name for propofol?

Answer 36

Diprivan

Question 37

What is the drip dose for propofol?

Answer 37

5-200 mcg/kg/min

Question 38

What is the duration of propofol?

Answer 38

3-5 minutes

Question 39

What drug is a short acting hypnotic which produces amnesia but not analgesia and can cause hypotension?

Answer 39

Propofol

Question 40

Which drug is the only depolarizing neuromuscular blocker?

Answer 40

Succinylcholine

Question 41

What is the dose of succinylcholine?

Answer 41

1.5 mg/kg

Question 42

What is the onset of succinylcholine?

Answer 42

30-45 seconds

Question 43

What is the duration of succinylcholine?

Answer 43

5-10 minutes

Question 44

Which drug is an ultra-short acting depolarizing skeletal muscle relaxant which causes defasciculations?

Answer 44

Succinylcholine

Question 45

Which drug can cause malignant hyperthermia as a result? What is the treatment for that?

Answer 45

Succinylcholine Dantrolene

Question 46

What are some contraindications of succinylcholine?

Answer 46

Burns, eye injuries, crush injuries, hyperK

Question 47

What is rocuronium?

Answer 47

A non-depolarizing neuromuscular blocker.

Question 48

What is the dose of rocuronium?

Answer 48

0.6-1.2 mg/kg

Question 49

What is the onset of rocuronium?

Answer 49

45-120 seconds

Question 50

What is the duration of rocuronium?

Answer 50

30-90 minutes

Question 51

Which drug prevents neuromuscular transmission by blocking acetylcholine at the myoneural juntion?

Answer 51

Rocuronium

Question 52

What is vecuronium?

Answer 52

A non-depolarizing neuromuscular blocker.

Question 53

What is the dose of vecuronium?

Answer 53

0.1 mg/kg Max of 10mg

Question 54

What is the max dose of vecuronium?

Answer 54

10mg

Question 55

What is the onset of vecuronium?

Answer 55

30-60 seconds

Question 56

What is the duration of vecuronium?

Answer 56

25 - 40 minutes

Question 57

Which drug prevents neuromuscular transmission by competing for cholinergic receptors at the motor end plate?

Answer 57

Vecuronium

Question 58

If patient is hemodynamically unstable and requires DSI, what changes should you make?

Answer 58

1/2 the induction meds x2 the paralytics Start pressors

Question 59

What range on the RASS scale should you maintain the intubated patient?

Answer 59

-5 (unarousable) to +4 (combative)

Question 60

Differentiate Biot's from ataxic respiratory patterns.

Answer 60

Ataxic is completely irregular whereas Biots will have more regularity in inspiration size and frequency