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FP-C > Airway > Flashcards

Airway Flashcards

1
Q

Critical values

A

Ph< 7.2, CO2>55, and PAO2 <60

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2
Q

LEMON

A

Look, evaluate (3,3,2), Mallampati, Obstructions, Neck Mobility

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3
Q

Mallampati 2

A

Tonsillitis pillars hidden by tongue

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4
Q

Mallampati 3

A

Only base of uvula can be seen

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5
Q

Mallampati 4

A

Uvula cannot be seen

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6
Q

HEAVEN

A

Hypoxemia = 93% at time of laryngoscope
Extreme size: less than 8yo or obese
Anatomic challenges
Vomit, blood, fluid
Exsanguination/anemia
Neck mobility

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7
Q

Ramping

A

Ear to sternal notch

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8
Q

Sellicks maneuver

A

Posterior pressure on cricoid cartilage, no longer recommended.
(Choke time sellick who doesn’t work anymore)

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9
Q

BURP

A

Backward, upward, rightward pressure

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10
Q

External laryngeal manipulation

A

Provider brings cords into view and then airway assistant maintained positioning

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11
Q

Mac blade

A

Lifts epiglottis via the vallecula

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12
Q

Miller

A

Direct displacement of epiglottis
Neonates, infants

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13
Q

Bougie

A

Adults 15 fr
Pediatrics 10 fr

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14
Q

High flow nasal cannula

A

20-60 liters per min

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15
Q

Ett cuff pressure

A

20-30 mmhg
(25 is standard)

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16
Q

Standard of placement

A

Chest X-ray, 4-5 cm above carina
T3-t4

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17
Q

End tidal CO2

A

Inhalation ⬇️ expiration ⬆️ expiratory plateau ➡️ ETCO2

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18
Q

Colorimetric device

A

Yellow is yea, purple is pull

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19
Q

RSI 7ps

A

Prep
Preoxygenate
Pretreatment
Paralysis with induction
Protect and position
Placement with proof
Post intubation management

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20
Q

RSI LOAD

A

Lidocaine: blunts cough reflex
Opiates: pain response
Atropine for infants: prev reflexive Brady cardia
Defasicilating dose: 1/10 dose of roc or vec

21
Q

Fentanyl

A

1mcg/kg
Onset 3-5 min
Duration 30-60 min

22
Q

Etomidate

A

.3 mg/kg
Contraindicated for pt with adrenal suppression, copd or asthmatic
No analgesic

23
Q

Ketamine

A

1-2 mg/kg iv(rsi)
.1-.2 mg/kg pain
5mg/kg I’m )combative

24
Q

Midazolam

A

2.5-5 mg iv
Flumazeni = .2 mg

25
Q

Propofol

A

1-2 mg/kg
25-50 mcg/kg/min mtn dose
Decreases map and cpp

26
Q

Succinylcholine

A

1-2 mg/kg
Requires refrigeration
Contraindications: crush, eye MH, etc

27
Q

Malignant hyperthermia

A

Rapid increase in temperature.
Treat with DANTROLENE SODIUM
seen after succs or other inhaled anestetics

28
Q

Rocuronium

A

Does not cause .6-1.2 mg/kg
.1.2mg/kg maintained
Good for 30 days after refrigeration
Sugannadex(bridion) 16mg/kg reversal

29
Q

Vecuroniun (norcuron)

A

.15 mg/kg
Used post roc or succ to keep paralyzed

30
Q

Hemodynamicly unstable pts for rsi

A

Use 1/2 induction dose
Double paralytic dose

31
Q

SALAD

A

Suction assisted laryngoscope airway decontamination

32
Q

Post intubation mngt

A

Fentanyl: .05-1.5 mcg/kg q 5 min
Ketamine: .5-1 mg/kg q 15min
Midazolam: 2-5mg q 15 min

33
Q

Post intubation infusions

A

Fentanyl: 1-3 mcg/kg/hr
(Mix 500mcg/100ml = 5mcg/ml)
Ketamine: 1-2 mg/kg/hr
(500mg/250ml= 2mg/ml)
Versed: .05-.1mg/kg/hr

34
Q

When to cric

A

Can’t intubate, can’t ventilate, can’t oxygenate

35
Q

Tidal volume

A

How much air the pt breaths in normal breath

36
Q

Inspiration reserve volume

A

Amount of air that can be forcefully inhaled in addition to normal tidal volume

37
Q

Expiratory reserve volume

A

Amount of air that can be forcefully exhaled after normal tidal volume breath

38
Q

Vital capacity

A

Tidal volume + inspiration reserve volume + expiratory reserve volume

39
Q

Residual volume

A

Amount of air left after forceful exhalation

40
Q

Total lung capacity

A

Irv+TV+ERV+RV

41
Q

Dead space

A

2ml/kg
Surface of airway not involved is gaseous exchange

42
Q

Central chemoreceptors

A

Medulla/pons
Drivin by CO2 and H in csf

43
Q

Peripheral chemoreceptors

A

Located in aortic arch/carotid bodies
Drivin by O2, CO2 and H
Your body’s pulse ox

44
Q

Ducks law of diffusion

A

Gasss travel from area of higher concentration to lower

45
Q

Apneustic

A

Deep gasping inspiration with pause at full inspiration and insufficient release

46
Q

Ataxic

A

Completely irregular breathing

47
Q

Biots

A

Quick shallow inspiration followed by regular or irregular periods of apnea

48
Q

Cheyne-stokes

A

Deeper and sometimes faster breaths followed by gradual decrease/apnea
(Associated with decorticate/cushings)

49
Q

Kussmaul

A

Respirations gradually become deep labored and gasping

FP-C (7 decks)

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