Airway Control

Question 0

How many ETT attempts allowed?

Then what?

Answer 0

2 attempts

Then use BLS airway techniques.

Don’t significantly delay transport for ETI

Question 1

Uses for CPAP

Answer 1

CHF
Acute pulmonary edema
Pneumonia
copd (asthma, bronchitis, emphysema)

Question 2

ETT Confirmation

Answer 2

a) Visualization
b) 5 Point Auscultation
c) Chest Rise/Fal
d) Continuous waveform ETCO2
e) Esophageal detector

Question 4

Pain Management

Answer 4

Only one of the following:

Fentanyl 1 mcg/kg IV/IM slowly every 5 minutes

• -Max dose = 100 mcg
• -Max Total dose = 200 mcg

Dilaudid
Adult- 0.5-1.0 mg IV/IM every 10 min to max of 2 mg
Geriatric (>65 y.o.)- 0.5 mg IV/IM every 10 min to max of 1 mg

Question 5

Sedation

Answer 5

Versed (Midazolam) – Up to 5 mg IV/IM repeat up to 10 mg

Ativan (Lorazepam) – 2 mg IV/IM may repeat once.

Question 6

PEEP

Answer 6

5 cm H2O

Question 7

Tidal Volume, Rate, CO2

Answer 7

5-8 ml/kg at 8-12 BPM

CO2 at 35-45

Question 8

Cardiac Arrest Vent settings

Answer 8

TV = 500-600 ml and rate of 8-10 BPM

Question 9

Why should you consider a cervical collar with an intubated patient?

Answer 9

To prevent extubation d/t neck flexion.