Airway Management

Question 1

Can’t keep SpO2 >90% or 3 failed intubation attempts use the _____________

Answer 1

Failed Airway Algorithm

Question 2

Protruding __________ incisors are a problem when it comes to airway management

Answer 2

Upper

Question 3

The primary rationale for the use of RSI is:

Answer 3

to prevent vomiting

Question 4

When doing the “awake technique’ during the difficult airway algorithm, the best drug for induction is

Answer 4

Etomidate

Question 5

The purpose of pre-oxygenating the RSI candidate is to:

Answer 5

Replace the nitrogen in the functional residual capacity with oxygen.

Question 6

The best way to pre oxygenate a spontaneously breathing pt prior to RSI would be:

Answer 6

apply a bvm mask allowing the pt to breath passively through it with a flow at 10-15 LPM

Question 7

The recommended time to pre-oxygenate a pt properly is _____

Answer 7

5 min

Question 8

List in order who will desat the slowest to who will desat the fastest

Answer 8

Illness
Peds
Obesity

Question 9

Defasciculating prior to administration of succinylcholine will prevent:

Answer 9

Elevated ICP during laryngoscopy

Question 10

Patients with pseudocholinesterase deficiency will _____

Answer 10

Demonstrate prolonged duration of action with depolarizing neuromuscular blocking agents

Question 11

The two reasons we give atropine for peds

Answer 11

1. Dry Secretions

2. Not a well developed sympathetic system

Question 12

The only fasiculating agent in the US is ______

Answer 12

Succinycholine

Question 13

Nasal Tube Depth Equation

Answer 13

ETT size x 4

Question 14

Primary Proofing examples

Answer 14

Subjective assessment

1. Saw go thru cords
2. I hear breath sounds
3. I don’t hear gastric sounds
4. I see chest rise

Question 15

Secondary Proofing examples

Answer 15

Objective assessment

1. End-Tidal CO2 Waveform
2. Bulb Syringe

Question 16

Etomidate Dose _____

Answer 16

0.3 mg/kg

Question 17

Succinylcholine dose ______

Answer 17

0.5-1.5 mg/kg

Question 18

Succinylcholine is a ___________ agent

Answer 18

depolarizing

Question 19

The only true absolute contraindication to blind nasal intubation is __________

Answer 19

Apnea

Question 20

Relative Contraindication for Succinylcholine _________

Answer 20

1. Narrow Angle Glaucoma
2. Open/Penetrating Eye Injury
3. Children < 8 yr old (Duchenne)

Question 21

Absolute Contraindications for Succinylcholine

Answer 21

1. Pre-existing hyperkalemia
2. Previous history of Malignant Hyperthermia
3. ACh upregulation conditions and disorders such as burns and crush injury
   Demyelinating Disease

Question 22

Signs and Symptoms of Malignant Hyperthermia

Answer 22

1. Increasing ETCO2
2. Tachycardia, arrhythmias, cardiac arrest
3. Muscle rigidity, commonly as masseter spasm initially
4. Profound Acidosis with secondary hyperkalemia

Question 23

Malignant Hyperthermia Treatment`

Answer 23

Maximize Oxygenation Immediately
Maximize CO2 off loading immediately (Use 4x normal Ve
Divert to facility with Dantrolene

Question 24

Ca Channel Blockers will kill _______

Answer 24

Malignant Hyperthermia Patients

Question 25

Vec Dose _____

Answer 25

0.1 mg/kg

Question 26

Roc Dose ____

Answer 26

0.6-1.2 mg/kg