Airway Skills & RSI Flashcards

1
Q

High 5 Difficult Airway Indicators

A

Upper Airway Hemorrhage, Mandibular Fracture, Decreased Thyromental Distance, Direct Laryngeal Trauma, Expanding Neck Hematoma

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2
Q

Which neuromuscular diseases are contraindications for Succinylcholine?

A

Guillian-Barre, ALS, Myasthenia Gravis, Muscular Dystrophy

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3
Q

Succinylcholine contraindications?

A

Burns greater than 24 hours, spinal cord injury, neuromuscular disorders, dialysis, malignant hyperthermia

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4
Q

ET Tube Confirmations

A

Visualize Tube through cords, chest rise and fall, negative epigastric sounds, bilateral breath sounds, tube depth, pilot cuff tension, fog in the tube, sp02, etc02

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5
Q

Indications for RSI without Consult

A

GCS less than or equal to 8 with RR= 8 or >/= 35
OR
GCS less than or equal to 8 with SpO2 = 90 on NRB

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6
Q

Lidocaine Dose for Adult RSI Pre-medication

A

1 mg/kg

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7
Q

Adult Induction dose of Etomidate for RSI normotensive patient

A

0.3 mg/kg

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8
Q

Adult Induction dose of Etomidate for hypotensive RSI patient

A

0.15 mg/kg

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9
Q

Adult Induction dose of Versed for RSI

A

0.1 mg/kg

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10
Q

Adult Induction dose of Ketamine for RSI

A

2 mg/kg

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11
Q

Adult dose of Succinylcholine in RSI

A

1.5 mg/kg (Max 200mg)

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12
Q

If Succinylcholine contraindicated, what is the Vecuronium dose for induction?

A

0.1 mg/kg

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13
Q

Atropine dose pre-RSI for < than 8 y/o or less than 6.0 ETT?

A

0.02 mg/kg

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14
Q

What ETCO2 would you try and target in a head-injured patient?

A

30 mmHg

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15
Q

VDP Dose of Etomidate - Doses?

A

0.3 mg/kg for the first dose, and 2 further doses of 0.15 mg/kg

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16
Q

VDP Dose of Ketamine - Doses?

A

2 mg/kg for the first dose, and 2 further doses of 1 mg/kg

17
Q

VDP Dose of Versed - Doses?

A

0.1 mg/kg to a max of 5 mg, but cannot be repeated without consult

18
Q

VDP - If significant resistance to ventilation continues despite adequate sedation AND ANALGESIA, the paramedic may administer what medication?

A

Vecuronium 0.05 mg/kg to a max dose of 10 mg.

19
Q

During VDP, can you treat the patient with Fentanyl in addition to the sedative you use?

A

Yes!! As long as the blood pressure is stable and there is no risk of hypotension, Fentanyl is a great medication to use in conjunction to your sedative of choice in order to ensure adequate post-intubation management.

20
Q

Under what age is a surgical cricothyroidotomy contraindicated in a pediatric patient?

A

8

21
Q

The “D” in DOPES stands for?

A

Displaced tube

22
Q

The “O” in DOPES stands for?

A

Obstruction

23
Q

The “P” in DOPES stands for?

A

Pneumothorax

24
Q

The “E” in DOPES stands for?

A

Equipment Malfunction

25
Q

The “S” in DOPES stands for?

A

Stacking Breaths

26
Q

If the EtCO2 is greater than 45, how would you change your vent settings?

A

Increase respiratory rate in increments of 2.

27
Q

If the EtCO2 is less than 35, how would you change your vent settings?

A

Decrease respiratory rate in increments of 2.

28
Q

In standard ventilator settings, how many mL/kg do we start ventilating the patient with?

A

8 ml/kg IBW

29
Q

At what age can you place a pediatric patient on CPAP?

A

13 or older

30
Q

What are contraindications for a Nasal Intubation?

A

Patients on blood thinners, Patient with upper airway hemorrhage or significant facial trauma, patient with evidence of a basilar skull fracture.

31
Q

What site would you decompress with a needle thoracostomy on an adult patient over the age of 15?

A

5th intercostal space anterior axillary line

32
Q

If unable to perform a needle thoracostomy at the 5th intercostal space, which site would you use?

A

2nd intercostal space at the mid-clavicular line

33
Q

What site would you perform a needle thoracostomy on a child under the age of 15?

A

2nd intercostal space at the mid-clavicular line

34
Q

What is the formula for ETT size in pediatric patients?

A

16 + the child’s age divided by 4

35
Q

What is the normal ETT Tube depth for a male adult patient?

A

21-23 cm

36
Q

What is the normal ETT Tube depth for a female adult patient?

A

20-22cm

37
Q

What is the normal Nasal Tube depth for an adult patient?

A

25-28cm