Cardiac arrest and intubation

Question 1

Rocuronium adult > 80 kg

Answer 1

100 mg, repeat as required

Question 2

Rocuronium duration

Answer 2

30 - 60 mins

Question 3

Sedation post cardiac arrest with signs of shock

Answer 3

ketamine/fentanyl

Question 4

Ketamine/fentanyl post intubation sedation drawing up

Answer 4

200 mcg fentanyl, 200 mg ketamine in 20 ml syringe

Question 5

Ketamine/fentanyl post intubation sedation administration ADULT

Answer 5

5 ml every 15 - 30 mins (50mcg/50mg)

Question 6

Sedation post cardiac arrest no signs of shock

Answer 6

fentanyl/midazolam

Question 7

Midazolam/fentanyl post intubation sedation drawing up

Answer 7

10 mg midazolam, 100 mcg fentanyl in 10 ml syringe

Question 8

Midazolam/fentanyl post intubation sedation administration ADULT

Answer 8

1 - 2 ml every 5 - 15 mins (1-2 mg midazolam/10-20 mcg fentanyl)

Question 9

Rocuronium adult < 80 kg

Answer 9

50 mg

Question 10

Metaraminol for adult

Answer 10

0.5 - 1 mg every 5-10 mins

Question 11

Metaraminol drawing up

Answer 11

10 mg/10 ml

Question 12

Adrenaline administration adult post intubation

Answer 12

Administer 2 drops per second, adjust rate as required (2 ml/min or 2 mcg/min), solution 1 mcg/ml, giving set - 60 drops /ml

Question 13

Adrenaline administration (NOT cardiac arrest) child aged 5-14 years post intubation

Answer 13

Administer 1 drop per second, adjust rate as required (1 ml/min or 1 mcg/min), solution 1 mcg/ml, giving set - 60 drops /ml

Question 14

Adrenaline administration (NOT cardiac arrest) child aged less than 5 years

Answer 14

Administer IV boluses as per paediatric tables

Question 15

Adrenaline IV cardiac arrest 5 kg child (less than 1 year)

Answer 15

0.05 mg or 0.5 ml of solution (50 mcg)

Question 16

Adrenaline IV cardiac arrest child drawing up

Answer 16

1 mg adrenaline in 10 ml syringe diluted to 10 ml solution

Question 17

Adrenaline IV cardiac arrest child 10 kg (1 year)

Answer 17

0.1 mg or 1 ml of solution (100 mcg)

Question 18

Adrenaline IV cardiac arrest 20 kg (2-5 years)

Answer 18

0.2 mg or 2 ml of solution (200 mcg)

Question 19

Adrenaline IV (NOT cardiac arrest) child drawing up

Answer 19

1 mg adrenaline into 1 L bag NaCl (1 mcg/ ml)

Question 20

Adrenaline IV (NOT cardiac arrest) 5 kg child (less than 1 year)

Answer 20

1 mcg or 1 ml of solution (1 mg/ 1 L)

Question 21

Adrenaline IV (NOT cardiac arrest) 10 kg child (1 year)

Answer 21

2 mcg or 2 ml of solution (1 mg/ 1 L)

Question 22

Adrenaline IV (NOT cardiac arrest) 20 kg child (2 - 5 years)

Answer 22

4 mcg or 4 ml of solution (1 mg/ 1 L)

Question 23

Trouble shooting ETT

Answer 23

DOPES mnemonic

Dislodged or disconnected tube

Obstruction of tube

Pneumothorax

Equipment failure

Stacked breaths or secretions

Question 24

Lemon mnemonic

Answer 24

Look externally

Evaluate internally 3:3:2

Mallampati

Obstruction/tumour/obesity/obstetrics

Neck mobility

Question 25

SOAP ME mnemonic

Answer 25

Suction

Oxygen

Airway gear - tube, laryngoscope, stethoscope etc

Pharmacology

Monitoring

Escape plan, CRM

Question 26

Paediatric tube size calculation

Answer 26

(age/4) + 3.5

Question 27

Paediatric ETT depth at lips

Answer 27

(age/2) + 12

Question 28

Fentanyl/ketamine paediatric post intubation sedation

Answer 28

1 mcg/1 mg per kg

Question 29

Fentanyl/midazolam paediatric post intubation sedation

Answer 29

0.5 mg/0.5 mg per kg

Question 30

metaraminol paediatric dose

Answer 30

0.01-0.02 mg / kg

Question 31

metaraminol drawing up paediatric

Answer 31

Add 10 mg to 100 ml bag 5 % glucose making 0.1 mg / ml solution

Question 32

Rocuronium dose paediatric

Answer 32

1 mg / kg

Question 33

Rocuronium paediatric drawing up

Answer 33

undiluted

Question 34

Midazolam IV seizures paediatric

Answer 34

0.1 mg / kg

Question 35

Midazolam IV paediatirc drawing up

Answer 35

10 mg drawn up in 10 ml syringe 1 mg/1 ml solution

Question 36

Midazolam IM seizures

Answer 36

0.2 mg / kg - twice IV dose!

Question 37

Valproate paediatric dose

Answer 37

30 mg/ kg

Question 38

Valproate paediatric drawing up

Answer 38

Add 4 ml NaCl to ampuole, mix to create 100 mg / ml. Draw up required dose into 20 ml syringe, dilute to 20 ml, administer over several minutes

Question 39

Amiodarone dose paediatric cardiac arrest

Answer 39

5 mg / kg

Question 40

NaCl paediatric volume

Answer 40

20 ml/ kg

Question 41

glucose 10% paediatric dose

Answer 41

2 ml/ kg

Question 42

adrenaline mg/kg paediatric CARDIAC ARREST

Answer 42

0.01 mg/ kg

Question 43

adrenaline mg/kg paediatric NOT cardiac arrest

Answer 43

0.0002 mg/kg