CRNA Mnemonics Flashcards
Epiglottis Mnemonics
AIR RAID
Airway Closed
Increased Pulse
Restlessness
Retractions
Anxiety
Inspiratory Stridor
Drooling
Epiglottis symptoms (LHADDS)
Lean forward to help air pass Hoarseness Anxiety, restlessness Difficulty swallowing Drooling Stridor
Epiglottis Treatment (NO FAITH)
NO FAITH
NPO
Oxygen
Fluids Avoid Examination of throat(can cause more inflammation) Intubate Tracheostomy (may need) Humification ( cool mist)
First treatment of EPIGLOTTIS is
Intubation
Larynx Cartilages
The Crocodile Eats Asian Corn Cunningly Thyroid (comes before cricoid , means more superior) Cricoid Epiglottis Arytenoids (2) Corniculates (2) Cuneiofrom (2)
What is the space between the Thyroid and the Cricoid? and its significance?
Cricothyroid
Crycothyroidomy performed there Need (finger, bougie, scapel #10, and 6.0 ET tube
Intrinsic Laryngeal Muscles Function PCA
Posterior Arytenoids Pull cord Apart (PCA)
LCA ( lure cords adjacentrly, pull cord together)
CT (crycothyroids ) Increase vocal cord tension
Tranqulizes cord Decrease vocal cord tension
(think C before T, so C is great tension, T low tension)
MOTOR: Innervation of the larynx is REM and SCAR
RECURRENT and EXTENAL superior laryngeal nerve for MOTOR
SCAR: SUPERIOR LN motor for CRICOTHYROID muscle, ALL other RECURRENT
SENSORY : Innervation of the larynx SIR BRAS
SENSORY supplied by INTERNAL superior laryngeal nerve and RECURRENT (SIR)
BELOW vocal cords RECURRENT ; ABOVE and at vocal cords : SUPERIOR
Predicting Difficult airway Mallampati you should see (PUSH) and TUS
Pillars (I)
Uvula (II)
Soft Palate (III)
Hard Palate (IV)
Tonsils, Uvula, Soft palate, Hard Pallate
Predicting Difficult Airways: LEMON
Look Externally
Evaluated 3-3-2 (3 fingers between incisors, 3 fingers from mentum to hyoid, between hyoid and thyroid 2 fingers)
Mallampati
Obstruction
Neck Mobility (up and down, side to side, ear to shoulder)
Predicting Difficult MASKING (M-BONES)
Mask seal Beard Obesity No teeth Elderly Snores
Predicting Difficult EXTRA GLOTTIC Device insertion like an LMA)
(RODS)
RODS Restricted mouth opening Obstruction (tumor) Distorted or disrupted airway Stuff lung, Cervical spine.
Predicting difficult Cricothyrotomy (SHORT)
Surgery Hematoma Obesity Radiation distortion Tumor
Contraindications to LMA (SHOOD)
Stomach full High pressure required (if high pressure required for ventilation) Obesity Opioids required Diabetics
Nasotracheal Intubation CONTRAINDICATIONS
CLIPS
Coagulopathy Le Fort III fracture Intranasal disease(tumor- sinusitis) Presence of CSF Skull fracture (basilar)
Treatment of Aspiration ( PLATS)
Positive Pressure Lavage Antibiotics Trendelenburg Suction
Diagnosis POOR Bilateral Breath sounds after intubation
DOPE
DOPE Displaced (right Mainstem?) Obstruction (kinked, bitten tube, mucous plus) Pneumothorax Esophagus
To get a better view during laryngoscopy (BURP)
Backwards
Upwards
Right
Posterior
Rapid Sequence Intubation ( 7 Ps)
Preparation
Pre-oxygenation
Pre-treatment (small dose of NDNMB for fasciculations)
Paralysis
Protection and Positioning (Cricoid cartilage pressure)
Placement (with proof)
Post-intubation management
Beta 1 ( you have one heart)
affects the heart
Beta 2 ( you have 2 lungs)
Affects the lungs
Alpha AGonist POTENCY
Every Nudist Demand Inclusion
Epinephrine>
Norepinephrine>
Dopamine>
Isoproterenol >
Beta Agonist Potency
I Eat Nutty Donuts’
Isoproterenol>
Epinephrine>
Norepinephrine>
Dopamine
Pace MAKER: PASER
Pa- Chamber Paced (first letter)
Se- Chamber sensed (second letter)
R - Response to sensing (third letter)
Coronary Blood Supply
The ANT is fed by the LAD in the morning (anterior-LAD)1,4
if LATE, it is fed by the LAD and the Old Man (Lateral LAD or Obtuse Marginal) (1, F, 5,6)
From this, you can INFER that the Ration Cause Arguments (RCA)
I have a POSTER that shows Public Displays of Affection (1,2)
(posterior by PDA, depression V1, V2)
Catecholamine synthesis
Little Tiger on THursday met Little Dopey
Little Dopey took Dunkin Donuts to the DiamondMINE
the DiamondMINE was Designed By Humans in NOvember
that November, POOR, NEW MEXICO TEENS visited Epcot
L-tyrosine (tyrosine Hydroxylase - TH ≥ L-Dopa (Dopa Decarboxylase – DD) -> Dopamine (Dopamine B-Hydroxylase – DBH) -> Norepinephrine (phenylethanolmaine n-methyltransferase – PNMT -> Epinephrine.
Pre BYPASS CHECKLIST is
An Apple Can Increase Myocardial Protection
Anticoagulation Anesthesia Cannulation IV Monitors Pupils
TERMINATING BYPASS
6Cs, 4Vs, 6Ps Cold Conduction Coagulation Cardiac Output Calcium Cells
Ventilation
Vaporizer
Visualize
Volume
Predictions Pressure Pressor Protamine Potassium Pacer
