Induction sequence Flashcards
Know for your test
preparation of equipment
machine check- pipe and tank pressures, circuit check, ventilator check, vaporizers, anestheisa machine
preparation of equipment
reach
room position
other preparation- for meds
drugs- must be labeled
induction agents- propofol, etomidate, ketamine, methohexital
muscle relxant- depolarizer succinycholine
non depolarizer- vecuronium, cisatracurium, rocuronium
preparation- other non important drugs
opioids, benxos vasoactives,
anxiollysis, and pain relief
what drugs must you have
the only must is the ones for induction
What specifics do you need to know about EKG
2 leads are required, typically II and V5
II is best for dysrhythmia dx
V5 is best for detection of ischemia
What should you know about vital signs
you must obtain base line vitals
What is preoxygenation
3 maximally deep breaths
3 minutes
Expired O2 greater than 85%
what should you know about pre-treatment with a relaxant
don’t let the paitent become weak after given, you must follow it up quickly
during laryngoscopy what should you have?
assistant, over head lights away, back striaght, don’t lean over, halitosis
How do you calcuate tube size for a ped?
age +16 divided by 4
how do you know proper depth
3X tubes internal diameter
proper tidal volume for a patient
10ml/kg
a proper rate for a patient
8 or more
a proper I:E ratio
1:2
waht is a good flow rate?
1-3 liters
What is something to rember after the case
do not forget to turn on the vaporizer
Maintenance
the greater the gas flow the quicker your vaporizer empties
the higher the gas flow the faser the vaporizer adjustments alter the patient
higher the gas flow the quicker the patient cools
The lower the gas flows, the greater the discrepancy between vaporizer setting and end tidal’s
