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Medications for RSI and Vasopressors. > Medications for RSI and Vasopressors. > Flashcards

Medications for RSI and Vasopressors. Flashcards

1
Q

In pre-medication for RSI when is Atropine indicated and what are the dosages?

A

Peds< 1 year and adults to prevent bradycardia.
The dosage for Atropine is 0.02 mg/kg Iv IO Max 5 mg

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2
Q

What are the effects of Fentanyl on RSI? What is the dosage
what are the indications

A

To blunt the circulatory response to intubation,, tight brain and tight chest helps reduce HTN in patients with cardiac and CVA.
Dosage 1-3 mcg/Kg Max 250 Mcg

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3
Q

How do you mix a dirty Epi? What is the indication? What is the dosage?

A

1 Mg of 1:10,000 in 9 CCs of a saline flush. Makes 10Mcg/Ml
dosage is 5-20 Mcg Q 1-5 min
Indications Hypotension

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4
Q

Is a vaso-pressor considered a push pressor?
How do you Mix and what is the dosage?

A

Yes Mix 20 units in 100mls of NS= 1 unit per 5 ml
For flush mix 20 units is 9 mls= 2 units per ml
Dosage= 1 ml Q 2 min

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5
Q

Push dose Neo-Synephrine mix and dosage?

A

1 ml in 100 cc bag = 100mg per ml
dosage is 50-100 mcg q 1-5 min

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6
Q

What is shock index and what does it mean? What’s the formula

A

Shock index is a calculation to predict mortality in a patient anything < .9 has a high mortality rate.
the formula is pulse/systolic BP= SI

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7
Q

Describe sedation.

A

Depression of patient awareness of the environment and reduction to his responsiveness to external stimulation

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8
Q

Ketimine for indications?
Dosage?
Rout?
Contraindications?

A

indications include sedation for induction, RSI, Excited delirium, and pain management.
Dosage: RSI= 1-2 mg/kg
Excited delirium: 4Mg/kg IM
Pain management: 0.1-0.25 Mg/Kg
Contraindication= HTN

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9
Q

What is ketamine brain continuum what are the ranges?

A

The ketamine continuum is how dissociated your patient is on Ketamine.
Ranges:
10mg analgesia
30mg recreational
50mg partially dissociated
100mg fully dissociated

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10
Q

What is Larson Maneuver

A

pressure behind the ear along with a jaw thrust to help in laryngospasm

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11
Q

What are 2 pre-medications for RSI?
Indications?
Dosage?

A

Atropine and fentanyl
Atropine for bradycardia in pediatric patients < 1 year is 0.02 mg/kg Max .5
Fentanyl indications= blunt the circulatory response for intubation
Dosage is 1-3 mcg/ kg Max 250 Mcg

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12
Q

Dirty Epi Mix?
Concentration with a flush?
Dosage? indication?

A

Mix 1 mg Epi 1:10,000 in 9 ml of saline concentration is 10Mcg/ ML
dosage for hypotension is 5-20 Mcg Q 1-5 min

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13
Q

Name 3 Push pressors?
Mix?
Dosage?

A

dirty Epi
Vasopressin= 20 units in 100Ml bag. concentration is 1 unit/5 ml dosage is 10ml Q 2 min.
Vasopressin Saline flush Mix= 20units in 9 Mls= 2 units per ML
1 CC Q 2 min
Neo Mix 1 Ml in 100cc bag concentration 100Mcg/Ml
Dosage 50-200 Mcg Q 1-5 min

Neo-Synephrine

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14
Q

BP 66/73 Pulse 120 Etco2 22
What is the shock index?
What is normal and what does the shock index
indicate?
What is the formula?

A

Pulse/Systolic BP= 1.8
anything >.9 indicated high mortality.
HR/SBP= shock index

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15
Q

Etomidate indication?
Dosage?
Contra Indication?

A

sedation for induction
dosage is 0.3 Mg/Kg
Adrenal Insufficiency, hypotension and sepsis

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16
Q

Name a depolarizing neuromuscular blocking agent.
Indication?
Dosage?
Contraindications

A

Anecting= short-acting paralytic
The dosage is 1.5-2.0 Mg/Kg
onset 60-sec
duration 4-10 min
Contraindications= Hyperkelimia, burns, and crush injuries> 24 hours
Stroke

17
Q

Non-depolarizing agents?

A

Zemuron (Rock)
Indications= long acting paralytic 30-60 min Dosage .6-1.2 Mg/Kg

Vec= Long-acting paralytic
Dosage .1 Mg/Kg
Onset 2 min duration 45-60 min
Both need a secure airway.

Nimbex ( cisatracurium )
Long-acting paralytic 40-60 min
Dosage .15-.2 mg/kg
Contra Bradycardia

18
Q

Your patient is a 3-year-old patient. What is the patient tube size and dept?
NG-Tube size?
OG Tube size?
Chest tube size?

A

Age+16/4= tube size
The patient’s endotracheal tube (ETT) size can be used to determine their nasogastric tube, orogastric tube, soft tip suction catheter, and chest tube size by using this simple rule.
3x Et Tube dept
2 x ETT size = NG, OG, and suction catheter
4 x ETT size = Chest tube size

19
Q

What is the primary way to confirm Et-Tube placement?

A

Visual
Etco2
Breath sounds

Secondary
Colorimetric
X-Ray

20
Q

Which medication is recommended for induction in the high shock index or a low perfusion state?

A

Ketamine is the best medication with high shock index or low shock state due to its CNS stimulant properties through muscarinic receptor blockade.

21
Q

The most common diagnostic finding in acute respiratory deterioration is?

A

PaCO2 > 50 mmHg

22
Q

Match the contraindication with the correct medication:

Known sensitivity to medication
Laryngeal spasms
Malignant hyperthermia
Adrenal insufficiency

A

Roc
Ketamine
Succinylcholine
Etomidate

23
Q

A patient is intubated and continues to desaturate with an increase in subcutaneous air noted. What would be the next best intervention for this patient?

A

Advance ETT into right mainstem
The patient has a bronchial tree tear

24
Q

Esmolol Class
Indications
Dosage

A

Beta-blocker
HTN
500Mcg/Kg/Min

25
Q

Labetalol Class
Indication
Dosage
Contraindication

A

Beta-blocker
HTN Cardiogenic Shock
10-20 Mg Slow
Asthma,

26
Q

Metoprolol Class
Indication
Dosage

A

Beta Blocker
HTN
5Mg

27
Q

Nicardipine ( Cardine) Class
Indications
Dosage
Contra

A

Calcium Channel Blocker
HTN
5MG/Hr
CHF

28
Q

Chronotrope Medications effect?
Inotrope affects the?

A

Effect the heart rate
Contractility

29
Q

Dopamine Class
Indications
Dosage
Contra

A

Inotrope
Hypotension, Low cardiac output
2-20 Mcg/Kg/Min

30
Q

Milrinone Class
Indications
Dosage
Contra

A

Inotrope ( Contraction Force)
CHF, Pulmonary HTN
.25Mcg/Kg/Min
Caution with WPW

31
Q

Neo-Synephrine (Phenylephrine) Class
Dosage:

A

Vaso pressor
Vasogenic and neurogenic and septic Shock
10-100Mcg/Min
causes reflex bradycardia

32
Q

t-PA Class
Indications
Dosage

A

Thrombolytics (Clot Buster)
Stroke,STEMI
Stroke 0.9Mg/Kg
STEMI 15Mg IV over 1-2 min

Medications for RSI and Vasopressors. (1 decks)

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