Post Intubation Management

Question 1

What are the treatment goals of intubation

Answer 1

• Continued sedation
• Oxygenation
• Ventilatory Support

Question 2

What are the signs of inadequate sedation in an intubated patient?

Answer 2

• Agitation
• Diaphoresis
• Dysnchrony with ventilator
• Grimacing
• Hypertension
• Lacrimarion (tearing of the eyes)
• Tachycardia

Question 3

What is the RASS Goal during transport after intubation?

Answer 3

-3 to -5

Question 4

What is the CPOT Goal during transport?

Answer 4

2 or less

Question 5

What is the drug and dose for continued sedation post intubation

Answer 5

2-5mg/kg IVP Midazolam (titrate to a RASS of -3 to -5
0.3-0.5mg/kg IVP Ketamine (titrate to a RASS of -3 to -5

Question 6

What is the drug and dose for continued analgesia post intubation

Answer 6

0.3-0.5mg/kg IVP Ketamine (titrate to a CPOT of 2 or less)

Question 7

What does the DOPE acronym stand for?

Answer 7

Dislodgement
Obstruction
Pneumothorax
Equipment Failure

Question 8

How do you properly measure an NG Tube for post intubation management?

Answer 8

Corner of the nose, around the earlobe to the xiphoid process

Question 9

How do you properly measure an OG tube for proper post intubation management?

Answer 9

Corner of the mouth, around the earlobe to the xiphoid process