Rapid Sequence Intubation

Question 1

When do you paralyze a pt for intubation?

Answer 1

Right at induction

Question 2

Gold standard sedative

Answer 2

Etomidate

Question 3

Propofol should be avoided in ppl with ___ allx

Answer 3

egg

Question 4

Paralytics

When to use Rocuronium over gold standard Succinylcholine?

Answer 4

When hyperK+ is a concern
72hrs after: spinal cord injury, crush injury, severe burn (any 3 after 3 days)
Rhabdomyolysis
Severe, prolonged intra-abdominal infx
Denervating dz (Multiple Sclerosis)

Succinylcholine is a depolarizing neuromuscular junction blocker -> depolarizes -> keeps AP in refractory period -> incr K+ leaks out -> HyperK+

Question 5

A major CON to Succinylcholine is…

Answer 5

It causes hyperkalemia

It is a depolarizing neuromuscular blocker. Causes a huge AP at the start and then holds it in its refractory period. This causes more K+ to leak out of cell over time

Question 6

MOA

Gold Standard Paralytic for RSI

Answer 6

Succinylcholine

Question 7

MOA

Why is Verconium not an ideal paralytic for RSI?

Answer 7

SLOW OOA

Question 8

Etomidate MOA

Answer 8

Question 9

Ketamine MOA

Answer 9

Question 10

Propofol MOA

Answer 10