Rapid Sequence Intubation Flashcards
What should be done in the preparation phase of RSI?
Assure a patent IV, or SPO2, and calculation and preparation of all medicines
How long should the pre-oxygenation process take?
Two minutes
In the premedication process of RSI for an adult, what medication is used for a head injury?
Fentanyl- 1 mcg/kg
In the premedication process of the RSI Proto call, what medication is used on a patient who is over eight years old and bradycardic?
Atropine- 1 mg
What premedication is used for pediatric patients in the rapid sequence intubation protocol?
Atropine- refer to the Broselow tape
What are the three adult and pediatric sedation drugs used for rapid sequence intubation?
- Etomidate
- Midazolam
- Ketamine
What is the dose of Etomidate given to a large adult?
30 mg
What is the weight in pounds that separates an adult from a small adult in the use of a Etomidate?
175 lbs
What is the dose of Etomidate given to a small adult in the rapid sequence intubation protocol?
20 mg
If Midazolam is the drug chosen for adult sedation in a rapid sequence intubation, what is the dose?
0.1 mg/kg
In the use of Midazolam for rapid sequence intubation, children less than what age should have medication dosage determined by a broselow tape?
Less than 4 years old
What is the dosage of ketamine for adults and pediatrics within the rapid sequence intubation sedation process?
2 mg/kg
Ketamine is contra indicated for sedation of a rapid sequence intubation patient when?
When there is a presence of suspected head injury
Once the pediatric sedation process is completed what paralytic should be given?
Rocuronium- refer to Broselow
Once the sedation process is completed in the adult what long-term paralytics can be given?
- Rocuronium- 1mg/kg
2. Vecuronium- 0.1 mg/kg
