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7364 Critical Care Block 2 > Rapid Sequence Intubation > Flashcards

Rapid Sequence Intubation Flashcards

1
Q

NMBAs do not possess any sedative, amnesic, or analgesic properties

a. true
b. false

A

a. true

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2
Q

2 NMBAs most commonly used for RSI?

A

succinylcholine
rocuronium

can use vecuronium if necessary

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3
Q

Succinylcholine onset?

A

< 60 seconds

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4
Q

Succinylcholine duration?

A

4-6 mins

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5
Q

What is most prominent AE of succinylcholine?

A

bradycardia

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6
Q

An increased succinylcholine dose is required in what condition?

A

myasthenia gravis

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7
Q

Do not use succinylcholine in a pt with a Hx of what condition?

A

malignant hyperhtermia

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8
Q

Succinylcholine should be avoided in children

a. true
b. false

A

a. ture

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9
Q

Succinylcholine can increase what electrolyte?

A

potassium

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10
Q

What drug is used to treat malignant hyperthermia associated with succinylcholine?

A

dantrolene

inhibits ryanodine receptor causing reduced calcium release

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11
Q

Dantrolene inhibits what receptor?

A

ryanodine receptor

causes reduced calcium release

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12
Q

Two NMBAs other than succinylcholine used for RSI?

A

usually rocuronium

sometimes vecuronium

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13
Q

Rocuronium does not have an active metabolite

a. true
b. false

A

a. true

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14
Q

Rocuronium duration of action?

A

30-60mins

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15
Q

__ is used to dose succinylcholine

a. IBW
b. TBW

A

b. TBW

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16
Q

__ is used to dose rocuronium

a. TBW
b. IBW

A

b. IBW

17
Q

Induction should always precede paralysis

a. true
b. false

A

a. true

18
Q

Which drug is the gold standard for induction in RSA?

A

etomidate

very stable hemodynamic profile

19
Q

the induction drug etomidate can cause what AE?

A

adrenal suppression

20
Q

The induction drug etomidate inhibits the conversion of cholesterol to cortisol by inhibiting what enzyme?

A

11 beta hydroxylase

21
Q

Avoid using ketamine for induction in pt with MI

a. true
b. false

A

a. true

7364 Critical Care Block 2 (6 decks)

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