Rapid Sequence Intubation (RSI) - Analgesics

Question 1

Hypnotic (sleep producing), analgesic (pain relieving), amnesic (short term memory loss) drug

Answer 1

Ketamine

Question 2

Ketamine trade name

Answer 2

Ketalar

Question 3

Ketamine dosage (varies based on intended use and protocol)

Answer 3

1 mg/kg IV

2 mg/kg IM

Question 4

Ketamine onset

Answer 4

45-60 sec

Question 5

Ketamine duration

Answer 5

11-17 min

Question 6

Ketamine is used to stop

Answer 6

pain impulses (NMB’s and Etomidate do not control pain)

Question 7

This medication is also a potent bronchodilator and is preferred in RSI of asthmatic patients

Answer 7

Ketamine

Question 8

Ketamine can do what to secretions in airway?

Answer 8

increase

Question 9

In cases of laryngospasm confirming increased secretions due to Ketamine, give:

Answer 9

0. 01 mg/kg IV Atropine or

0. 3 mg IV Scopolamine SLOWLY

Question 10

Hallucinations can be caused by

Answer 10

Ketamine upon waking

Question 11

Morphine is an opioid

Answer 11

analgesic

Question 12

Morphine dose based on intended use and local protocol

Answer 12

2 mg IV/IM/IO for mild pain control Q4H PRN

5 mg IV/IM/IO for moderate pain control Q4H PRN

Question 13

Morphine onset

Answer 13

within minutes

Question 14

Morphine duration

Answer 14

2-3 hours

Question 15

Morphine and fentanyl often require antiemetics and IV is preferred route:

Answer 15

Zofran 4mg IV/IO/IM

Phenergan 25 mg IV/IO/Deep IM

Question 16

Reversal agent for Morphine and Fentanyl

Answer 16

Naloxone (Narcan) 0.4 - 2 mg IV/IM/ETT

Question 17

Fentanyl is an opioid angalgesic _____ X more powerful than morphine

Answer 17

100

Question 18

Fentanyl dose is based on intended use and local protocol

Answer 18

50-100 mcg IV Q2H PRN

Question 19

Lozenge form of Fentanyl (Actiq) dose

Answer 19

400 or 800 mcg

Question 20

Actiq lozenge is only FDA approved for pain control in cancer patients, trauma use is

Answer 20

off-label

Question 21

Fentanyl onset

Answer 21

1-2 minutes

Question 22

Fentanyl duration

Answer 22

45-60 min

Question 23

Avoid fentanyl in patients with

Answer 23

Increased ICP
hypoventilations (can cause chest wall rigidity)
Hypotension
Bradycardia