Resp

Question 0

CarboxyHgb
T1/2 on RA
T1/2 on 100% O2

Answer 0

• ~5hrs

- ~1hr

Question 1

RSI

Answer 1

Preoxygenate

Sedate - etomidate, propofol, ketamine
Paralyze - succinylcholine

Question 2

Etomidate

Answer 2

Dose - 0.3mg/kg rapid IV push, min effect on bp
20 mgs for average 70 kg adult

Single dose can cause adrenal suppression - not clinically relevant
Sepsis can also cause adrenal suppression

Onset

Question 3

Ketamine

Answer 3

1-2 mg/kg IV

Will cause rise in bp and catecholamine response, ?bronchodilator effect (good in asthmatics)
1-2 mg/kg IV or 3-4 mg IM

Concerns raises ICP, don’t use in pts with elevated ICP

Question 4

Prep for intubation

Answer 4

SOAP ME

Suction
Oxygen
Airways 
Pre oxygenation
Monitoring equip & medications
End tidal CO2

Question 5

Pretreatment

Answer 5

1. In head injury pts - give 1.5 mg/kg lidocaine 3-5 mins before intubation, to blunt ICP increase, no study has shown a real benefit
2. Children - <10 yo give 0.02 mg/kg Atropine with min dose 0.1 mg, to blunt profound bradycardia response

Question 6

Propofol

Answer 6

1mg/kg rapid IV push
Lasts 3-4 mins

Induce hypotension

Question 7

Succ

Answer 7

1.5-2 mg/kg

HyperK - approx rise in K of 0.5 mEq, ESRD who missed dialysis, burns or crush injuries >24 hrs old

(20 etomidate, 100 succinylcholine for avg 70 kg male)

Question 8

Roc

Answer 8

Nondepolarizing paralytic

Dose 1.2 mg/kg

Onset 45-60 sec, last 30-45 mins

Question 9

Vecuronium

Answer 9

Lasts 1 hr

0.1 mg/kg or 10mgs IV

Question 10

ground glass

Answer 10

ARDS

CHLAMYDIA PNA

Question 11

transient tachypnea of the newborn

Answer 11

3rd tri

Question 12

ARDS

Answer 12

babies at low weights/ at risk

Question 13

meconium aspiration syndrome

Answer 13

3rd tri

Question 14

mom

Answer 14

vaginal aerobic cx’s

Question 15

when to give surfactant?

Answer 15

x

Question 16

Oxymetazoline

Answer 16

A1 blocker
Afrin

If direct pressure in managing a nose bleed is not effective, then this is the next reasonable step

If nasal packing to be performed give staph ppx to prevents TSS

Question 17

Venous pH is ___ lower than arterial pH

Answer 17

0.03

Question 18

What is peak airway pressure?

Answer 18

compliance of the entire respiratory circuit and is measured during inspiration