Respiratory Emergencies - Adams

Question 1

Remember airway management does not equal ______?

Answer 1

endotracheal intubation

Question 2

If labored breathing consider helping assist their breathing by doing what?

Answer 2

Utilizing continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP)

Question 3

What does BiPAP reduce?

Answer 3

BiPAP reduces the work of breathing out

Question 4

What is High flow humidified air used for?

Answer 4

• Use in bronchiolitis, asthma, COPD (loosens up the junk)

- Creates a reservoir of O2 and moisture

Question 5

What do you use prior to intubation?

Answer 5

assist oxygenation by using a bag-valve mask

leave dentures in, need to get a good seal on the face

Question 6

What are some injuries or illnesses that may demand airway management ?

Answer 6

• Trauma (facial/neck injuries, flail chest)
• Illnesses/Hypoxia (COPD, edema, pneumoina, etc.)
• Mechanical (compression, obstruction, foreign body)
• Burns

Question 7

When should you intervene if a patient is unable to protect their airway?

Answer 7

-Decreased level of consciousness (LOC) => GCS

Question 8

What are primary reasons NOT to intubate?

Answer 8

• adequate airway protection is present
• oxygenations by other less invasive means can be done
• the patient is “Do Not Intubate” (DNI) => Do not resuscitate” (DNR) does not mean “do not intubate” (DNI)

Question 9

What are the back up options to intubation?

Answer 9

Combitube
King Airway
Laryngeal mask airway (LMA)

Question 10

What patients are potentially difficult intubations?

Answer 10

Short neck 
Prominent upper incisors 
Receding mandible
Limited jaw opening
Limited cervical spine mobility

Question 11

What is the only depolarizing neuromuscular blocker that is an ultrashort-acting skeletal muscle relaxant that combines with cholinergic receptors at the motor endplate to produce flaccid paralysis?

Answer 11

Succinylcholine

Question 12

What are the adverse side effects of Succinylcholine?

Answer 12

-Bradycardia.
Treat with atropine
-Increased: 
Intragastric pressure (IGP)
Intracranial pressure (ICP)
Intraocular pressure (IOP) 
Serum potassium levels go up
Temperature

Question 13

What are the two Nondepolarizing Neuromuscular Blockers used for intubation?

Answer 13

Vecuronium

Rocuronium

Question 14

What NON-barbiturate sedative used in intubation is a mild sympathomimetic, is useful in trauma and hypotensive states, and has bronchodilatory property is useful in asthmatics?

Answer 14

Ketamine

Question 15

What Benzodiazepine is used in intubation is a short-acting CNS depressant, which also causes a lack of recall?

Answer 15

Midazolam

Question 16

What are the two maind Non-receptor, Rapid Acting Sedative Hypnotics used in intubation?

Answer 16

Propofol

Etomidate

Question 17

What are the adverse side effects of Propofol?

Answer 17

Apnea can result

Potential cardiovascular depressant and transient hypotension is not uncommon

Question 18

What are the adverse side effects of Etomidate?

Answer 18

Can cause vomiting and myoclonus (seizure-like activity) in patients