RSI

Question 1

Etomidate

• What kind of drug?
• Dose?
• Onset/duration?
• Pros/Cons?

Answer 1

• Sedative (no analgesia)
• 0.3 mg/kg IV
• < 1 min/ < 20 min
• may decrease ICP/ adrenal suppression

Question 2

Propofol

• What kind of drug?
• Dose?
• Onset/duration?
• Pros/Cons?

Answer 2

• Sedative (no analgesia)
• 1.5 -3.0mg/kg IV
• 20 to 40 sec/ < 15 min
• provides amnesia/ hypotension

Question 3

Ketamine

• What kind of drug?
• Dose?
• Onset/duration?
• Pros/Cons?

Answer 3

• Sedative (dissociative amnesia), analgesic
• 1-2 mg/kg IV or 4-5mg/kg IM
• 20-30s/ < 20 min
• Bronchodilator, analgesic/ hallucinations upon emergence/ sympathomimetic (elevated HR/BP/Myocardial demand)
• don’t use in the lil kiddos (<3mos)
• do not give in actively psychotic schizophrenic

Question 4

Succinylcholine

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 4

• Neuromuscular blocking agent; depolarizing
• 1.0-1.5mg/kg IV
• 45-60sec / <10 [short acting]
• Releases K contraindicated in crush injury, >5d old burn/severe infection/denervation, contraindicated in ocular or intracranial injury (increased eye/cranial pressure), malignant hyperthermia

Question 5

Rocuronium

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 5

• Neuromuscular blocking agent; non depolarizing
• 0.6 to 1.2 mg/kg IV
• 1-3 min/ <45 min [intermediate acting]
• tachycardia

Question 6

Vecuronium

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 6

• Neuromuscular blocking agent; non-depolarizing
• 0.1 mg/kg IV
• 2-4 min/ 25-40 min
• prolonged recovery of hepatorenal dysfunction

Question 7

Fentanyl

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 7

• Opioid analgesic
• 3- 8 ug/kg IV
• rapid/short acting
• respiratory depression
• *reversible w/naloxone

Question 8

Cisatricurium

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 8

• (Nimbex) paralytic- long term ICU

- 0.15 -0.2 mg/kg IV

Question 9

Propofol post-intubation

Answer 9

0.05-0.2 mg/kg/min gtt

Question 10

Versed post-intubation

Answer 10

10-50 ug/kg slow IV load + 20-100 ug/kg/hr gtt

Question 11

Ketamine post- intubation

Answer 11

0.1 -0.5 mg/min

Question 12

Versed

• What kind of drug?
• Dose?
• Onset/duration?
• Cons?

Answer 12

• Sedative; Midazolam

- 300- 350 ug/kg (max 600 ug/kg max)

Question 13

Atropine pre-treatment

Answer 13

0.02 mg/kg