RSI

Question 1

How many steps

Answer 1

7

Question 2

If you oxygenate a healthy individual for 5 mins @ 100% O2 …

Answer 2

they can be apenic for 7 minutes without permanent brain damage

Question 3

Ideally you wouldn’t bag b4 intubation due to …

Answer 3

Baging - abdominal distention = higher risk for aspiration

Question 4

Sedative/Analgesic take about how many minutes to work

Answer 4

3 minutes

Question 5

Sedative for intubation

Answer 5

Midazolam (Versed)

0.1 to 0.3 mg/kg IV

Question 6

Analgesic for intubation

Answer 6

Fetanyl

2-3 mcg/kg IV

Question 7

Protective Agents (4) prior to intubation

Answer 7

1. Lidocaine
2. Opioids
3. Atropine
4. Defascicultaing Agent

Question 8

What does lidocaine do as a protective agent + dose

Answer 8

1.5 mg/kg

Suppresses gag/cough from laryngoscope blade during intubation

Reduce sudden ICP with the blade

Question 9

What do opioids do as a protective agent + dose

Answer 9

Fetanyl 1-3 mcg/kg

Dec sympathetic surge and bradycardia from laryngoscope stimulation

Question 10

What does atropine do as a protective agent + dose

Answer 10

0. 01 - 0.02 mg/kg (ped)
1. 5 - 0.1 mg (adult)

Dec parasympathetic surge and bradycardia from laryngoscope stimulation - pulling back on the vagal stimulation

Question 11

Succ can cause

Answer 11

a shuttering of the muscles (fasciculations) around 40 seconds after it is given - making intubation difficult

Question 12

Examples of defasciculating agents

Answer 12

Vancuronium (norcuron)

Question 13

Defasciculating Agent dose + protective gaent

Answer 13

1/10th of loading dose of neuromuscular blocker

Prevents fasciculations from Succ

Question 14

4 Anesthesisa for RSI

Answer 14

1. Etomidate
2. Ketamine
3. Thiopental
4. Propofol

Question 15

Etomidate dose and precaution

Answer 15

0.2 - 0.4 mg/kg

May cause myoclonic activity

Question 16

Ketamine dose and precaution

Answer 16

1 - 2 mg/kg

Be careful w/ asthma
May cause hypotension
May cause laryngospasm

Question 17

Thiopental dose and preaution

Answer 17

2mg/kg

Contraidicated w/
Burns
Hyperkalemia
Neuromusuclar disorders
Eye Injuries

Question 18

Propofol dose and precaution

Answer 18

0.5 - 2 mg/kg

Contraindicated w/ egg allergies

Question 19

7 Ps

Answer 19

1. Prep
2. Pre-oxygenate
3. Pre-tx (Sedate)
4. Paralysis (short acting neuromuscular agent)
5. Placement
6. Placement verification
7. Post-Intubation

Question 20

Adults ET tubing size is usually

Answer 20

6.5 to 8.0

Question 21

Pediatric ET tube equation

Answer 21

Uncuffed: (Age/4) + 4
Cuffed: (Age/4) + 3
UP TO 12

Question 22

Easy as 1-2-3-4

Answer 22

ETT X 1 = ETT Size
ETT X 2 = NG/OG or Folely
ETT x 3 = ETT insertion depth
ETT x 4 = Chest tube

Question 23

4 Paralytic Medications

Answer 23

1. Succ
2. Pancuronium
3. Rocuronium
4. Vecuronium

Question 24

Continuous capnography

Answer 24

Rounded waveform

Top between 35-45

Question 25

Kussmaul’s Sign

Answer 25

Elevation of JVD during inspiration

Question 26

Succinylcholine

Answer 26

1 -2 mg/kg

Contraindicated in head/eye injuries / cardiovascular disease

Question 27

Pancuronium

Answer 27

0.01 mg/kg (defasciculating dose)

Question 28

Rocuronium

Answer 28

0.6 - 1 mg/kg

Contraindicated in head/eye injuries/ cardiovascular disease

Question 29

Vecuronium

Answer 29

0. 01 mg/kg (defasciculating dose)

0. 1 mg (paralyzing dose)