RSI Meds Flashcards

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1
Q

Succinycholine Class

A

Neuromuscular Blocker

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2
Q

Succinycholine Action

A

Competes with Acetycholine receptors of the motor end plate on the muscle cell, resulting in muscle paralysis

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3
Q

Succinylcholine Indications

A

To induce neuromuscular blockade for ET intubation

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4
Q

Succinylcholine Adverse effects

A

Apnea, bronchospasms, hyperkalemia

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5
Q

Succinylcholine Contraindications

A

Malignant hyperthermia, burns, trauma, suspected hyperkalemia patients

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6
Q

Succinylcholine Dose

A

1-1.5 mg/kg IV for RSI

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7
Q

Succinylcholine Special Considerations

A

IV administration results in neuromuscular blockade within 0.5 to 1 minute

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8
Q

Ketamine Drug Class

A

General Anesthetic, analgesic, sedative

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9
Q

Ketamine Action

A

Produces a state of anesthesia while maintaining airway reflexes, heart rate, and BP

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10
Q

Ketamine indication

A

Pain and anesthesia for procedures of short duration

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11
Q

Ketamine adverse effects

A

Emergence phenomena, hypertension, and ST

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12
Q

Ketamine Contraindications

A

Patient with an elevated BP, patients with increased ICP, patients with hypovolemia, dehydration, or cardiac DX

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13
Q

Ketamine Dose

A

1-2 mg/kg

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14
Q

Ketamine Special notes

A

Diazepam (versed) reduces the effects of emergence phenomena

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15
Q

Romazicon (flumazenil) Class

A

Benzodiazepine receptor antagonist

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16
Q

Romazicon (flumazenil) Indication

A

Benzo OD

17
Q

Versed Drug Class

A

Benzodiazepine

18
Q

Versed Action

A

Binds with the benzodiazepine recepters in the brain an enhance the effects of the chemical GABA

19
Q

Versed indication

A

Sedation, Anxiety, Skeletal muscle relaxation

20
Q

Versed Side Effects

A

Respiratory depression, hypotension, N/V headache, and hiccups

21
Q

Versed Dose

A

1-2.5 mgs over a 2 min period and then 2 mgs additional to a max of 5 mgs

22
Q

Etomidate Class

A

Hypnotic

23
Q

Etomidate Action

A

GABA like effects

24
Q

Etomidate Indication

A

Induction for RSI and pharm assisted intubation

25
Q

Etomidate Side Effects

A

Hypotension, depression, pain at the site of injection, temporary muscle movements

26
Q

Etomidate Contraindications

A

Do not use during labor and nursing mothers

27
Q

Etomidate Dose

A

10-20 mgs IV for RSI

28
Q

Fentanyl Drug Class

A

Narcotic Analgesic

29
Q

Fentanyl Action

A

Binds to opiate receptors producing analgesia and euphoria

30
Q

Fentanyl Indications

A

Pain and Pre RSI

31
Q

Fentanyl Adverse Effects

A

Respiratory depression, sedation, euphoria, SB, ST, palpitations

32
Q

Fentanyl Contraindications

A

TBI, Resp depression

33
Q

Fentanyl Dose

A

50-100 mcg IVP