RSI Meds

Question 1

Succinycholine Class

Answer 1

Neuromuscular Blocker

Question 2

Succinycholine Action

Answer 2

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

Question 3

Succinylcholine Indications

Answer 3

To induce neuromuscular blockade for ET intubation

Question 4

Succinylcholine Adverse effects

Answer 4

Apnea, bronchospasms, hyperkalemia

Question 5

Succinylcholine Contraindications

Answer 5

Malignant hyperthermia, burns, trauma, suspected hyperkalemia patients

Question 6

Succinylcholine Dose

Answer 6

1-1.5 mg/kg IV for RSI

Question 7

Succinylcholine Special Considerations

Answer 7

IV administration results in neuromuscular blockade within 0.5 to 1 minute

Question 8

Ketamine Drug Class

Answer 8

General Anesthetic, analgesic, sedative

Question 9

Ketamine Action

Answer 9

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

Question 10

Ketamine indication

Answer 10

Pain and anesthesia for procedures of short duration

Question 11

Ketamine adverse effects

Answer 11

Emergence phenomena, hypertension, and ST

Question 12

Ketamine Contraindications

Answer 12

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

Question 13

Ketamine Dose

Answer 13

1-2 mg/kg

Question 14

Ketamine Special notes

Answer 14

Diazepam (versed) reduces the effects of emergence phenomena

Question 15

Romazicon (flumazenil) Class

Answer 15

Benzodiazepine receptor antagonist

Question 16

Romazicon (flumazenil) Indication

Answer 16

Benzo OD

Question 17

Versed Drug Class

Answer 17

Benzodiazepine

Question 18

Versed Action

Answer 18

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

Question 19

Versed indication

Answer 19

Sedation, Anxiety, Skeletal muscle relaxation

Question 20

Versed Side Effects

Answer 20

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

Question 21

Versed Dose

Answer 21

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

Question 22

Etomidate Class

Answer 22

Hypnotic

Question 23

Etomidate Action

Answer 23

GABA like effects

Question 24

Etomidate Indication

Answer 24

Induction for RSI and pharm assisted intubation

Question 25

Etomidate Side Effects

Answer 25

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

Question 26

Etomidate Contraindications

Answer 26

Do not use during labor and nursing mothers

Question 27

Etomidate Dose

Answer 27

10-20 mgs IV for RSI

Question 28

Fentanyl Drug Class

Answer 28

Narcotic Analgesic

Question 29

Fentanyl Action

Answer 29

Binds to opiate receptors producing analgesia and euphoria

Question 30

Fentanyl Indications

Answer 30

Pain and Pre RSI

Question 31

Fentanyl Adverse Effects

Answer 31

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

Question 32

Fentanyl Contraindications

Answer 32

TBI, Resp depression

Question 33

Fentanyl Dose

Answer 33

50-100 mcg IVP