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FP-C > RSI Pharmacology > Flashcards

RSI Pharmacology Flashcards

1
Q

Common RSI Premeds

A

Atropine, Fentanyl

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2
Q

Atropine use, dose, onset

A

Prevent bradycardia in peds <1 year old, 0.02mg/kg, 2-4 min.

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3
Q

Fentanyl use dose onset

A

For intubating patients with increased ICP, 1-3mcg/kg, 1-3min

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4
Q

Common push dose pressors

A

Epi, Vasopressin, Neosynephrine

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5
Q

Push dose Epi use, dose, onset

A

MAP<65 unrelated to trauma, 5-20mcg, q1-5

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6
Q

Vasopressin use, dose, onset

A

MAP<65, 2units q 2min

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7
Q

Neosynephrine use, dose, onset

A

MAP<65, 50-200mcg q 1-5

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8
Q

Shock Index Calculation

A

PR/SBP; SI>0.9 = High Shock Index

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9
Q

8Ps

A 
Preparation
Positioning
Preoxygenate
Pretreat
Paralysis and Induction
Protection and Positioning
Placement and Proof
Post Intubation Management
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10
Q

HEAVEN

A 
Hypoxemia-DL
Extremes of Size-VL
Anatomic Disruption-VL
Vomits, Blood, Fluids-DL/VL + SALAD 
Exsanguination-DL
Neck Mobility-VL
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11
Q

Common Sedatives

A

Ketamine, Etomidate

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12
Q

Ketamine use, dose, duration, contraindications

A

RSI w/ high shock index or acute bronchospasm and pediatrics
1-2mg/kg
30min
HTN

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13
Q

Etomidate use, dose, onset, duration, contraindications

A 
RSI with HTN
0.3mg/kg
15-45sec
3-12min
Renal insufficiency due to sepsis, hypotension
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14
Q

Common Paralyzing Agents

A

Succinylcholine, Rocuronium, Vecuronium, Nimbex

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15
Q

Succinylcholine use, dose, onset, duration, contraindications

A 
Depolarizing agent for RSI  (IDEAL)
1.5-2mg/kg
30-60sec
4-10min
Hyperkalemia, non acute SCI, Crush injury, or burn
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16
Q

Rocuronium use, dose, onset, duration

A

Non-depolarizing agent for RSI
0.6-1.2mg/kg
55-70sec
30-60min

17
Q

Tube sizing for adult males

18
Q

Tube sizing for adult females

19
Q

Tube sizing for peds > 1 year

A

(Age + 16)/4

20
Q

Tube placement depth at teeth

A

3x ETT size

21
Q

Traditional Initial Vent Settings (Vt, RR, I:E, PEEP, FiO2)

A 
8ml/kg
10-12/min
1:2
5cm H2O
100%
22
Q

Lung Protective Initial Vent Settings (Vt, RR, I:E, PEEP, FiO2)

A 
6ml/kg
12-20/min
1:2
2-15cm H2O
100%
23
Q

Obstructive Initial Vent Settings (Vt, RR, I:E, PEEP, FiO2)

A 
6ml/kg
5-8/min
1:4
0-5cm H2O
100%
24
Q

Hypovolemic Initial Vent Settings (Vt, RR, I:E, PEEP, FiO2)

A 
8ml/kg
10-12/min
1:2
0-5cm H2O
100%
25
Q

Common Post Induction Sedatives

A

Ketamine, Midazolam, Lorazepam

26
Q

Ketamine Post Induction dose

A

0.5-1 mg/kg q 10min

27
Q

Midazolam Post Induction dose

A

2.5-5mg q3-5 min

28
Q

Lorazepam Post Induction Dose

A

1-2mg q 15min

29
Q

Rocuronium Post Induction Dose

30
Q

Ideal Body Weight formula

A

(2. 3 x Height greater that 60”) + 50kg for males

(2. 3 x Height greater that 60”) + 45.5kg for females

31
Q

Target Minute Volume

A

100mL/kg/min

32
Q

Target RR

A

Minute Volume/ Tidal Volume

33
Q

Target Tidal Volume

FP-C (6 decks)

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