Cont..

Question 1

Meds for Sphincter of Oddi spasm? (5)

Answer 1

1. Gluacagon
2. Nalaxone
3. Atropine
4. Nalbuphine
5. NTG

Caused by Fentanyl (99%), Morphine (53%), and Meperidine (61%)

Question 2

Glucagon dose

Answer 2

2 mg IV

Question 3

Naloxone dose

Answer 3

40 mcg IV

Question 4

Atropine dose

Answer 4

0.2 mg IV

Question 5

Nalpuphine dose

Answer 5

10 mg IV

Question 6

NTG dose

Answer 6

50 mcg IV

Question 7

Laryngospasm treatment (3)
(Prolonged exaggeration of the glottic closure reflex d/t stimulation of the SLN)

Answer 7

1. PPV (Apply the facemask on the patient with a very tight seal. 100% FiO2, close your APL valve to about 40cm H2O. Do NOT squeeze the bag - wait for them to breathe)
2. Larson’s Maneuver (Behind the lobule of the pinna of each ear- forcible jaw thrust with bilateral digital pressure resolves the spasm by clearing airway and stimulation. Apply for 3-5 seconds, the release for 5-10 seconds while maintaing tight seal with the facemask)
3. **If it doesnt work, then succinylcholine 10-20mg (0.5-1ml bc 20mg/ml)

Can give atropine, propofol, succinylcholine

(Can give Lidocaine according to another student)