RSI

Question 1

Resp failure values

Answer 1

PaCO2 > 50
PaO2 < 60

Question 2

Atropine

Answer 2

.02mg/kg
Onset 2-4 min
Prevention and Tx of bradycardia in peds <1yo and the tx of bradycardia in adults during RSI

Question 3

Ativan

Answer 3

.05mg/kg
Anxiety sedation sz

Question 4

Valium

Diazepam

Answer 4

.1-.3mg/kg
Anxiety sedation sz

“Valium, low and slow “

Question 5

Fentanyl
Pain

Answer 5

1-3mcg/kg
Blunting of circulatory response to intubation or suspected known increased ICP or cardiovascular dz
Not really recommended anymore in rsi bc of blunting circulatory response

Question 6

Shock index

Answer 6

Pulse rate/systolic BP
> .9 deemed to be harmful

Question 7

Ketamine
Pain

Answer 7

1-2mg/kg
Indication: sedation for induction with severe bronchi spasm, RSI, pain management
contraindications: hypertension

Lower ketamine dose by 50% if shock index is greater than .9

Can cause laryngospasm if pushed too fast. Inc BP/HR

Question 8

Etomidate

Answer 8

.3mg/kg
Sedation for induction
Contradiction: adrenal insufficiency (inhibits cortisol production), sepsis- be cautious in hypotension

Question 9

Succinlycholine

Answer 9

1.5-2mg/kg
Short half life 4-10 min
Contraindicated: hyperkalemia, burns, spinal cord injury, neuromuscular disease
Desat quicker than w roc

Question 10

Roc

Answer 10

0.6-1.2mg/kg
Much better option than succs
Longer acting
Expires (out of refrigerated environment)

Question 11

Vec

Answer 11

.1mg/kg
Long term paralysis
Onset a little longer than roc
Needs to be constituted

Question 12

Emergency airway TQ about age and procedure

Answer 12

<8yo: needle cric
>8yo: surgical airway (vertical cut w scalpel)

Question 13

Identify the depolarizing, neuromuscular blocking agent?
Zemuron
Anectine
Nimbex
Nocuran

Answer 13

Anectine (succs)