Med Math Mayhem
You have a patient that weighs 85kg, and you need to RSI them. What is your initial IV dose of ketamine for induction?
170mg
RSI can be performed without consult if GCS is less than or equal to 8, with an O2 Sat less than or equal to _____ on NRB.
90%
This sedative is a short acting benzo that has hypnotic and amnestic properties
Midazolam
Patients under this age should not undergo surgical crichothyrotomy.
You can give ____ doses of either etomidate or ketamine for bucking, every 10-15 minutes, if necessary, before needing medical consultation.
3
Your patient weighs 60kg. VS: HR110, BP 78/62, O2 76%, RR 34
What is your dose of etomidate that you would give to this patient?
9mg
RSI is contraindicated per protocol for patients who have not reached their _____th birthday.
15th
If you push a paralytic, and have no expected response of paralysis, you should do this first next step.
Verify IV/IO patency
The cricothyroid membrane is located between what two cartilages?
Cricoid cartilage and thyroid cartilage
This is the one contraindication to the bucking/combativeness in intubated patient protocol.
Having an unsecured airway
You gave 90mg of rocuronium to your patient for paralysis. The patient is still not adequately paralyzed, you confirmed your IV and it is patent. What is the dose you give for your repeat dose?
45mg
The three approved sedation medications for RSI include:
Etomidate, Ketamine, Midazolam
Paralysis occurs within ____ to _____ minutes after administration of Rocuronium
1 to 3 mins
After you locate your landmarks, the first incision for your cricothyrotomy should be in this direction
Vertical
What two medicines would you consider if you believe ventilatory difficulty is due to a pain response?
Ketamine, Fentanyl
The maximum single dose of Rocuronium is: _____.
125mg
Succinylcholine is contraindicated for patients with burns or spinal cord injuries greater than _____ hours old.
24
When ketamine is given, one side effect called __________ can mimic seizure activity.
Involuntary myoclonus
You were unsuccessful on your first ETT placement attempt. What is your next first step?
Resume BVM ventilation
You have given 3 each doses of both etomidate and ketamine for treatment of bucking, and the patient is still bucking and asynchronous with the ventilator, but not awake. What next medication can you consider at this time?
Rocuronium
You have a patient with status epilepticus that requires RSI, and you choose midazolam for induction. The patient weighs 130kg. What is your dose of midazolam?
5mg (max dose)
This sedative is preferred for patients with hypotension, hypovolemia, or those aware of their surroundings.
Ketamine
The maximum single dose of Succinylcholine is ______mg.
200mg
You and your partner have been unsuccessful with multiple ETT attempts. You are able to ventilate this patient. What next step can you consider?
Extraglottic airway placement
Use of rocuronium requires functioning _______ monitoring.
ETCO2