Ketamine
Given the patient is presenting with normal vital signs prior to intubation and no hypotension or catecholamine depletion concerns, what is the initial recommended RSI dose of Ketamine?
2 mg/kg
1-2 mcg/kg
In intubated patients already receiving sedation, what kind of medications should be administered in conjunction with the sedation to ensure patient comfort?
Pain medications
This sedation scoring system is not applicable when a patient is paralyzed
RASS
Etomidate dosing for RSI
0.3 mg/kg
In catecholamine-depleted states, what is the recommended RSI dosing of Ketamine?
1 mg/kg
General starting Fentanyl infusion dose
1mcg/kg/hr after initial bolus
IV/IM Lorazepam dosing for intubated patients
1-4 mg IV/IM
LFN PCG dose of Succinylcholine
1-2 mg/kg
Hemodynamically unstable patients must receive this general intervention prior to administering RSI medications
Resuscitation or hemodynamic resuscitation
If a patient is initially sedated with Ketamine and it has been less than 15-20 minutes since the last dose, what is the continuing dose of sedation?
0.5 mg/kg
When initiating a new pain or sedation infusion, what should be administered prior to starting it?
Bolus dose
Loading dose of Ketamine to initiate a Ketamine infusion
1mg/kg
Paralytic of choice and its dosing for pediatric patients <10 y.o.
Rocuronium 1 mg/kg
This term is used to refer to an RSI process of administering sedation, waiting and preoxygenating/resuscitating, and administering additional sedation then paralytics
Delayed Sequence Induction
Rate of Ketamine administration
60 seconds (ish - key is slow)
All patients receiving sedation, including Ketamine, and/or multiple doses of pain medication should be monitored with this
ETCO2
Minimum infusion rate of Propofol per LFN PCGs
25mcg/kg/min if hemodynamically stable
Avoid succinylcholine administration in this state
Hyperkalemic
Pediatric dose of push-dose epinephrine (1:100,000)
1 mcg/kg, max of 20 mcg
Ketamine adjunct to opioid dose
0.1 - 0.5 mg/kg; generally 0.2 mg/kg
An intubated patient on a Fentanyl infusion of 1 mcg/kg/hr has a high heart rate and is biting the ETT. You discuss increasing the infusion rate. What should be administered prior to increasing the rate?
A bolus
Trade name for dexmedetomidine
Precedex
While extremely rare (once in 8 years) what is the dose to maintain paralysis of a patient with rocuronium
0.5 mg/kg
The purpose of rapid sequence intubation
To prevent aspiration of gastric contents of patients in emergency settings