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7 Cards in this Set

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Describe your intubations setup
Suction
Oxygen (face mask, BVM)
Airway (blade x2, boogie, tube with stylet x2, capnography, tape to secure)
Pharma (induction, paralytic, push dose pressor, analgesia/sedation)
Review your difficult airway algorithim
Attempt 1
Attempt 2 + Boogie
Attempt 3 + Boogie
LMA with subsequent intubation through LMA
If can't oxygenate/ventilate
Cric
Induction agents:
Name the induction dose and indication for
Ketamine
Propofol
Etomidate
Ketamine: 2mg/kg, best in hypotensive patients
Propofol: 2mg/kg, routine OR use, refractory seizure
Etomidate: .3 mg/kg, best in elevated ICP
Post intubation analgesia and sedation doses for:
Fentanyl
Hydromorphone
MIdazolam
Propofol
Ketamine
Fentanyl: 2 mcg/kg bolus then 1 mcg/kg/hr OR
Hydromorphone 0.5-1 mg bolus then .5mg/hr
AND
Midazolam: 0.05 mg/kg bolus then 0.025 mg/kg/hr
Propofol: 0.5 mg/kg bolus then 20 mcg/kg/min Ketamine: 1 mg/kg bolus then 0.5 mg/kg/hr
REMEMBER THAT MIDAZOLAM AND PROPOFOL OFFER NO ANALGESIA
Describe your patient airway assessment using the LEMON algorithim
Look
Evaluate 3-3-2 (mouth opening, mentum to hyoid bone, hyoid to thyroid)
Mallampati
Obstruction
Neck mobility
What are your paralytic options? What are their doses, onset and duration of action?
Succinylcholine: 1.5 -2 mg/kg. Rapid onset (45s), depolarizing blockade. Unable to reverse. Duration of action at 1.5mg/kg dose, 5-15 minutes.

Rocuronium: 1-1.5mg/kg. Rapid onset (60s), non-depolarizing blockade. Reversible. Duration of action 60 min.
What are the contraindication to succinylcholine?
Stroke with hemiparesis >72 hrs ago
Malignant Hyperthermia
Burn or major trauma >72 hrs ago
ICU Stay > 2 weeks
Neuromuscular junction disease (usually myasthenia)
Myopathies/Muscular Dystrophies
Preexisting Hyperkalemia
Guillain-Barre