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7 Cards in this Set
- Front
- Back
Describe your intubations setup
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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) |
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Review your difficult airway algorithim
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Attempt 1
Attempt 2 + Boogie Attempt 3 + Boogie LMA with subsequent intubation through LMA If can't oxygenate/ventilate Cric |
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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 |
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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 |
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Describe your patient airway assessment using the LEMON algorithim
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Look
Evaluate 3-3-2 (mouth opening, mentum to hyoid bone, hyoid to thyroid) Mallampati Obstruction Neck mobility |
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What are your paralytic options? What are their doses, onset and duration of action?
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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. |
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What are the contraindication to succinylcholine?
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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 |