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6 Cards in this Set

  • Front
  • Back
Name the drugs in proper order for RSI.
1. Lidocain
2. Atropine
3. versed
4. succinylcholine
5. vecuronium
What does RSI stand for?
Rapid
Sequence
Induction
What are the indications for RSI (rapid sequence induction)?
-trauma pt with GCS of 8 and gag reflex
-trauma pt with significant facial trauma and poor airway control.
-closed head injury or hemorrhagic CVA needing hyperventilation.
-Burn pt with airway involvement and inevitable airway loss
-Severe asthma or COPD with hypoxia and respiratory exhaustion.
-Overdoses, i.e. tricyclics, where loss of airway is inevitable.
-Any combative, agitated or confused pt who needs definitive airway control.
Contraindications for RSI:
None but the rists must quickly be weighed against the benefits.
Name the 6 steps of RSI (the six "P's":
preparation
preoxygenation
pretreatment
paralysis (with induction)
placement of tube
postintubation management
When succinylcholine is administered, it has a "down side". Name that down side and describe it.
"Fasciculation" is when a drug sycg as succinylcholine depolarizes by neuromuscular blocking, acting on the receptor sites allowing one last response as they are blocked off.