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14 Cards in this Set
- Front
- Back
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1. What three conditions do patients’ have that make them not tolerate delays in establishing artificial airways?
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Varying degrees of acute hypoxemia, acidosis, & hemodynamic instability
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2. What other four associated conditions can be aggravated by the intubation attempt itself?
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Intracranial hypertension, myocardial ischemia, upper airway bleeding or emesis
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3. What is the “pressor response?”
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Stimulation of the airway with a laryngoscope & ETT presents an extremely noxious stimulus, which is associated with an intense sympathetic discharge, results in hypertension tachycardia
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4. What is the American Society of Anesthesiology definition for:
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a) difficult ventilation: inability of a trained anesthetist to maintain the oxygen saturation over 90% using a face mask
b) difficult intubation: the need for more than three intubation attempts or attempts at intubation that last longer than 10 minutes |
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5. According to Li, and associates, what is the rate of complication in emergency intubation:
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¬Up to 78%, incidence of esophageal intubation and aspiration ranged from 8 to 18% and 4 to 15%
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6. Describe the barriers of problems associated with intubation of the morbid obesity.
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Redundant oral tissue, decreased respiratory system compliance due to chest and diaphragmatic restrictions and lephalomegaly, which interferes with proper face mask placement
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W7. what is the most common function hindrance to assisted ventilation?
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Altered mental status with loss of airway tone
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8. describe how you would determine the Mallampati classification on a patient.
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Have patients sit up, open their mouth and pose in sniffing position, with tongue voluntarily protruded. Physician observes- and if there is no tongue blade used. Mallampati system predicts the degree of anticipated difficulty of laryngoscope
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9. What Mallampati classification predicts an difficult airway?
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A class of over 2
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10. What does “RSI” stand for?
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Rapid sequence intubation
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11. Seventy percent of the patients undergoing RSI have what two clinical presentations?
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Altered mental status or cervical spine collars
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12. What effect does RSI have on the mean complication rate of intubation?
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http://www.slideshare.net/ewilke/rapid-sequence-intubation
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13. What four pre-induction drugs (or classification of drugs) are used?
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Opioids, lidocaine, Beta adrenergics antagonists, and non-depolarizing neuromuscular blockers
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14. Describe “malignant hyperthermia:”
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The absolute contraindication to Succinylcholine therapy, which may trigger a hypothermic response
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