Critical Care Paramedic Exam Questions with Correct Answers

Critical Care Paramedic Exam Questions with Correct Answers When should you perform the intubation during RSI? - answerWhen the waveform etco2 is flat- meaning the NMBA is working and the diaphragm has stopped. Nitrogen washout - answerApply high flow 02 to prepare for intubation and washout the N2. Who gets atropine during RSI and why? - answerPediatric patients 2-3 y/o prior to RSI. Pediatric patients cardiac output is rate dependent. Pediatric patients are not able to raise inotropy. Atropine will help prevent with bradycardia. Atropine dose - answer0.02 mg/kg. Max dose: 0.5 mg What can you do if pediatric patient has Low BP prior to RSI? - answeradminister vasopresssors Lidocaine RSI dose - answer1.0- 1.5 mg/kg IV What is lidocaine used for in RSI? - answerFor patients with suspected increased ICP. Lidocaine will decrease vagal nerve stimulation. It will cause blunting of the airway reflexes and prevent coughing, gagging, which will raise ICP. What are the drug options for sedation in RSI? - answerEtomidate, Versed, Ketamine, and propofol Etomidate dose - answer0.2-0.3mg/kg What is the preferred drug for sedation in RSI? - answerEtomidate. Has rapid onset of 10-20 seconds, short duration of 4-10 mins, can be used in peds, has no histamine release. What are the downsides to giving etomidate for RSI? - answerCauses a mild increase in airway resistance, Myoclonus may be seen, and you must avoid in septic patients. Why can you not give etomidate for septic patients? - answerCauses Adrenocortical supression Dose for Versed in RSI? - answer2.5-5.0 Mg Iv or .1-.3 mg/kg. Has a rapid onset of .5- 2 mins, and a short duration of 20-30 mins. Pediatric infusion dose: 0.05-0.4mg/kg per hour Ketamine dose for RSI? - answer1.5-4.0 mg/kg IV over 1 minute ( 5-10 mg/kg IM) When is ketamine preferred? - answerIn pediatrics due to halluciations What receptors does ketamine stimu