Critical care paramedic Exam | Verified Exam Questions and Answers |
Latest Updated Study Material 2026
Question:
When should you perform the intubation during RSI?
Answer:
When the waveform etco2 is flat-
meaning the NMBA is working and the diaphragm has stopped.
Question:
NG tube during RSI?
Answer:
No clamp, continuous suction
Question:
Nitrogen washout
Answer:
Apply high flow 02 to prepare for intubation and washout the N2.
Question:
Who gets atropine during RSI and why?
Answer:
Pediatric 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.
Question:
Atropine dose
Answer:
0.02 mg/kg. Max dose: 0.5 mg
Question:
What can you do if pediatric patient has Low BP prior to RSI?
Answer:
Push presssors
,Question:
Lidocaine RSI dose
Answer:
1.0- 1.5 mg/kg IV
Question:
What is lidocaine used for in RSI?
Answer:
For 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.
Question:
What are the drug options for sedation in RSI?
Answer:
Etomidate, Versed, Ketamine, and
propofol
Question:
Etomidate dose
Answer:
0.2-0.3mg/kg
Question:
What is the preferred drug for sedation in RSI?
Answer:
Etomidate. Has rapid onset of 10-20
seconds, short duration of 4-10 mins, can be used in peds, has no histamine release.
Question:
What are the downsides to giving etomidate for RSI?
Answer:
Causes a mild increase in airway
resistance, Myoclonus may be seen, and you must avoid in septic patients.
,Question:
Why can you not give etomidate for septic patients?
Answer:
Causes Adrenocortical supression
Question:
Dose for Versed in RSI?
Answer:
2.5-5.0 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
Question:
Ketamine dose for RSI?
Answer:
1.5-4.0 mg/kg IV over 1 minute ( 5-10 mg/kg IM)
Question:
When is ketamine preferred?
Answer:
In pediatrics due to halluciations
Question:
What receptors does ketamine stimulate?
Answer:
Stimulates the opiod receptor causing
analgesia.
Will stimulate the catecholamine receptors and release cateccholamines leading to
increased HR, contractility, MAP, and BP.
Question:
Does ketamine increase ICP?
Answer:
No evidence shows that ketamine increases ICP in
hypotensive or normotensive patients.
Best not to give ketamine in patients who have suspected IC with high blood pressure.
, Question:
Propofol dose
Answer:
Continued sedation dose: 5-50 mcg/kg/min
Question:
Propofol contraindications
Answer:
OB and < 8 year old peds
Question:
What effects will propofol have on the body?
Answer:
Will lower the BP. Will reduce airway
resistance and can be useful inducting patients with bronchospasm.
Question:
Is propofol an analgesic?
Answer:
No it has sedation and amnesia properties
Question:
Is propfol good for patients with intracranial pathology?
Answer:
Yes, if they are stable.
Question:
What do all neuromuscular blocking agents cause?
Answer:
They all can cause Low BP and
Malignant hyperthermia.
Question:
What type of NMBA is more common with MH?
Latest Updated Study Material 2026
Question:
When should you perform the intubation during RSI?
Answer:
When the waveform etco2 is flat-
meaning the NMBA is working and the diaphragm has stopped.
Question:
NG tube during RSI?
Answer:
No clamp, continuous suction
Question:
Nitrogen washout
Answer:
Apply high flow 02 to prepare for intubation and washout the N2.
Question:
Who gets atropine during RSI and why?
Answer:
Pediatric 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.
Question:
Atropine dose
Answer:
0.02 mg/kg. Max dose: 0.5 mg
Question:
What can you do if pediatric patient has Low BP prior to RSI?
Answer:
Push presssors
,Question:
Lidocaine RSI dose
Answer:
1.0- 1.5 mg/kg IV
Question:
What is lidocaine used for in RSI?
Answer:
For 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.
Question:
What are the drug options for sedation in RSI?
Answer:
Etomidate, Versed, Ketamine, and
propofol
Question:
Etomidate dose
Answer:
0.2-0.3mg/kg
Question:
What is the preferred drug for sedation in RSI?
Answer:
Etomidate. Has rapid onset of 10-20
seconds, short duration of 4-10 mins, can be used in peds, has no histamine release.
Question:
What are the downsides to giving etomidate for RSI?
Answer:
Causes a mild increase in airway
resistance, Myoclonus may be seen, and you must avoid in septic patients.
,Question:
Why can you not give etomidate for septic patients?
Answer:
Causes Adrenocortical supression
Question:
Dose for Versed in RSI?
Answer:
2.5-5.0 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
Question:
Ketamine dose for RSI?
Answer:
1.5-4.0 mg/kg IV over 1 minute ( 5-10 mg/kg IM)
Question:
When is ketamine preferred?
Answer:
In pediatrics due to halluciations
Question:
What receptors does ketamine stimulate?
Answer:
Stimulates the opiod receptor causing
analgesia.
Will stimulate the catecholamine receptors and release cateccholamines leading to
increased HR, contractility, MAP, and BP.
Question:
Does ketamine increase ICP?
Answer:
No evidence shows that ketamine increases ICP in
hypotensive or normotensive patients.
Best not to give ketamine in patients who have suspected IC with high blood pressure.
, Question:
Propofol dose
Answer:
Continued sedation dose: 5-50 mcg/kg/min
Question:
Propofol contraindications
Answer:
OB and < 8 year old peds
Question:
What effects will propofol have on the body?
Answer:
Will lower the BP. Will reduce airway
resistance and can be useful inducting patients with bronchospasm.
Question:
Is propofol an analgesic?
Answer:
No it has sedation and amnesia properties
Question:
Is propfol good for patients with intracranial pathology?
Answer:
Yes, if they are stable.
Question:
What do all neuromuscular blocking agents cause?
Answer:
They all can cause Low BP and
Malignant hyperthermia.
Question:
What type of NMBA is more common with MH?
