Critical care paramedic (A+ Graded already)

When should you perform the intubation during RSI? correct answers When the waveform etco2 is flat- meaning the NMBA is working and the diaphragm has stopped. Nitrogen washout correct answers Apply high flow 02 to prepare for intubation and washout the N2. Who gets atropine during RSI and why? correct answers 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. Atropine dose correct answers 0.02 mg/kg. Max dose: 0.5 mg What can you do if pediatric patient has Low BP prior to RSI? correct answers administer vasopresssors Lidocaine RSI dose correct answers 1.0- 1.5 mg/kg IV What is lidocaine used for in RSI? correct answers 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. What are the drug options for sedation in RSI? correct answers Etomidate, Versed, Ketamine, and propofol Etomidate dose correct answers 0.2-0.3mg/kg What is the preferred drug for sedation in RSI? correct answers Etomidate. 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? correct answers Causes 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? correct answers Causes Adrenocortical supression Dose for Versed in RSI? correct answers 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 Ketamine dose for RSI? correct answers 1.5-4.0 mg/kg IV over 1 minute ( 5-10 mg/kg IM) When is ketamine preferred? correct answers In pediatrics due to halluciations