Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
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.
NG tube during RSI? - correct answers ✅No clamp, continuous suction
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 ✅Push presssors
,Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
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.
,Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
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
What receptors does ketamine stimulate? - correct answers ✅Stimulates
the opiod receptor causing analgesia.
Will stimulate the catecholamine receptors and release cateccholamines
leading to increased HR, contractility, MAP, and BP.
, Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
Does ketamine increase ICP? - correct answers ✅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.
Propofol dose - correct answers ✅Continued sedation dose: 5-50
mcg/kg/min
Propofol contraindications - correct answers ✅OB and < 8 year old peds
What effects will propofol have on the body? - correct answers ✅Will
lower the BP. Will reduce airway resistance and can be useful inducting
patients with bronchospasm.
Is propofol an analgesic? - correct answers ✅No it has sedation and
amnesia properties
Is propfol good for patients with intracranial pathology? - correct answers
✅Yes, if they are stable.
Answers (Attained Grade A+) 2023 UPDATE
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.
NG tube during RSI? - correct answers ✅No clamp, continuous suction
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 ✅Push presssors
,Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
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.
,Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
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
What receptors does ketamine stimulate? - correct answers ✅Stimulates
the opiod receptor causing analgesia.
Will stimulate the catecholamine receptors and release cateccholamines
leading to increased HR, contractility, MAP, and BP.
, Critical care paramedic Exam Questions Verified
Answers (Attained Grade A+) 2023 UPDATE
Does ketamine increase ICP? - correct answers ✅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.
Propofol dose - correct answers ✅Continued sedation dose: 5-50
mcg/kg/min
Propofol contraindications - correct answers ✅OB and < 8 year old peds
What effects will propofol have on the body? - correct answers ✅Will
lower the BP. Will reduce airway resistance and can be useful inducting
patients with bronchospasm.
Is propofol an analgesic? - correct answers ✅No it has sedation and
amnesia properties
Is propfol good for patients with intracranial pathology? - correct answers
✅Yes, if they are stable.
