| A | B |
|---|
| RSI includes these two components... | Induction and paralysis |
| RSI is the preferred method of intubation for these patients... | Patients who have not fasted and are at greater risk for vomiting and aspiration. |
| How are the meds (both induction and paralytic agents) given for RSI... | Induction agent immediately followed by the paralytic agent. |
| The goal of RSI is to intubate the trachea without using this... | Bag Valve Mask (BVM) |
| The patient should be unconscious and paralyzed within this amount of time... | One minute |
| These are examples of harmful reflexes that can happen with intubation without induction and paralysis... | Increased intracranial pressure, increased intraocular pressure, increased blood pressure, increased heart rate, and bronchospasm |
| This is when RSI should be implemented... | Whenever you are NOT in a "crash" intubation situation. Consider it for all other intubations. |
| Name 5 general instances for using RSI... | Partial airway obstruction, Inability to maintain patent airway, ventilatory compromise, failure to adequately oxygenate, and anticipation of deteriorating condition |
| Name the 7 P's of RSI... | Preparation, Pre-oxygenation, Pre-treatment, Paralysis with induction, Positioning, Prove placement, Post-intubation management |
| Explain the SOAP mneumonic if you chose to use it... | Suction, Oxygenate, Airway, Pharmacology and equipment |
| Concerning oxygenation, avoid this... | BVM (bag-valve-mask) |
| Use this for pre-oxygenation... | 100% non-rebreather |
| Preference is to pre-oxygenate the patient for this long if possible... | Five minutes |
| Preparation... | assemble equipment and ensure it's operational, place on cardiac monitor, pulse ox, place 2 IV lines, have suction ready and functioning at bedside, meds available, end-tidal CO2 detector, difficult airway cart |
| Concerning meds, at least do this... | Have the doses already calculated for the patient and have syringes ready to go(could even draw up and label) |
| Explain nitrogen "washout"... | Creating super-saturated oxygen reservoirs in the lungs by replacing nitrogen to allow patients to maintain saturation during paralysis and intubation |
| If properly pre-oxygenated, how long could the patient probably maintain apnea before desaturation <90%? | Eight minutes |
