| A | B |
|---|
| Mneumonic for pre-treatment meds... | LOAD (Lidocaine, Opiates, Atropine, Defasciculating agents) |
| Given at 1-1.5 mg/kg IV to blunt the intracranial pressure rise associated with RSI | Lidocaine |
| Can be used to attenuate (reduce the response) of the sympathetic responses to intubation - example is fentanyl | Opiates |
| Pretreatment with this immediately prior to the induction of anesthesia significantly reduces the hemodynamic response to endotracheal intubation | Fentanyl |
| Anticholinergic agent used in children to prevent bradycardia/asystole seen with succinylcholine... | Atropine |
| Consider Atropine in adults (to prevent bradycardia) who need to be re-dosed with this drug... | Succinylcholine |
| Fentanyl dose | 2-9 mcg/kg IV |
| Lidocaine dose | 1-1.5 mg/kg IV |
| Atropine dose | Peds 0.02 mg/kg (min. 0.1 mg); adults 0.5-1 mg |
| Succinylcholine dose | 0.15 mg/kg IV |
| Rocuronium dose | 0.1 mg/kg IV |
| This term means decreasing/eliminating the muscle fasciculations (twitches) that occur in response to the initial depolarizing effect of succinylcholine... | Defasciculating |
| Defasciculations can cause this... | Rise in intracranial and intraocular pressure |
| If possible, allow this much time for the meds to distribute before intubation... | Three minutes |
| The term "rapid sequence" refers to this... | Administration of an induction agent followed RAPIDLY by a paralytic agent |
| Once paralysis and induction have occured, do not ventilate or reoxygenate the patient unless one of two things happen... | The patient has been intubated or the oxygen saturation falls BELOW 90% |
