Resuscitative Sequence Intubation

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8 Terms

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  • can I oxygenate?

  • can I ventilate?


Two questions that should be asked prior to giving a paralytic:

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  • can the patient follow commands?

  • can the patient control their own secretions?

  • what clinical course do you anticipate?


Indications for RSI?

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Respiratory Failure

  • PaCO2 > 50

  • EtCO2 > or equal to 50

  • PaO2 < 60


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8 Ps of RSI

  1. Preparation

  2. Positioning

  3. Passive Oxygenation

  4. Premedication

  5. Paralytic

  6. Protection & Positioning

  7. Placement

  8. Post-intubation management


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Phenylephrine

-Push dose pressor

-start with 100 mL of NSS

- add 1 mL of Phenylephrine

-Equals 100 mcg/mL

Dose: 50 - 200 mcg q 1-5 min


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HR/SBP

Shock Index calculation

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High mortality potential

shock index > 0.9 = what?

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