Rapid Sequence Intubation Summary Questions

5 Questions | Total Attempts: 848

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Rapid Sequence Intubation Summary Questions

Conference July 19th 2012


Questions and Answers
  • 1. 
    Which of the following statements about Rapid Sequence Intubation (RSI) is INCORRECT: 
    • A. 

      RSI minimizes the risk of pulmonary aspiration

    • B. 

      RSI increases the chance of successful intubation by inducing paralysis

    • C. 

      RSI minimizes untoward physiologic responses due to direct laryngoscopy

    • D. 

      RSI is the method of choice to secure an airway for a patient in cardiopulmonary arrest

  • 2. 
    All of the following are indications for using Atropine as a premedication for RSI EXCEPT:
    • A. 

      12 yo intoxicated patient with GCS 7

    • B. 

      9 mo male with respiratory distress

    • C. 

      2 yo trauma stat patient with closed head injury

    • D. 

      15 yo male requiring a second dose of succinylcholine

  • 3. 
    A Trauma Stat is called for a 14 yo male who fell from a ladder with waxing and waning mental status  and BP 90/40 with 10 minute ETA. You instruct your med nurse to draw up RSI meds. Your sedative of choice is Etomidate for all the following reasons EXCEPT: 
    • A. 

      It is readily available in the code room pyxis

    • B. 

      It causes minimal cardiovascular depression

    • C. 

      It will keep the patient sedated while getting the CT scan and transferred to the PICU

    • D. 

      It decreases Intracranial pressure

  • 4. 
    EMS calls with a 10minute ETA for a 2yo male shot to the chest by a stray bullet at a picnic now in respiratory distress.  You call a Trauma Stat attending and give an estimated weight and instructions to have the following equipment ready:
    • A. 

      Weight: 12kg; ETT 5.5mm; 11 Fr NG/OG; 18 Fr Chest tube

    • B. 

      Weight: 16 kg; ETT 4.5mm; 8 Fr NG/OG; 16 Fr Chest tube

    • C. 

      Weight: 12kg; ETT 4.5mm ; 9Fr NG/OG; 18 Fr Chest tube

    • D. 

      Weight: 16 kg; ETT 4.5mm; 8 Fr NG/OG; 16 Fr Chest tube

    • E. 

      Weight 14kg; ETT 4.0mm; 11 Fr NG/OG; 20 Fr Chest tube

  • 5. 
    A 7yo ill appearing male with a history of renal failure and chronic lung disease presents with vomiting and altered mental status. He is tachycardic, and has deep respirations. His capillary refill is 4-5 seconds and BP of 70/20. Which of the following would be MOST CORRECT regarding your choice of paralytic agent for RSI?
    • A. 

      Succinylcholine is best given its rapid onset, short duration of action and is most readily available in the ED pyxis

    • B. 

      Rocuronium may be used because it has rapid onset and minimal CV side effects which may be best since the patient is hypotensive

    • C. 

      Vecuronium is best because it is readily available and has longer duration of action which may be needed to cover the patient until transfer to the ICU

    • D. 

      Pancuronium is best since there seems to be a drug shortage of everything else and it can be just as effective