Rapid Sequence Intubation Learning Objectives

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Questions and Answers

What is the primary concern for intubation in a patient with altered mental status?

  • Inability to protect airway (correct)
  • Respiratory failure
  • Facilitation of surgery
  • Pain control

Which response is associated with laryngeal manipulation?

  • Parasympathetic stimulation
  • Post-intubation sedation
  • Neuromuscular blockade
  • Sympathetic stimulation (correct)

What is the indication for intubation in a patient with pneumonia?

  • Inability to protect airway
  • Pain control
  • Current or impending respiratory failure (correct)
  • Facilitation of surgery

What is the main difference between sympathetic and parasympathetic stimulation?

<p>Increase vs. decrease in ICP and IOP (D)</p> Signup and view all the answers

What is the primary goal of post-intubation sedation and analgesia?

<p>Pain control (D)</p> Signup and view all the answers

When does pain occur in intubated patients?

<p>The answer is not specified in the text (D)</p> Signup and view all the answers

What is a consequence of poor pain control during intubation?

<p>Increased catecholamine release (D)</p> Signup and view all the answers

What is the primary concern when using Etomidate and Rocuronium together?

<p>The risk of paralysis without sedation (D)</p> Signup and view all the answers

What is the duration of action of Succinylcholine?

<p>5-7 minutes (B)</p> Signup and view all the answers

What should be considered when choosing a sedation and paralytic agent?

<p>Patient-specific factors and drug characteristics (B)</p> Signup and view all the answers

What is the potential consequence of paralysis without analgesia or sedation?

<p>Higher incidence of chronic pain and PTSD (A)</p> Signup and view all the answers

What is the importance of being proactive in post-intubation management?

<p>To prevent the negative effects of poor pain control (A)</p> Signup and view all the answers

What is a potential consequence of mismatching the duration of action of induction and paralytic agents?

<p>Paralysis without appropriate sedation/analgesia (C)</p> Signup and view all the answers

What should be considered when choosing a sedation and paralytic agent for intubation?

<p>Patient-specific factors and drug characteristics (B)</p> Signup and view all the answers

What is a negative effect of poor pain control during intubation on immune function?

<p>Decreased immune cell function (D)</p> Signup and view all the answers

What is the approximate duration of action of Rocuronium?

<p>30-60 minutes (A)</p> Signup and view all the answers

Why is it important to be proactive in post-intubation management?

<p>To manage potential complications (B)</p> Signup and view all the answers

What is a consequence of increased catecholamine release during intubation?

<p>Impaired tissue perfusion (A)</p> Signup and view all the answers

What is the primary physiologic response to laryngeal manipulation that results in an increased heart rate and mean arterial pressure?

<p>Sympathetic stimulation (D)</p> Signup and view all the answers

Which of the following is an indication for intubation?

<p>Current or impending respiratory failure (C)</p> Signup and view all the answers

What is the consequence of sympathetic stimulation during laryngeal manipulation on intracranial pressure?

<p>Increased intracranial pressure (B)</p> Signup and view all the answers

What is the primary concern when using neuromuscular blocking agents during rapid sequence intubation?

<p>Prolonged duration of action (C)</p> Signup and view all the answers

What is the primary goal of post-intubation sedation and analgesia?

<p>Pain control (D)</p> Signup and view all the answers

What is the consequence of parasympathetic stimulation during laryngeal manipulation on the hepatic system?

<p>Hepatic vasodilation (A)</p> Signup and view all the answers

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