Deck 24: Medication Facilitated Intubation

Question 1

A patient who has received sedatives will have decreased airway reflexes and may have a decreased lower esophageal pressure.

Answer 1

True

Question 2

Properly securing the endotracheal tube also decreases the risk of tube dislodgment.

Answer 2

True

Question 3

____ are medications that block transmission of nerve impulses to skeletal muscle at the neuromuscular junction.

A) Neuromuscular neutralizing agents
B) Opiates
C) Neuromuscular blocking agents
D) Neuromuscular structuring agents

Answer 3

Neuromuscular blocking agents

Question 4

As a class, ____ are probably the most commonly used medications for sedation in the emergency airway management arena.

A) opiates
B) barbiturates
C) inhalants
D) benzodiazepines

Question 5

Non-depolarizing neuromuscular blockers cause paralysis through blocking acetylcholine, through the same mechanism as succinylcholine.

Question 6

In general, fewer intubations are performed with sedatives alone.

Question 7

____ are medications that are used to decrease a patient's level of consciousness, cause muscular relaxation, and cause amnesia to the intubation.

A) Paralytic agents
B) Sedative agents
C) Restricting agents
D) Analgesic agents

Question 8

Signs of malignant hyperthermia include fever, muscular rigidity, tachycardia, and tachypnea.

Question 9

If etomidate is used for the intubation, it will begin to wear off in ____ minutes after administration.

A) 5 to 10
B) 10 to 20
C) 15 to 20
D) 15 to 25

Question 10

Etomidate has a two to three minute time of onset and must be administered well in advance of succinylcholine.

Question 11

While sedative or defasciculating medications are being administered, an assistant should be assigned to apply ____ pressure to minimize the risk of aspiration.

A) larynx
B) pharynx
C) hyoid
D) cricoid

Question 12

Paramedics have always done an excellent job of taking procedures and techniques developed for the in-hospital setting and adapting them for use in the prehospital environment.

Question 13

Which type of medication is most dangerous for the Paramedics to administer?

A) Sedatives
B) Restricting agents
C) Paralytic agents
D) Calming agents

Question 14

_____ is the most commonly used depolarizing neuromuscular blocker.

A) Mivacurium
B) Succinylcholine
C) Atracurium
D) Gallamine

Question 15

There is clear evidence that patients who receive paralytics have better outcomes than those who receive only sedatives.

Question 16

A derivative of PCP, ____ provides excellent amnesia, analgesia, and anesthesia during procedures and intubation.

A) ketamine
B) etomidate
C) propofol
D) diazepam

Question 17

Post-intubation paralysis increases the risk of accidental extubation.

Question 18

____, a drug thought to offer some neuroprotection, is commonly used during the RSI of patients with head trauma, evidence of increased intracranial pressure, and bronchospastic airway disease.

A) Benzocaine
B) Proparacaine
C) Lidocaine
D) Prilocaine

Question 19

Medication-facilitated intubation is a new technique.

Question 20

The timing of the sedative's administration will depend on its ____ and the paralytic that will be used.

A) onset of action
B) rate of absorption
C) impact on stimuli
D) rate of decomposition

Question 21

____________________ is a newer agent that functions primarily as a hypnotic, although it also is an excellent amnestic.

Question 22

____________________ is a genetic muscular disease that affects some people after receiving inhaled anesthetics or succinylcholine.

Question 23

The use of a(n) ____________________ dose of a non- depolarizing agent is most often used in the setting of the head-injured patient.

Question 24

Sedatives are considered "____________________" since they are used to prepare a patient for paralytics.

Question 25

Some patients, particularly those who already have a significantly altered mental status, may become ____________________ after receiving intubation pretreatment medications.