A 36-year-old woman with severe asthma has received continuous salbutamol nebulisation, three 500 mcg ipratropium nebulisers, hydrocortisone 200 mg IV and magnesium sulphate 10 mmol IV. She is tiring and you are planning intubation. Her observations are shown.
List four goals of preparation for intubation and state how you would achieve each.
(Marked out of 4.0)
| Finding |
Result |
| GCS |
13 (E3 V4 M6) |
| Pulse |
140/min |
| Blood pressure |
90/45 mmHg |
| Respiratory rate |
40/min |
| Oxygen saturation |
82% on 15 L/min oxygen via nebuliser mask |
/ 4
List four modifications to standard RSI and justify each.
(Marked out of 4.0)
/ 4
A registrar asks to perform the intubation. List four methods you would use to confirm endotracheal tube placement.
(Marked out of 4.0)
/ 4
After intubation, the ventilator high-pressure alarm sounds. List three likely causes and the immediate management of each.
(Marked out of 6.0)
/ 6
Total Score: 0 / 18
Percentage: 0%
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