RSI Medications - Emergency Nursing / Rapid Sequence Intubation

[@emergencychaos]

✅Emergency Nursing Basics Book: www.amazon.com/dp/B0BP4N1LF2 ✅ER Nursing Charting Book: www.amazon.com/dp/B0CPJY4S72 ✅ER Nurse Report and Brain Sheets: www.amazon.com/dp/B0CLCGQGH1

[@sweetyhond2]

Respiratory Therapist here. I work for a hospital where we intubate. I found your video very informative as most of the time we intubate is during codes in which meds aren't needed. I've seen that our hospital uses Etomidate and Roc as their go-to for RSI. Thank you for this video!

[@mccullbl]

Longtime flight nurse here. Definitely not the smartest person in the room, but I have seen a lot of bad outcomes from RSI. It might be a benefit to take another look at etomidate as an induction agent for septic patients or patients with low blood pressures or anyone who has been sick for a long time before getting intubated. Etomidate is actually recommended in a half dose if that is the only sedative available for patients with low blood pressures, or any condition where their sympathetic drive can be knocked out because it can actually tank their blood pressure and possibly cause arrest. Ketamine is now the preferred agent for patients with shock. Good video to try to help introduce nurses to the world of RSI, but definitely needs to be updated with current practice.

[@CHRIS-tg5cn]

Septic patients are going to drop their pressure no matter which induction agent you use, it's the degree to which it drops is what you're trying to mitigate. That's why we don't use Propofol to induce these patients. Ketamine has its own drawbacks, including tachycardia. A septic patient whose already has a high heart rate doesn't need any more reason to beat faster.

[@parterachida]

THANK YOU!!!I love your channel, super helpful for me as a new ED nurse!

[@thedemonsmademedoit]

Ketamine has been found to be safe for neuro patients as it does not increase ICP.

[@belindamiller6349]

Awesome simple reasons why you use certain medications during intubation. Great aid to help when precepting new nurses!

[@mildredwasp1595]

Very helpful thank you

[@Jessicad654]

How fast do you push the sedative then the paralytic?

[@emergencychaos]

@@Jessicad654 Give the sedative, then the paralytic immediately after. Hope that helps!

[@penpadolma2605]

Super

[@babasahebmane-patil4483]

good.sir

[@someguysomewhere4280]

Thank you

[@Scott-ff2oe]

@RN