11/27/22

Question 1

Bradycardia- Overdose/medication toxiciticity

Answer 1

Glucagon
Calcium chloride 1 g IV or calcium gluconate 3 g
High-dose insulin
IV lipid emulsion

Question 2

Which AV blocks need the cath lab

Answer 2

cases of Mobitz II or third-degree AV block

Question 3

Empiric therapy for neonatal sepsis

Answer 3

Ampicillin plus

Cefotaxime
or
Gentamicin

Consider adding vancomycin / acyclovir

Question 4

Pediatric Hypotension parameters:

Answer 4

SBP <60 mm Hg in term neonates (0-28 days old)
SBP <70 mm Hg in infants (1-12 months old)
SBP <70 + (2 age) mm Hg in children 1-10 years old
SBP <90 mm Hg in children ≥10 years old

Question 5

CSF studies

Answer 5

cell count
glucose
protein
gram stain
PCR
culture

Question 6

Neonatal pearls

Answer 6

-Birth Hx/ maternal infections
-Rectal Temp
-POC BGL
- Exam fontanel

Question 7

Heat stroke is defined as

Answer 7

a core temperature >40°C (104°F) and altered mental status or central nervous system (CNS) dysfunction.

goal: cooling until a core temperature of 38°C

Question 8

______________- is likely the most effective and practical cooling method in the hospital setting.

Answer 8

Evaporative cooling

Continue cooling until a core temperature of 38°C (100.4°F) has been reached.

Question 9

Heat stroke pearls

Answer 9

place core temp monitor
consider ice packs

Question 10

Pediatric appe abx

Answer 10

Ceftriaxone
Flagyl

Question 11

Peds morphine dose

Answer 11

0.1 mg/ kg

Question 12

Peds fent dose

Answer 12

0.1 mcg/ kg