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z_MEDSURGE: FINAL REVIEW > 11th Hr Review > Flashcards

11th Hr Review Flashcards

1
Q

What is the formula to know the normal BP in a child?

A
  • Systolic = 90 + 2 times age in years
  • Diastolic = 2/3 (.66%) of systolic
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2
Q

What is the formula to figure out the lower limit of BP systolic reading?

A

70 + 2 times age in years

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3
Q

What is the formula related to fever and fluid requirements?

A

for every degree over 100.4 add 10-15% to hourly total

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4
Q

What is the formula to determine acceptable urine output for the pediatric patient?

A

1-2 mL/kg/ hour

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5
Q

If your patient weighs 17kg and has a urine output for the past 24 hours of 256 mL, what does that indicate?

A
  • 17*24= 408 (minimum amount pt should have eliminated)
  • 256 mL is well below the minimum
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6
Q

What is the formula for IV fluids for fluid restoration?

A

20mL/kg bolus NS over 20-30 mins

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7
Q

What is the formula for fluid IP total when treating dehydration?

A

Fluid IP total = rehydration therapy + maintenance therapy

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8
Q

What is the formula for calculating how many calories per day a 0-6mos old infant will need to maintain minimum proper growth and how do you calculate the oz of formula required to fullfill it?

A
  • 108*kg = Total calories/day
  • Total calories / 20 = oz of formula/day
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9
Q

How many calories will a 12kg 3mos old infant require per day and how many oz of formula will be needed meet the requirement?

A
  • 12*108 = 1,296 calories/day
  • 1296/20 = 64.8 oz of formula/day
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10
Q

What are the caloric densities of the following:

  • Breast milk
  • Regular formula
  • High calorie formula
A
  • Breast milk = 20cal/oz
  • Regular formula = 20cal/oz
  • High calorie formula = 22-24cal/oz
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11
Q

What is the formula to calculate fluid maintenance requirements for children?

A
  • First 10kg = 100 mL/kg
  • Second 10kg = 50 mL/kg
  • Over 20 kg = 20 mL/kg
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12
Q

What are the daily and hourly fluid maintenance levels for a child weighing 22kg?

A
  • First 10kg = 100 mL*10 = 1000mL
  • Second 10kg = 50 mL*10 = 500mL
  • Extra 2 over 20 = 20 mL*2 = 40mL
  • 1000+500+40=1540 mL
  • Per hour = 1540/24=64 mL/hr
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13
Q

What is the maintenance fluid rate for Sickle Cell Anemia Crisis?

A

Calculate as normal and multiply by 1.5 (x2 is also acceptable).

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14
Q

How long should the PR interval be?

A
  • 0.12-0.20 or
  • 3-5 small squares
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15
Q

How long should the QRS interval be?

A

0.06-0.12 or

< than 3 small squares

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16
Q

How do you calculate the HR w/ a 6 second strip?

A
  • # of R waves in 6 seconds x10
  • Rhythm must be regular
17
Q

How do you calculate an irregular rhythm on a strip?

A

300 divided by the number of boxes between R waves

18
Q

-LOL

Name: Class, What it does, and memory analogy

A
  • Beta Blocker
  • Blocks beta 1 receptor which
  • Decreases HR, CO, BP
  • Analogy: LOL because Beta blockers are on all the tests
19
Q

-PINE

Name: Class, What it does, and memory analogy

A
  • Calcium Channel Blocker
  • Blocks calcium channels which
  • Reduces contractility
  • Analogy: Pine tree blocking a river of calcium
20
Q

-PRIL

Name: Class, What it does, and memory analogy

A
  • ACE Inhibitor
  • Prevent conversion of Angiotensin 1 into Angiotensin 2
    • Angiotensin 2 is a potent vasoconstrictor
  • Analogy: Pril = Prick = Douche who is preventing us from being an ACE in class
21
Q

-SARTAN

Name: Class, What it does, and memory analogy

A
  • Angiotensin Receptor Blocker (ARB)
  • Blocks angiotensin receptors thus not allowing vasoconstriction
  • Analogy: SARTAN to SATAN = SIN (angiontenSIN) = Angiotensin Receptor Blocker
22
Q

-STATIN

What do drugs that end with “STATIN” do?

A
  • Lowers LDL production
23
Q

What are PTU & Methimazole and what do they do?

A
  • Antithyroid agents
  • Correct a hyperthyroid state by blocking thyroid hormones
24
Q

What does Radioactive Iodine do?

A
  • Shrinks hyperfunctioning thyroid nodules
  • Corrects hyperthroid state
25
Q

What treatments are CONTRAINDICATED for HYPOthyroidism?

A
  • NO CNS depressants (sedatives/barbituates)
  • No warming devices
    • promotes vasodilation which can lead to vascular collapse
26
Q

Whats the saying to remember the types of insulin?

A

Girls And Lads

Rest Now

Don’t Go

27
Q

Insulin

Girls And Lads

Stands for?

What type of insulin (speed)?

A
  • Glusine
  • Aspart
  • Lispro
    • They are FAST acting
28
Q

Insulin

Rest Now

Stands for?

What type of insulin (speed)?

A
  • Regular
  • NPH
    • Intermediate acting
29
Q

Insulin

Don’t Go

Stands for?

What type of insulin (speed)?

A
  • Detemir
  • Glargine
    • Long-acting
30
Q

What are the Behavioral Pain Scales

A
  • FLACC
  • COMFORT
  • CRIES
31
Q

What are the Self Report Pain Scales

A
  • Faces Scale
  • Numeric Scale
32
Q

Describe FLACC

A
  • Stands for: Face, Legs, Activity, Cry and Consolability
  • Scored 1-10, Ascending in severity of pain
33
Q

Describes FACES Scale

A
  • Uses faces to describe pain
  • Scale of 0-5 or 0-10, ascending in severity of pain

z_MEDSURGE: FINAL REVIEW (15 decks)

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