11th Hr Review Flashcards
What is the formula to know the normal BP in a child?
- Systolic = 90 + 2 times age in years
- Diastolic = 2/3 (.66%) of systolic
What is the formula to figure out the lower limit of BP systolic reading?
70 + 2 times age in years
What is the formula related to fever and fluid requirements?
for every degree over 100.4 add 10-15% to hourly total
What is the formula to determine acceptable urine output for the pediatric patient?
1-2 mL/kg/ hour
If your patient weighs 17kg and has a urine output for the past 24 hours of 256 mL, what does that indicate?
- 17*24= 408 (minimum amount pt should have eliminated)
- 256 mL is well below the minimum
What is the formula for IV fluids for fluid restoration?
20mL/kg bolus NS over 20-30 mins
What is the formula for fluid IP total when treating dehydration?
Fluid IP total = rehydration therapy + maintenance therapy
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?
- 108*kg = Total calories/day
- Total calories / 20 = oz of formula/day
How many calories will a 12kg 3mos old infant require per day and how many oz of formula will be needed meet the requirement?
- 12*108 = 1,296 calories/day
- 1296/20 = 64.8 oz of formula/day
What are the caloric densities of the following:
- Breast milk
- Regular formula
- High calorie formula
- Breast milk = 20cal/oz
- Regular formula = 20cal/oz
- High calorie formula = 22-24cal/oz
What is the formula to calculate fluid maintenance requirements for children?
- First 10kg = 100 mL/kg
- Second 10kg = 50 mL/kg
- Over 20 kg = 20 mL/kg
What are the daily and hourly fluid maintenance levels for a child weighing 22kg?
- 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
What is the maintenance fluid rate for Sickle Cell Anemia Crisis?
Calculate as normal and multiply by 1.5 (x2 is also acceptable).
How long should the PR interval be?
- 0.12-0.20 or
- 3-5 small squares
How long should the QRS interval be?
0.06-0.12 or
< than 3 small squares
How do you calculate the HR w/ a 6 second strip?
- # of R waves in 6 seconds x10
- Rhythm must be regular
How do you calculate an irregular rhythm on a strip?
300 divided by the number of boxes between R waves
-LOL
Name: Class, What it does, and memory analogy
- Beta Blocker
- Blocks beta 1 receptor which
- Decreases HR, CO, BP
- Analogy: LOL because Beta blockers are on all the tests
-PINE
Name: Class, What it does, and memory analogy
- Calcium Channel Blocker
- Blocks calcium channels which
- Reduces contractility
- Analogy: Pine tree blocking a river of calcium
-PRIL
Name: Class, What it does, and memory analogy
- 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
-SARTAN
Name: Class, What it does, and memory analogy
- Angiotensin Receptor Blocker (ARB)
- Blocks angiotensin receptors thus not allowing vasoconstriction
- Analogy: SARTAN to SATAN = SIN (angiontenSIN) = Angiotensin Receptor Blocker
-STATIN
What do drugs that end with “STATIN” do?
- Lowers LDL production
What are PTU & Methimazole and what do they do?
- Antithyroid agents
- Correct a hyperthyroid state by blocking thyroid hormones
What does Radioactive Iodine do?
- Shrinks hyperfunctioning thyroid nodules
- Corrects hyperthroid state
What treatments are CONTRAINDICATED for HYPOthyroidism?
- NO CNS depressants (sedatives/barbituates)
- No warming devices
- promotes vasodilation which can lead to vascular collapse
Whats the saying to remember the types of insulin?
Girls And Lads
Rest Now
Don’t Go
Insulin
Girls And Lads
Stands for?
What type of insulin (speed)?
- Glusine
- Aspart
- Lispro
- They are FAST acting
Insulin
Rest Now
Stands for?
What type of insulin (speed)?
- Regular
- NPH
- Intermediate acting
Insulin
Don’t Go
Stands for?
What type of insulin (speed)?
- Detemir
- Glargine
- Long-acting
What are the Behavioral Pain Scales
- FLACC
- COMFORT
- CRIES
What are the Self Report Pain Scales
- Faces Scale
- Numeric Scale
Describe FLACC
- Stands for: Face, Legs, Activity, Cry and Consolability
- Scored 1-10, Ascending in severity of pain
Describes FACES Scale
- Uses faces to describe pain
- Scale of 0-5 or 0-10, ascending in severity of pain
