9/4/21 Flashcards
Epi dose in a code
Epinephrine 1 mg IV is given every 3–5 minutes
Calcium and phosphate have an ________ relationship with one another
inverse
What is the first ECG change seen in hyperkalemia?
Peaked T waves.
An ophthalmoscopic finding of fluffy white perivascular lesions in an AIDS patient with a CD4 count less than 50 cells/μL suggests what diagnosis?
CMV retinitis.
Hangman Fracture
- bilateral fractures of the pedicles of C2 with or without dislocation
- X-ray will show bilateral fracture of C2 pedicles, wide canal at C2
- extreme hyperextension
Timolol is a topical beta-blocker that decreases aqueous humor production and ________________
lowers intraocular pressure (IOP).
Hypoglycemia
In an infant < one year of age
sugar dose
5 ml/kg of 10% dextrose
Hypoglycemia
children ages 1-8 years
sugar dose
2 ml/kg of 25% dextrose
What are the general cutoffs for
abnormal vitals in a
newborn/infant?
Normal SBP = Age x 2 + 70
Pt is SICK if
SBP < 60
RR > 60
HR > 180
Review Salter-Harris classification
for pediatric fractures
“SALTR” describes relationship to epiphyseal plate
I: Straight across physis.
II: Above (physis and proximal bone).
III: Lower (physis and distal bone).
IV: Through (proximal, physis, and distal).
V: Rammed at epiphyseal plate level.
I and V can have normal XR, II is most common.
What is the appropriate energy
level for pediatric cardioversion
and defibrillation?
0.5-1 J/kg for cardioversion 2 J/kg for defibrillation
What is the approach to
resuscitation in a choking child
<1yr?
5 back blows, 5 chest compressions (no abd compressions)
Review the appropriate workup
and treatment of fever in kids
<4wks
<4wks: (GBS, E. coli, Listeria) get blood and urine cultures, XR, LP, admit, give empiric cefotax and ampicillin, add acyclovir and vanc depending on
risk.
Review the appropriate workup and treatment of fever in kids >8wks
use clinical decision rules
if low risk home, high risk LP, abx, admit
always send UA
