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Pediatric Critical Care > Airway > Flashcards

Airway Flashcards

1
Q

Narrowest point of the extra thoracic airway

A

Subglottis/cricoid cartilage

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2
Q

FiO2 delivered by nasal cannula

A

1L = 24% (increase by 4% for each L up to 6 L for max of 40%)

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3
Q

ETT size (uncuffed)

A

4+ age/4

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4
Q

ETT depth

A

3 x ETT diameter

12 + age/2

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5
Q

Fentanyl: dose

A

1 mcg/kg

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6
Q

Fentanyl: onset/duration

A

120 sec/20-30 minutes

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7
Q

Midazolam: dose

A

0.3 mg/kg

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8
Q

Midazolam: onset/duration

A

3-5 min/2 hr

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9
Q

Ketamine: dose

A

1 mg/kg (2 mg/kg IM)

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10
Q

Ketamine: onset/duration

A

30 sec/10-15 min

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11
Q

Ketamine: benefits

A

spontaneous ventilation preserved, brochodilator, no hypotension

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12
Q

Ketamine: drawback

A

increased secretions
sympathomimetic activity BUT direct negative inotropic effects that can cause CV depression in patients with no endogenous catecholamines

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13
Q

Etomidate: dose

A

0.3 mg/kg

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14
Q

Etomidate: onset/duration

A

“rapid”/10-15 minutes

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15
Q

Etomidate: benefits

A

minimal CV/respiratory compromise, decreased ICP

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16
Q

Etomidate: drawback

A

adrenal insufficiency

17
Q

Propofol: dose

A

1 mg/kg

18
Q

Rocuronium: dose

A

1 mg/kg

19
Q

Rocuronium: onset/duration

A

30-50 sec/15-45 minutes

20
Q

Propofol: drawback

A

hypotension, PRIS - metabolic acidosis, bradycardia

21
Q

Atropine: dose

A

0.02 mg/kg (minimum 0.1 mg)

22
Q

Lidocaine: dose

A

1 mg/kg

23
Q

Lidocaine: benefits

A

prevents increased ICP with laryngoscopy

24
Q

Atropine: benefits

A

Decreases secretions, blunts bradycardia (infants < 6 mo)

25
Q

Nasopharyngeal airway size

A

nares to tragus

26
Q

Oropharyngeal airway size

A

corner of mouth to angle of mandible

27
Q

Rocuronium: MOA

A

non-depolorazing neuromuscular blocking agent

competitively binds to Ach receptors in NMJ

28
Q

Etomidate: MOA

A

GABA inhibitory system

Pediatric Critical Care (7 decks)

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