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CCP S3 > CCP S3 > Flashcards

CCP S3 Flashcards

1
Q

What is DKA?

A

Diabetic ketoacidosis

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2
Q

What is a peptide hormone produced in the pancreas?

A

Insulin

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3
Q

What is the definition of DKA?

A

Ketones in urine, metabolic acidosis, hyperglycemia

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4
Q

What is the best way to evaluate dehydration in DKA?

A

Capillary refill, abnormal skin turgor, abnormal respiration’s

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5
Q

Common paralytic dosages in pediatric

A

Roc 1 mg/kg

Succs 2 mg/kg

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6
Q

Ways to determine tube size in peds?

A

Broselow tape, width of nare, (age/4) +4, width of pinky finger

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7
Q

Ways to determine gestational age

A

First day of last menstrual period, ultrasound

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8
Q

What is EGA?

A

Estimated gestational age

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9
Q

What is IUGR?

A

Intrauterine growth restriction

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10
Q

What causes the onset of labour?

A

Unknown

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11
Q

What is the biggest risk factor of pre-term delivery?

A

Previous pre-term delivery

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12
Q

What is the easiest way to determine depth of ET tube insertion in a pediatric patient?

A

3 x size of ET tube

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13
Q

Ways to confirm ETT placement?

A

Chest rise, bilateral air entry, colourmetric ET, ETCO2, CXR, misting in tube, SpO2

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14
Q

Minimum blood pressure in peds?

A

70 + (age x2)

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15
Q

Goals of antihypertensive therapy in obstetrics

A

Reduce chance of maternal CVA, maximize maternal condition for transfer, gain time for maternal and fetal assessment

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16
Q

Common antihypertensives for maternity patients

A

Nifedipine, labetalol, hydralazine, magnesium sulfate

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17
Q

What is the diastolic blood pressure we consider leading to eclampsia?

A

DBP > 110

Pre-eclampsia >90

18
Q

Dose of magnesium in maternal hypertension

A

4 g IV over 20 minutes

19
Q

Signs and symptoms of magnesium toxicity

A

Depressed tone, depressed reflexes, decreased sensorium

20
Q

What is a tetralogy of fallot?

A

Large VSD
Overriding aorta
Obstructive RVOT
RV hypertrophy

21
Q

Dosing for sedation vs vasopressors

A

Sedation mcg/kg/hr

Vasopressors mcg/kg/min

22
Q

What is CMV?

A

Continuous mandatory ventilation

23
Q

What is HELLP syndrome?

A

Hemolysis,
Elevated Liver Enzymes
Low platelets

24
Q

what are factors that will determine how well a preterm baby will progress post-delivery?

A 
Gestational age
Sex
Weight
Level of hospital
Multiples
Diabetic mother
Maternal drug use
Maternal ETOH, smoking, etc
25
Q

Signs and symptoms of pediatric seizures

A

ALOC, twitiching eyes, arched back, clenched teeth, tachycardia, deviated eyes, tonic/clinic movements, muscle stiffness

26
Q

Risk factors for pre-term delivery

A 
Cervical incompetence
Previous pre-term delivery
Infection
Multiples
Placental insufficiency
27
Q

RDS signs and symptoms

A 
Nasal flaring
In drawing
Tachypnea
Cyanosis
Tracheal tug
Grunting
Apnea
28
Q

Contraindications to tocolytics

A 
Fetal death
Non-reassuring strip 
Maternal illness 
Placental insufficency/abruption 
Severe preeclampsia 
Allergy
Choriamnioniitis
PPROM
29
Q

Contraindications to fetal fibrinecten?

A

Vaginal exam in 24 hours
Sex in 24 hours
PROM
Presence of blood

30
Q

TTN

A

Transient tacypnea of newborn.

Related to increased fetal fluid in airways (risk factors decreased GA and c section)

Tx is supplemental O2 if required, should resolve within 24 hrs

31
Q

TEF

A

Tracheoespohageal fistula.

Sx excessive secretions, dyspnea from aspiration, poor feeding, unable to pass feeding tube more than 10-15 cm.

32
Q

Bronchiolitis

A

Results from viral infection in peds < 2 years of age.

Tx supplemental oxygen, monitor fluid balance, intubation if necessary

33
Q

BPD

A

Bronchopulmonary displasia

Disruption of lung development causes decreased number of alveoli and thickened distance between alveolar air and capillary causing hypoxemia.

34
Q

DKA Tx

A

Fluid resus 10-20 ml/kg based on shock status over 30 mins
Correct K
Insulin after 1-2 hrs 0.05-0.1 U/kg/hr
Two bag method to maintain bg

35
Q

CN 4, 5, 6, 7

A

Trochlear (H)
Trigeminal (touch)
Abducens (H)
Facial (expression)

36
Q

TCA effects

A 
Na = wide QRS
K = QT prolonged
Antihistamine = DLOC
Anticholenergic = Alice
Alpha receptor = vasodilation
GABA receptor = seizures
Serotonin + dopamine = antidepressant
37
Q

Coagulation cascade

A

Intrinsic (aPTT):
12 - 11 - 9 (+8)

Extrinsic (PT):
TF - 7

Common:
10 (+5) - prothrombin - thrombin (2) - fibrinogen - fibrin (1)

38
Q

CaO2

A

(1.34 x Hgb x SaO2) + (0.0031 x PaO2)

39
Q

DO2

A

CaO2 x CO

40
Q

RSI plan (peds)

A

Ketamine 0.5-1 mg/kg
Roc 1 mg/kg
Morphine maint 5-40 mcg/kg/hr
Midaz maint 30-360 mcg/kg/hr

CCP S3 (1 decks)

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