Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PEDS > Critical Care > Flashcards

Critical Care Flashcards

1
Q

injuries to the liver and spleen are more common in kids because of what?

A

internal organs are more anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the ABCs of primary survey

A 
A airway
B breathing
C circulation with hemorrhage control
D disability (neurologic deficit)
E exposure (maintain warm environment, expose patient)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

most common sx emergency in peds?

A

appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most common abdominal obstruction in a young child?

A

intussuception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

most common cause of shock in children?

A

hypovolemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

if a child shows up in cardiopulmonary arrest what is normally the cause

A

respiratory arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

reversible small airway obstruction that is refractory to sympathomimetic and inti-inflammatory agents and that may progress to respiratory failure without prompt and aggressive intervention.

A

status asthmaticus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

first line therapy for bronchoconstriction

A

Beta 2 agonist (nebulized)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

mainstay of treatment for inflammation

A

Systemic corticosteroids (IV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what occurs with ARDS

A

increased pulmonary capillary permeability
pulmonary edema
refractory hypoxemia, decreased lung compliance
bilateral diffuse alveolar infiltrates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the most common cause of ARDS

A

infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tx for ARDS

A

get ABGs daily

fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

normal PaCo2

A

35-45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

normal PaO2 values

A

70-100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

normall bicarb levels

A

22-26

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if you vomit a lot your body will become what?

A

alkalotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

if you have a lot of diarrhea, what will your body become

A

acidodic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

an increasing anion gap means what?

A

you are adding acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

if there is a normal anion gap were there extra acids?

A

no, just a loss of base

20
Q

what can cause respiratory acidosis

A 
airway obstruction
pneumonia
ARDS, PED
trauma
respiratory depression
21
Q

what causes respiratory alkalosis

A 
high levels of anxiety or pain
altitude
excessive mechanical ventilation 
salicylate OD
PE, asthma, edema
22
Q

tx for DKA

A

restoration of fluid volume
inhibition of lipolysis and return to glucose utilization
replace body salts
correction of acidosis (no bicarb)

23
Q

would a person in DKA have a normal anion gap or positive anion gap

A

positive anion gap

24
Q

what causes distributive shock

A

septic
anaphylactic
spinal

25
Q

what causes hypovolemic shock

A

dehydration
burns
hemorrhage

26
Q

what type shock is Circulatory failure with end organ dysfunction

A

uncompensated

27
Q

what is SIRS?

A

systemic inflammatory response syndrome

28
Q

what occurs with SIRS

A

Temp >38 or 90 bpm
tachypnea
WBC >12 K or <4K 10% immatures

29
Q

what do gram negative organism do in regards to shock

A

release cytokines which leads to vasodilation

30
Q

warm shock is associated with what

A

vasodilation

still compensating

31
Q

what is cold shock

A

uncompensated
blood flow leaks out
drop in B/P and perfusion

32
Q

what drug may you give in septic shock to help vessels not be as leaky

A

hydrocortisone

33
Q

what lab do you order to check adrenal function

A

cortisol levels

34
Q

Weakness, fatigue, headache, pallor, disorientation,thirst, N/V, occ muscle cramps
No CNS dyfunction

A

heat exhaustion

35
Q

life threatening failure of thermoregulation. Will have CNS dysfunction. often incoherent and combative.

A

heat stroke

36
Q

what can heat stroke cause

A

Cellular hypoxia, enzyme dysfunction, disrupted cell membranes -> global end organ derangements

37
Q

hypothermia is a core temp below what

A

35 C

38
Q

what is the most common cause of burns in children

A

scalding

39
Q

tx for 2nd degree burn blisters

A

antiseptic cleansing
topical antimicrobials
serial exams

40
Q

tx for partial thickness burns

A

cool compress

pain control

41
Q

when does a full thickness burn need grafting?

A

> 1 cm

42
Q

what does a 4th degree burn involve

A

4th degree include fascia, muscle or bone

43
Q

how do you manage alcohol OD in poisoning

A

D5W or D10W

watch for respiratory depression

44
Q

how do you treat bites (abx)

A

penicillin
augmentin
clindamycin
keflex

45
Q

do you suture animal bites?

A

No, don’t want to suture the bugs into the wound

46
Q

most common snake bite in US

A

pit viper

PEDS (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions