Exam 2 Flashcards

1
Q

Resting CO:

a. Neonate
b. Infant
c. Adolescent

A

a. 400 ml/kg/min
b. 200 ml/kg/min
c. 100 ml/kg/min

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2
Q

Dehydration in infants:

a. Mild
b. Moderate
c. Severe

A

a. 50 ml/kg (dry mouth, poor turgor)
b. 100 ml/kg (oliguria, tachycardia)
c. 150 ml/kg (anuria, hypotension)

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3
Q

Hypoglycemia

a. Neonate
b. Infant
c. Child

A

a. <30
b. 45 - 50
c. < 60

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4
Q

Sevo MAC

a. Up to 6 mos
b. 6 mos to 12 yo

A

a. 3.2%

b. 2.4%

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5
Q

Vital Signs:

a. Neonate
b. 1-6mos
c. 6-12 mos
d. 1-2 years
e. 3-5 years
f. 9-12 years

A

a. 120-160 bpm, SBP 60-75
b. 110-140 bpm, SBP 65-85
c. 100-140 bpm, SBP 70-90
d. 90-130 bpm, SBP 75-95
e. 80-120 bpm, SBP 80-100
f. 70-110 bpm, SBP 90-115

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6
Q

ETT Uncuffed Size:

a. Preterm
b. Term
c. 1-6 mos
d. 7-12 mos
e. 1-2 years
f. > 2 yo

A

a. 2.5
b. 3.0 - 3.5
c. 3.5
d. 4.0
e. 4.5
f. (Age +16)/4

  • Use ID 0.5 smaller than uncuffed for cuffed; leak should be maintained at 20-30 cm H20
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7
Q

LMA Size by Kg

a. < 5
b. 5-10
c. 10-20
d. 20-30
e. 30-50
f. 50-70
g. 70-100
h. >100

A

a. 1
b. 1.5
c. 2
d. 2.5
e. 3
f. 4
g. 5
h. 6

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8
Q

Bradycardia:

a. Infants
b. 1-5 yo
c. >5 yo

A

a. <100
b. <80
c. <60

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9
Q

Target Hct (divide by 3 to get target Hgb):

  1. Newborn
  2. 3 Months
  3. 6-12 months
A
  1. 45-65%
  2. 31-41%
  3. 33-42%
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10
Q

EBV (ml/kg):

  1. Premature
  2. Term
  3. Infant
  4. > 1 year
A
  1. 90-100
  2. 80-90
  3. 75-80
  4. 70-75
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11
Q

PBRC amount to increase Hgb by 1g/dl

A

4-5 ml/kg

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12
Q

Surgery Replacement Fluids:

  1. Noninvasive
  2. Mildly Invasive
  3. Moderately Invasive
  4. Significantly Invasive
A
  1. 0-2 ml/kg/hr
  2. 2-4 ml/kg/hr
  3. 4-8 ml/kg/hr
  4. > 10 ml/kg/hr
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13
Q

GFR Ranges

  1. Normal
  2. Abnormal
  3. Failure
A
  1. 90-120 ml/min
  2. < 60 ml/min (for 3 months=CKD)
  3. <15 ml/min (Dialysis/transplant)
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14
Q

Specific Gravity

A

1.003-1.008

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15
Q

Proteinuria

A

> 750 mg/day

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16
Q

BUN

  1. Normal
  2. High
  3. Abnormal
A
  1. 10-20 mg/dl
  2. 20-40 mg/dl
  3. > 50 mg/dl (increased BUN w/ normal Cr suggests nonrenal cause)
17
Q

Serum Creatinine

A

0.6 - 1.2 mg/dl

18
Q

BUN/Cr Ratio

A
  1. Normal 10:1
  2. > 15:1 (volume depletion, CHF, nephrotic syndrome)
  3. <10:1 (decreased U/O, volume expansion)
19
Q

Fractional Excretion of Na+

A
  1. > 2% or 40mEq/L = intrarenal

2. <1% or 20 mEq/L = prerenal

20
Q

Flouride Induced Nephrotoxicity

  1. Below Toxic
  2. Subclinical
  3. Clinical Toxicity
  4. Indicator
A
  1. <40 µmol/L
  2. 50 - 80 µmol/L
  3. > 80 µmol/L
  4. > 50 µmol/L
21
Q

RIFLE Criteria:

A
  1. > serum Cr 0.3 mg/dl over 48 hrs
  2. > serum Cr >50% over 1 week
  3. Drop of U/O < 0.5ml/kg/hr for over 6 hours
  4. Anuria: <100ml/day (severe)
22
Q

TURP Syndrome Na Goal

A

Want 120 mEq/ml
3%NS at 100ml/hr for Na <100
Replace Na too fast = central pontine myelinolysis