General, Airway, Sedation

Question 1

What are the 3 components of the pediatric assessment tool?

Answer 1

Appearance
Work of breathing
Circulation

WAC

Question 2

What is cutis marmorata?

Means what?

Answer 2

Lacy pattern on the skin caused by vascular instability

Normal finding in young infants in cool environment, they will be well-appearing

Question 3

Breast fed newborns can lose up to how much of their birth weight in first 7 days of life?

Should regain it by when?

How much should they gain per day up to first 3 months of life?

Answer 3

10%

Day 10

20-30 g/day

Question 4

What is Heliox? Works how?

Use for what?

Answer 4

70/30 helium to oxygen works by inc laminar flow

Partial upper airway obstruction (croup)

Question 5

ETT depth of insertion (lip to tip) formula?

Answer 5

3 x uncuffed tube size

Question 6

What’s the dosing of succinylcholine in peds?

Versed?

Answer 6

2 mg/kg

.3-.4 mg/kg

Question 7

How to preoxygenate in infants and older children?

When should BVM be used in causes of desaturation?

Answer 7

High flow NC 5 L/min infants
15 L/min older children

< 95%

Question 8

Needle cric should be performed in what age group?

How to do it?

Answer 8

< 6 y/o

14 gauge needle w/oxygen flow rate at 1 L/min w/3.0 ETT connected to BVM

Question 9

If severe masseter spasm happens after giving succinylcholine, what do you treat with?

Answer 9

Rocuronium or other Non-depolarizing med

If that doesn’t work then give dantrolene for malignant hyperthermia

Question 10

What is the intranasal dose of Versed in peds?

Answer 10

.3 to .5 mg/kg

Question 11

What is the max dose of Versed in pt 5 y/o or younger?

> 6 y/o?

Answer 11

6 mg

10 mg

Question 12

What is the IV/IM dose of Versed in pt 5 and under?

> 6 y/o?

Answer 12

.05-.1 mg/kg (6mo - 5 yr)

.025-.05 mg/kg (6 and older)

Question 13

What is the usual dose of IV ketamine in Peds patients for procedural sedation?

RSI?

Answer 13

1.5 mg/kg

2 mg/kg

Question 14

How to treat emergence ketamine reactions in peds?

Answer 14

Versed .3 mg/kg up to max of 6mg for ages 6mo-5 yr and 10mg max for 6yr and older

Question 15

Why is glycopyrrolate preferred over atropine To reduce bronchial secretions?

Answer 15

More potent anti-sialgogue, fewer tachycardia dysrhythmias, does NOT cross BBB, no CNS SEs

Question 16

Who dose ketofol?

Answer 16

.5 mg/kg for each drug

Administer 10 mg/mL of ketamine and 10 mg/mL Propofol to use in a pt weighing 20 kg (2 mL total)

Question 17

What is EMLA stand for?
What’s in it?

SEs?

Answer 17

eutectic mixture of local anesthetics
Lidocaine 2.5%, prilocaine 2.5% in 1:1 mix

Methemoglobinemia, seizures, respiratory depression

Question 18

Amides have how many “i”s?

Answer 18

2

Question 19

Dose of morphine in peds < 50kg?

> 50kg?

Answer 19

.1 mg/kg

2-8 mg q2-4h

Question 20

Fentanyl dosing < 50kg?

> 50?

Answer 20

.5-1 microgram/kg q1-2h

25-50 microgram/dose q1-2

Question 21

Dosing of ketamine for pain treatment?

Drip rate?

Answer 21

.15 mg/kg, higher doses at .3 mg/kg have more SEs

.1 to .2 mg/kg/hour