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Peds Anesthesia - Summer 2013 > INFO > Flashcards

INFO Flashcards

1
Q

Heart Rate of 0-24 hours?

A

145 (70-200)

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2
Q

Heart Rate of 1-11 Month?

A

130 (80-120)

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3
Q

Heart Rate of 1 - 3 year old?

A

110 (80-130)

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4
Q

Heart Rate of 4-8 Year old?

A

100 (75-115)

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5
Q

Heart Rate of 8-12 year old?

A

90 (70 - 110)

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6
Q

B/P of Preterm?

A

50/30

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7
Q

BP of Term?

A

65/40

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8
Q

BP of 6 month?

A

90/60

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9
Q

BP of 12 month?

A

95/65

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10
Q

BP of 2 year?

A

100/65

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11
Q

BP of a 5 year?

A

95/55

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12
Q

BP of a 12 year?

A

110/60

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13
Q

BP of a 23 year?

A

120-80

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14
Q

T/F: K is the most marked electrolyte difference?

A

TRUE

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15
Q

What is the normal K of a term?

A

6.0 - 6.5

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16
Q

T/F: Increased Cl and decreased HCO3 lead to slightly lower pH and an increased risk of developing metabolic acidosis.

A

TRUE

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17
Q

T/F: Renal clearance take time to reach adult levels ~ 2 years, most by 3 month.

A

TRUE

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18
Q

Most common type of dehydration seen is Isotonic.

A

TRUE

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19
Q

T/F: Pyloric stenosis is an emergncy.

A

FALSE

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20
Q

What does not change in a newborn?

A

Stroke volume

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21
Q

The hallmark of intravascular fluid depletion in neonates and infants is?

A

Hypotension without tachycardia

22
Q

A concern for paradoxical air embolism may occur in the neonate because of?

A

Patent Foramen ovale

23
Q

What are volume overloading lesions (L to R shunt)

A

ASD
VSD
AVSD
PDA Truncus Arteriosus

24
Q

What are obstruction of pulm Flow (R to L shunt)

A

Pulm Stenosis/Atresia
TOF
Ebstein’s Anomaly

25
Q

Parallel circulation (ductal dependent)

A

D-Transposition of the Great Arteris

26
Q

Single Ventricle Lesion (ductal depent)

A

Tricuspid atresia
DILV
Unbalanced AV septal defect

27
Q

How to treat a L to R shunt?

A
  • Decrease Afterload

- Diuretics

28
Q

How to treat R to L shunt?

A

Decrease PVR

Increase Afterload

29
Q

T/F: Secundum ASD at the fossa ovalis is the most common Atrial septal Defect.

A

TRUE

30
Q

What causes the systolic and diastolic murmurs of ASD?

A
  • Systolic murmur is caused by increased flow across the pulmonary valve, NOT THE ASD
  • Diastolic murmur is caused by increased flow across the tricuspid valve and this suggest high flow Qp:Qs is 2:1.
31
Q

Is endocarditis prophylaxis required for ASD?

A

NO

32
Q

T/F: Most common type of ventral septal defect is perimembranous.

A

TRUE

33
Q

What genetic desease is AVSD more commonly seen in?

A

Down’s syndrome (Seen in 20 -25 % of cases)

34
Q

What other heart anomaly is coarctiation associated with?

A

Bicuspid aortic valve seen in > 70% of cases

35
Q

What genetic syndrome is coarctation seen in?

A

Turner’s syndrome

36
Q

What to remember about Kawasaki Desease?

A

Vasculitis

MI

37
Q

What to remember about turner syndrome?

A 
X linked
HTN
Liver disease
Obesity
DM, hypoothyroidism
38
Q

What to remember about WIlliams Syndrome?

A 
Chromosome 7 deletion in the elastin gene
Elfin facies
MR
Growth deficiency
Altered neurodevelpment
39
Q

T/F: Willams Syndrome has super valve aortic stenosis.

A

TRUE

40
Q

An appropriate blood pressure for a neonate should be:

A

65/45

41
Q

Does the premature infant’s heart exhibit greater or lesser sensitivity to catecholamine?

A

Less sensitive due to the fact the the infant’s beta adrenergic stimulation is maxed out

42
Q

T/F: A TET spell is related to ToF.

A

TRUE

43
Q

The most common type of T-E fistula is:

A

type IIIB

44
Q

In a patient with CDH, what should the peak inspiratory pressure be (cmH20).

A

20

45
Q

Which is not a manifestation of CDH:

A

Lab test

46
Q

What shunts are made in Norwood Stage 1:

A

BT shunt

Sano modification

47
Q

What shunts are disconnected and made in Norwood Stage 2?

A

BT shunt disconnected

Glenn shunt to pulmonary artery

48
Q

What shunts are made in Norwood Stage 3?

A
  • Fontan
  • SVC and IVC connected to pulmonary artery
  • Fenestration (Sometimes)
49
Q

What is the sats of BT shunt:

A

75

50
Q

What is the sats of glen shunt?

A

85

51
Q

What is the sats of fontan

A

95

Peds Anesthesia - Summer 2013 (14 decks)

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