INFO Flashcards
Heart Rate of 0-24 hours?
145 (70-200)
Heart Rate of 1-11 Month?
130 (80-120)
Heart Rate of 1 - 3 year old?
110 (80-130)
Heart Rate of 4-8 Year old?
100 (75-115)
Heart Rate of 8-12 year old?
90 (70 - 110)
B/P of Preterm?
50/30
BP of Term?
65/40
BP of 6 month?
90/60
BP of 12 month?
95/65
BP of 2 year?
100/65
BP of a 5 year?
95/55
BP of a 12 year?
110/60
BP of a 23 year?
120-80
T/F: K is the most marked electrolyte difference?
TRUE
What is the normal K of a term?
6.0 - 6.5
T/F: Increased Cl and decreased HCO3 lead to slightly lower pH and an increased risk of developing metabolic acidosis.
TRUE
T/F: Renal clearance take time to reach adult levels ~ 2 years, most by 3 month.
TRUE
Most common type of dehydration seen is Isotonic.
TRUE
T/F: Pyloric stenosis is an emergncy.
FALSE
What does not change in a newborn?
Stroke volume
The hallmark of intravascular fluid depletion in neonates and infants is?
Hypotension without tachycardia
A concern for paradoxical air embolism may occur in the neonate because of?
Patent Foramen ovale
What are volume overloading lesions (L to R shunt)
ASD
VSD
AVSD
PDA Truncus Arteriosus
What are obstruction of pulm Flow (R to L shunt)
Pulm Stenosis/Atresia
TOF
Ebstein’s Anomaly
Parallel circulation (ductal dependent)
D-Transposition of the Great Arteris
Single Ventricle Lesion (ductal depent)
Tricuspid atresia
DILV
Unbalanced AV septal defect
How to treat a L to R shunt?
- Decrease Afterload
- Diuretics
How to treat R to L shunt?
Decrease PVR
Increase Afterload
T/F: Secundum ASD at the fossa ovalis is the most common Atrial septal Defect.
TRUE
What causes the systolic and diastolic murmurs of ASD?
- 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.
Is endocarditis prophylaxis required for ASD?
NO
T/F: Most common type of ventral septal defect is perimembranous.
TRUE
What genetic desease is AVSD more commonly seen in?
Down’s syndrome (Seen in 20 -25 % of cases)
What other heart anomaly is coarctiation associated with?
Bicuspid aortic valve seen in > 70% of cases
What genetic syndrome is coarctation seen in?
Turner’s syndrome
What to remember about Kawasaki Desease?
Vasculitis
MI
What to remember about turner syndrome?
X linked HTN Liver disease Obesity DM, hypoothyroidism
What to remember about WIlliams Syndrome?
Chromosome 7 deletion in the elastin gene Elfin facies MR Growth deficiency Altered neurodevelpment
T/F: Willams Syndrome has super valve aortic stenosis.
TRUE
An appropriate blood pressure for a neonate should be:
65/45
Does the premature infant’s heart exhibit greater or lesser sensitivity to catecholamine?
Less sensitive due to the fact the the infant’s beta adrenergic stimulation is maxed out
T/F: A TET spell is related to ToF.
TRUE
The most common type of T-E fistula is:
type IIIB
In a patient with CDH, what should the peak inspiratory pressure be (cmH20).
20
Which is not a manifestation of CDH:
Lab test
What shunts are made in Norwood Stage 1:
BT shunt
Sano modification
What shunts are disconnected and made in Norwood Stage 2?
BT shunt disconnected
Glenn shunt to pulmonary artery
What shunts are made in Norwood Stage 3?
- Fontan
- SVC and IVC connected to pulmonary artery
- Fenestration (Sometimes)
What is the sats of BT shunt:
75
What is the sats of glen shunt?
85
What is the sats of fontan
95
