Intraoperative Flashcards

1
Q

Consent is obtained by the parents, what is obtained by the pediatric patient?

A

Assent

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2
Q

What is the first monitor placed on the pediatric patient?

A

Pulse O2

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3
Q

Anesthesia stage 1

A

Awake, eyes midline
Irregular pulse
BP Normal
(Induction)

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4
Q

Anesthesia stage 2

A
Hyper-excitable
Eyes divergent
Pulse irregular and fast
high BP
(Excitement)
Highest risk for laryngospasm
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5
Q

Anesthesia Stage 3

A
Asleep
Eyes-midline
Pulse steady and slow
BP normal
(Operative)
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6
Q

Anesthesia Stage 4

A
CV reflexes are anesthetized
Hypotensive
Bradycardic
Eyes midline
Weak and thready pulse
(Danger)
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7
Q

IV induction is advantageous because…

A

Asleep without going through stage 2

Low risk of laryngospasm

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8
Q

What is the narrowest portion of the pediatric airway?

A

Cricoid cartilage (below vocal cords)

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9
Q

T/F: The epiglottis is shorter and wider in the pediatric patient than in the adult patient.

A

False

The pediatric patient’s epiglottis is LONGER and NARROWER

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10
Q

T/F: The pediatric patient’s larynx is proportionally smaller than the adult’s.

A

True

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11
Q

T/F: The head and occiput are proportionally smaller than the Adult’s.

A

False. (They are proportionally larger)

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12
Q

T/F: The pediatric patient’s tongue is proportionally smaller than the adult’s tongue.

A

False. (It is proportionally larger)

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13
Q

T/F: The peds neck is shorter than the adults

A

True (much shorter)

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14
Q

The peds larynx is more _____ and _____ than the adult’s larynx.

A

Anterior, cephalad

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15
Q

The adenoids are larger or smaller than the adult’s?

A

Larger

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16
Q

T/F: There is a decreased risk of mainstem intubation in the ped patient than the adult patient due to a short trachea and bronchus.

A

False

Increased risk due to a short trachea and bronchus

17
Q

T/F stimulate the child to awaken from anesthesia.

A

False (DO NOT stimulate child until awake)

18
Q

What is the Succinylcholine IM/IV dose for a pediatric patient?

A

IM: 4mg/kg
IV: 0.4mg/kg