Neonate and Paediatrics Flashcards
Purpose of Atropine as pre-treatment with succinylcholine
given due to the Bradydysrhythmia, Atropine is given for bradycardia
Why is lidocane used as a pre-treatment with succinylcholine
used in suspected or known head injury to lessen ICP associated with intubation
Most common cause of respiratory distress for preterm infants?
Respiratory Distress Syndrome (RDS)/ Hyaline membrane disease
Caused by deficiency in surfactant
Prostaglandins is given for?
think about transporting
Given during transport when the patient’s condition is deteriorating as indicated by the presence of metabolic acidosis or deterioration is anticipated before completion of transport
Prostaglandins is used for?
Keeping the patent ductus arteriosus (PDA) opened
Size of ETT tube for preterm
it’s 3.0
if less than 28 weeks use 2.5
Full-term baby ETT size
3.5
How to calculate the depth of a preterm and Full term baby?
6+ weight in kg
How to calculate size of ET tube for 1 year old and above
(Age in years + 16)/4
Calculate the depth of ETT for 1 year old and above?
ETT size x 3
Why do we use cuffless ET tubes?
Prevent subglottic stenosis and ulceration
recommended for peds 8 years or younger due to cricoid cartilage is the narrowest portion of the trachea
What type of shift is caused by persistent pulmonary hypertension of the newborn (PPHN)?
Right to Left or Left to Right
Right to Left
Common side effects of Prostaglandins
Apnea and hypoventilation
Indomethacin is used for?
Used to accelerate closure of the PDA
Intravenous maintenance fluid formula
4cc for each of the 1st 10kg
2cc for each kilo 11 and above
1cc for each kilo 21 and above
Diaphragmatic hernia
Pleuroperitoneal cavity fails to close leading to abdominal contents migrating into the thoracic cavity, compressing developing lungs and causing pulmonary hyoplasia
Hypoglycemia is treated in newborns by?
2-4mL/kg of 10 percent dextrose
Contraindications for nasal intubations for pediatrics
Should not be completed on peds under 12 years old
Most common abdominal injuries are caused by?
Blunt trauma
Steeple Sign
Sign on a frontal radiograph of tracheal narrowing and suggestive of croup
Thumbprint sign
finding on a lateral C-spine radiograph that suggests epiglottitis
International Guidelines for Neonatal Resuscitation recommendations for noninitiation or discontinuation of resuscitation
birth weight under 500g
confirmed trisomy (13 or 18)
congenital hydrocephalus
severe fetal growth restriction
gestational age under 24 weeks
Gastrochisis
defect in the abdominal wall that has completed its development and allows protrusion of abdominal contents which is not covered by a membrane
Esophageal atresia
Congenital disorder in which baby’s esophagus does not form properly
inability to pass an oral gastric tube
excessive oral secretions
feeding intolerance
