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Phase 2 PEDs > NL Peds Vitals > Flashcards

NL Peds Vitals Flashcards

1
Q

NL - Newborn RR

A

30-60 b/m

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2
Q

The less mature the neonate changes RR how?

A

Higher

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3
Q

And progression of below NL interventions

A

120-160

>100 = routine care
60-99 = ventilation support
<60 = ventilation + chest compressions
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4
Q

> 40mmhg - elevated pulse pressure indicates

A

PDA

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5
Q

After age 3 - BP calculation tool

A 
SBP = 80+(age x 2)
DBP = 2/3 SBP
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6
Q

NL Temp mean temp

Fever

And

Acceptable range

A

NL mean - 37 Celsius (98.6 F)

Fever- >38C (>100.4F)

Range - 97-99.6 F

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7
Q

Pediatric pattern of diurnal fever

A

Lower in AM

Higher in PM

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8
Q

Definition of fever

A

> 100.4F - rectally (38C)

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9
Q

Rectal versus Oral pediatric temp? Which is higher?

A

Rectal > oral by 1 degree

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10
Q

Do not get pediatric temperatures from what sites?

A

Do not get tympanic, axillary, or temporal artery temps

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11
Q

Fever vs hyperthermia?

A

Fever - altered set point

Hyperthermia - excess external heat w/out regulation

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12
Q

SPO2 goals immediately after birth

A 
1m - 60-65%
2m - 65-70%
3m - 70-75%
4m - 75-80%
5m - 80-85%
10m - 85-95%
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13
Q

NL HR after birth?

A

> 100 bpm

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14
Q

Intervention for HR <100

A

1L - PPV and SO2 observation

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15
Q

Intervention for HR <60

A

Consider intubation
Chest compressions and
PPV

Fail = IV Epi

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16
Q

What is chest compression rate for newborn?

A

120 bpm

3:1 compression:respiration

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17
Q

Neonates 1st sign following hypoxia is?

A

Apnea (Not tachypnea)

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18
Q

Neonatal Blow by O2 rate?

A

10 LPM < 1/2inch from face

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19
Q

BVM / PPV rate?

A

40-60 breaths/min in sniffing position

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20
Q

What is the preferred placement of Pulse oximetry?

A

Right upper extremity (Due to PDA)

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21
Q

Neonatal hypoglycemia is?

A

<45 mg/dL

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22
Q

Very low birth weight equals how many grams?

A

<1500

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23
Q

Low birth weight indicates how many grams?

A

<2500

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24
Q

NL heart rate range for newborns?

A

120-160 bpm

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25
Q

NL respiratory rate range for newborns?

A

40-60 RR

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26
Q

NL systolic blood pressure for newborns?

A

60-90 mmHg

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27
Q

NL temperature for newborn?

A

97.7-99.5

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28
Q

NL weight of newborn? Female/male

A

F - 6lb 3oz - 8lb 14oz

M - 6lb 7oz - 9lb 5oz

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29
Q

NL length range of newborn?

A

19-21”

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30
Q

NL head circumference range for newborn?

A

13-15”

31
Q

Pulse ox screening for newborn congenital heart disease - negative result

A

> = 95% in Right hand/foot w/ <3% difference between the two

32
Q

Pulse ox screening for newborn congenital heart disease - Repeat readings in 1 hour if?

A

O2 is 90-94% in right hand/foot or >3% absolute difference between right hand/foot

3 readings will indicate an echocardiogram

33
Q

Pulse ox screening for newborn congenital heart disease -

Positive result

A

< 90% O2 in right hand or foot = echocardiogram

34
Q

Weak pulses may indicate?

A

Poor CO (aortic stenosis)

35
Q

Bounding pulses may indicate?

A

High cardiac output (PDA)

36
Q

> 40 mmHg pulse pressure (between brachial/femoral) may indicate?

A

PDA

37
Q

Decreased pulse pressure (between brachial/femoral pulses) may indicate?

A

Coarctation of the aorta

38
Q

NL pediatric weight per growth charts?

A

5-85th percentile

39
Q

Is weight loss normal the first few days of life?

A

Yes

40
Q

How much wgt loss is NL for the first few days of life?

A

5-10%

41
Q

When does a child return to their birth wgt?

A

Day 7-10 age

42
Q

When does a child double birth wgt?

A

4-5mo (triple in 1 yr)

43
Q

Daily wgt gain amount 1st 3-4mo?

A

20-30g (15-20g rest of yr)

44
Q

When does a child double their birth length?

A

4yo

45
Q

Average head circumference?

A

35cm (13.5in)

46
Q

Head circumference growth rate 1st year?

A

1cm per month - (2cm 1st 3mo)

47
Q

Number one reason pediatric growth is stunted?

A

Caloric intake adequate (then chronic illness)

48
Q

Red flags of growth development (take action)?

A

<5%
Infant crosses 2 percentile lines w/out cause.
LRG discrepancy between Wgt/Hgt/Head

49
Q

NL BP calculation >3yo (SBP/DBP)

A

SBP - 80+(age x 2)

DBP - 2/3 SBP

50
Q

When to screen for anemia?

A

12mo or 4mo if high risk

51
Q

When to screen for lead?

A

12 and 24mo (5-10ug/dL = learning issues)

52
Q

CI to immunization

A

Hx of anaphylaxis
NO live vaccines (pregnant/x-imm)
Moderate/severe illness
Egg allergy (Flu/yellow fever)

53
Q

Vaccinate premmie’s when?

A

Same schedule

54
Q

Only time a vaccination is post-poned?

A

<2000g and mom is HBV negative (Give at 1mo instead)

55
Q

How long is breastfeeding recommended?

A

6mo

56
Q

How often is feeding 1st few weeks of life?

A

8-12/day

57
Q

NL diaper habits of infant?

A

6-8 wets/d

>3 stools/d (except food transition periods -up to 1w)

58
Q

When to begin solid foods?

A

6mo

59
Q

When to give honey?

A

12mo

60
Q

What is normal volume of feeds/day?

A

18-30oz/d

61
Q

How much juice to give per day?

A

<4oz/day (toddlers/young)

<8oz/day (7-18yo)

62
Q

When can you give cow’s milk?

A

12mo

63
Q

NL amount of cows milk?

A

<24oz per day

64
Q

Does overweight children need to be on diets?

A

Not before 3yo

65
Q

Toilet training occurs when?

A

2-3yo

66
Q

Deciduous teeth Teeth eruption order?

A
  1. Lower incisors
  2. Upper incisors
  3. Lateral incisors
67
Q

If teeth eruption is delayed what are possibilities?

A

Check TSH/Calcium

68
Q

Permanent teeth occurs when?

A

Starts 6yo
Ends 12yo
Third molars - 18yo

69
Q

When does dental visits begin?

A

1yo (q 6mo)

70
Q

At 1 yr to protect teeth?

A

Avoid prolonged/nighttime bottles

Soda/juice

71
Q

Begin fluoride brushing when?

A

2yo

72
Q

When to evaluate female for primary amenorrhea?

A

No menarche by age 15yo

73
Q

Basic calorie requirement of adolescents?

A

Girls 14-18 = 1800-2400

Boys 14-18 = 2000-3200

74
Q

Calcium requirements of adolescents?

A

1300mg

Phase 2 PEDs (23 decks)

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