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Pediatric Anesthesia > Normal Pediatric Values > Flashcards

Normal Pediatric Values Flashcards

1
Q

What is neutral temperature?

A

Ambient temp that results in minimal oxygen consumption

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2
Q

What is critical temperature?

A

Ambient temp below which an unclothed and unanesthestatized individual cannot maintain core temp

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3
Q

What is the neutral temp for a preterm infant?

A

34 C

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4
Q

What is the critical temp for preterm infant?

A

28 C

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5
Q

What is the neutral temp for a term infant?

A

32 C

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6
Q

What is the critical temp for a term infant?

A

23 C

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7
Q

What is the neutral temp for an adult?

A

28 C

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8
Q

What is the critical temp for an adult?

A

1 C

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9
Q

Normal pH, PaO2, PaCO@ in preterm?

A 
pH= 7.37 +/- 0.03
PaO2= 60 +/- 8
PaCO2= 37 +/- 6
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10
Q

Normal pH, PaO2, PaCO@ in term infant?

A 
pH= 7.4 +/- 0.02
PaO2= 70 +/- 8
PaCO2= 39 +/- 7
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11
Q

Normal pH, PaO2, PaCO@ in 1 month old?

A 
pH= 7.41 +/- 0.04
PaO2= 95 +/- 8
PaCO2= 40 +/- 6
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12
Q

Normal pH, PaO2, PaCO@ in 1 year old?

A 
pH= 7.39 +/- 0.02
PaO2= 93 +/- 10
PaCO2= 41 +/- 7
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13
Q

True or False: Pediatric pH and paCO2 values are similar to adults?

A

True

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14
Q

True or False: Normal PaO2 values are lower in pediatric patients than adults?

A

True

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15
Q

What is the recommended PaO2 range for prevention of retinopathy of prematurity?

A

50-70 mmHg

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16
Q

What is the normal WBC count at birth?

A

9000-30000

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17
Q

What is the normal WBC at 5th week of life?

A

5000-20000

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18
Q

Normal Hgb level at birth?

A

19.5 +/- 5.0 g/dL

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19
Q

Normal Hgb level at 3 months of age?q

A

12.2 +/- 2.3 g/dL

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20
Q

At what age does fetal Hgb cease?

A

7 months

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21
Q

Normal glucose level at birth?

A

45-90 mg/dL

22
Q

Is glucose < 40 mg/dL common in preterm infants?

A

Yes (but should be corrected)

23
Q

What is the normal calcium level at birth?

A

> /= to 8.0 mg/dL

24
Q

What are normal Na+, Cl- and K+ values at birth?

A

Na+ : 135-145 meq/L
K+ : 3.0-5.0 meq/L
Cl- : 105-115 meq/L

25
Q

What are normal creatinine levels at term birth?

A

06.-1.2 mg/dL

26
Q

How low does Creatinine levels fall 1 month after full-term birth?

A

0.1-0.2 mg/dL

27
Q

Creatinine levels of preterm @ birth and @ 1 month?

A

Birth: 0.8-1.8 mg/dL

1 Month: 0.2-0.8 mg/dL

28
Q

What is normal BUN of Term Neonate?

A

10-20 mg/dL

29
Q

What is the normal BUN in pre-term infants?

A

16-28 mg/dL

30
Q

What is the normal Urine Specific Gravity of infants weighing 1000-3300 gm?

A

1.005-1.010

31
Q

What is the lowest acceptable Ca2+ in a preterm infant?

A

7.0 mg/dL

32
Q

What is the most likely cause of neonatal hypocalcemia?

A

Hypoproteinemia

33
Q

What is the significance of ionized calcium?

A

Represents the calcium immediately available at the cellular level

34
Q

Which molecule is bigger: calcium chloride or calcium gluconate?

A

Calcium Gluconate

35
Q

What effect does hyperventilation have on calcium levels?

A

Results in decreased serum calcium

36
Q

What is the recommended O2 seat for infants less than 44-50 weeks gestation?

A

86-92%

37
Q

What is the ETT size for a full-term infant?

A

3.0-3.5 ID

38
Q

What is the recommended ETT size for infants weighing less than 3300 g?

A

3.0 ID

39
Q

ETT size for infants weighing less than 1500 g?

A

2.5 ID

40
Q

What is a preterm infants blood volume in cc/kg?

A

85-100 cc/kg

41
Q

What is the caloric maintenance requirements for awake neonates in kcal/kg/day or kcal/kh/hr?

A

100 kcal/kg/day or 4 kcal/kg/hr

42
Q

How many kcal in 1 gm of glucose?

A

4 kcal

43
Q

What are normal maintenance fluids for a neonate in first 48 hours of life in cc/kg/day and cc/kg/hr?

A

75cc/kg/day or 3 cc/kg/hr

44
Q

What are normal maintenance fluids for a 48 hr-1 month old in cc/kg/day or cc/kg/hr?

A

150 cc/kg/day or 6 cc/kg/hr

45
Q

What are normal maintenance fluids for a 1 month old and beyond?

A

4:2:1 rule

46
Q

What is normal maintenance sodium for a neonate in meq/kg/day?

A

3-5 meq/kg/day

47
Q

What is normal maintenance potassium for a neonate in meq/kg/day?

A

2-3 meq/kg/day

48
Q

What is normal maintenance chloride for a neonate in meq/kg/day?

A

1-3 meq/kg/day

49
Q

What is the wavelength of red light?

A

660 nm

50
Q

What is the wavelength of infrared light?

A

925 nm

Pediatric Anesthesia (8 decks)

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