Ped Equiptment Flashcards
What terms do you not use when talking with a child in pre-op
Put to sleep
What terms hould you use when taliking with a child
Go to sleep
like they do at night and wake up in the morning
History of a ped begins with what
Prenatal period
in other words moms pregnancy
complications, full term any NICU stays ect
What disease process has a latex allergy
spinabifida
Name 3 allergies you should always ask paretns
eggs, soy, rubber
Always ask about family HX of anesthesia to include
delayed awakening
for pseudocholenesterase deficiency
Airway questions for peds
Hx snoring, stridor, coughing, sleep disturbances, apnea episodes, mouth breathing, and chronic nasal stuffiness
A review of systems is done what 3 do you pay particular attention to
cardio
respiratory
airway
NPO guidlines
Innocent murmurs are in what % of peds
50 %
caused from turbulent flow throught the great vessesl
Formula for ped ETT size
(16+yrs)/4
New born ETT size
3.0-3.5
Up to 12 months ETT size
3.5-4.0
12-18 mths size ETT
4.0
2yr ETT size
4.5
If the neck goes forward with an ETT in what happens to the tube
The tube migrates deeper
What happens if the neck is hyperextended with an ETT in
The tube will pull out of the trachea
A good Rule of thumb for tubing a ped is
always have a 1/2 size bigger and smaller then what you think you are going to use
At what age do you start using cuffed tubes
age 5-6 with a leak test of 30 cmH2O
formula for depth of the ETT in peds
3X diameter
12+(yr/2)
black markings pass the vocal cords
Lma size for neonates up to 5 kg
LMA 1
LMA for infants 5-10 kg
LMA 1.5
LMA for infants 10-20 kg
LMA 2
LMA for infants 20-30 kg
LMA 2.5
LMA for child or small adult >30 kg
LMA 3
What should you change on your ventilator for a Ped Pt
settings for Ped modes and get a ped circuit