Pediatric Anesthesia CSV

Question 2

Induction dose Ketamine (mg/kg)

Answer 2

1-2 mg/kg iv

Question 3

Induction dose Etomidate (mg/kg)

Answer 3

0.2 mg/kg

Question 4

Intramuscular dose of Succinylcholine

Answer 4

4 mg/kg IM

Question 5

Midazolam Premedication PO (mg/kg)

Answer 5

0.5-1 mg/kg

Question 6

Midazolam Premedication IV (mg/kg)

Answer 6

0.05-0.1 mg/kg

Question 7

Acetominophen (mg/kg ) PO + max dose

Answer 7

20 mg/kg, max daily dose 90 mg/kg, for children age greater than 3 months

Question 8

Acetominphen (mg/kg) PR dosing

Answer 8

30 - 35 mg/kg

Question 9

Ketorolac mg/kg dosing

Answer 9

0.25-0.5 mg/kg; max 30mg; child should be >8 kg and 8 months old

Question 10

Hydromorphone dosing (mg/kg)

Answer 10

0.015 mg/kg

Question 11

Flumazenil (mg/kg)

Answer 11

0.01 mg/kg IV (max 0.2 mg/dose)

Question 12

Neostigmine (mg/kg)

Answer 12

0.05-0.08 mg/kg

Question 13

Naloxone (mcg/kg)

Answer 13

1 mcg/kg IV, titrate to Respiratory Rate

Question 14

Atropine (mg/kg) for bradycardia

Answer 14

0.02 mg/kg IV or IM, higher doses may be needed for organophosphate toxicity. T1/2; 2-3hours(7hours if <2 years)

Question 15

Epinephrine for Cardiac Arrest (mg/kg)

Answer 15

IV 0.01 mg/kg (0.1 mL/kg of 1:10,000) or ETT 0.1 mg/kg (0.1mL/kg of 1:1,000)

Question 16

CaCL for Cardiac Arrest (mg/kg)

Answer 16

20 mg/kg IV, if not cardiac arrest infuse over 30mins

Question 17

Calcium Gluconate dosing (mg/kg)

Answer 17

100 mg/kg IV

Question 18

Dextrose for Hypoglycemia

Answer 18

0.5-1 g/kg (D50W 1-2ml/kg; D25W 2-4 ml/kg; D10W 5-10 ml/kg) note: D10W is 0.1g/mL

Question 19

Joules for cardioversion in V tach (Joules/kg)

Answer 19

2 J/kg first shock; 4 J/kg 2nd shock

Question 20

Medications that can be given via ETT

Answer 20

LANE; Lidocaine, Atropine, Naloxone, Epinephrine (give 2-3 times IV dose)

Question 21

Adenosine dosing (mg/kg)

Answer 21

0.1mg/kg first dose, 0.2mg/kg 2nd dose

Question 22

Dosing for Albuterol Nebulizer

Answer 22

2.5mg every 20 minutes if less than 20kg; 5mg every 20minutes if >20kg

Question 23

Amioderone dosing for Pulseless VT (mg/kg)

Answer 23

5mg/kg bolus (max 300mg). Max daily dose of 15mg/kg. For VT with pulse give 5mg/kg load over 20-60 mins

Question 24

Dexamethasone for Asthma/Croup (mg/kg)

Answer 24

0.6mg/kg PO/IM/IV (max dose 16mg)

Question 25

Diphenhydramine dosing for anaphylaxis (mg/kg)

Answer 25

1-2mg/kg every 4-6hours, max dose 50mg

Question 26

Dobutamine dosing

Answer 26

2-20 mcg/kg/min

Question 27

Dopamine dosing

Answer 27

2-20 mcg/kg/min

Question 28

Drug used to treat infiltration of Dopamine or Norepi infusion

Answer 28

Phentolamine

Question 29

IM epinephrine dosing

Answer 29

0.01 mg/kg (0.01 ml/kg 1:1000) every 15 mins (max dose 0.3mg). IM autoinjector 0.3mg for >30kg; IM autoinjector junior 0.15mg for patients 10-30kg.

Question 30

Nebulized Epinephrine dosing for croup

Answer 30

0.25mL racemic solution (2.25%) mixed in 3mLs NS or 0.5mL/kg of 1:1000 epi, max 5mL, dilute in 3mL NS

Question 31

t1/2 of Epinephrine IV

Answer 31

2-4 mins

Question 32

Hydrocortisone dosing for adrenal insufficiency

Answer 32

2 mg/kg (max 100mg)

Question 39

NPO time for breast milk

Answer 39

Light meal/formula 6h; breast milk 4h; clears 2h

Question 40

Avg weight for 1 year old

Answer 40

10kg

Question 41

Avg weight for 6 year old

Answer 41

20kg

Question 42

Avg weight for 10 year old

Answer 42

30kg

Question 43

Avg weight at birth

Answer 43

3.5kg

Question 44

HR for Newborn

Answer 44

140 (90-170)

Question 45

HR for 6 month old

Answer 45

120 (80-160)

Question 46

HR for 1 year old

Answer 46

110 (80-160)

Question 47

HR for 6 year old

Answer 47

100 (75-115)

Question 48

HR for 10 year old

Answer 48

90 (70-11)

Question 51

Platelet infusion in ml/kg

Answer 51

1unit/10 kg BW will increase plt count 10k (30-50ml/unit)

Question 52

FFP infusion in ml/kg

Answer 52

5-10ml/kg (1ml/kg increases factors by approx 3%)

Question 53

pRBC infusion in ml/kg

Answer 53

10ml/kg will increase hct 6-10

Question 54

Cryoprecipitate infusion in units/kg

Answer 54

1 unit/10kg, indication is low fibrinogen, Hemophilia A(VIII), VWF def, Factor XIII def.

Question 55

Formula for Allowable Blood Loss

Answer 55

{(initial hct - allowable hct)/mean of initial and lowest acceptable} x weight(kg) x EBV

Question 56

EBV for newborn

Answer 56

90 ml/kg

Question 57

EBV for Child

Answer 57

70 ml/kg

Question 58

EBV for Adult

Answer 58

60 ml/kg

Question 59

EBV for Premature infant

Answer 59

100 ml/kg