Pediatric surgery Flashcards
Total body weight is a surrogate for
total blood volume = 80 ml/kg
isotonic IVF given at rate
10-20 ml/kg
pRBC is given at rate
10 ml/kg
newborn enteral caloric requirement
100-120 kcal/kg/day
newborn parenteral caloric requirement
90-100 kcal/kg/day
newborn is expected to gain weight at what rate
15-30 g/day
what is the 4-2-1 rule
4 ml/kg/hr for first 10 kg
2 ml/kg/hr for second 10 kg
1 ml/kg/hr for every kg over 20 kg
difficulty clearing secretions, regurgitation of saliva, respiratory difficulty during feeds
inability to pass oro or nasogastric tube
esophageal atresia or tracheoesophageal fistula
coiling of orogastric tube in upper chest on XR
esophageal atresia
presence of gas in GI tract with coiling of tube in upper chest
tracheoesophageal fistula
what does VACTERL stand for
vertebral, anal, cardiac, tracheoesophageal, renal, limb
what is tetralogy of fallot
pulmonary stenosis, VSD, overriding aorta with deviation of the origin to the right side, concentric rightt ventricular hypertrophy
choledochal cysts can lead to
portal hypertension cholangitis carcinoma duodenal obstruction pancreatitis cholelithiasis
treatment of a type III choledochal cyst
ERCP with marsupialization of cyst if small
if large, transduodenal excision with preimplantation of pancreatic duct
treatment of inguinal hernia in baby
reduction then 24-48 hrs observation then operative repair
