Pediatrics

Question 1

Apgar scores

Answer 1

Reflex Irritability
Color
Heart Rate
Muscle Tone
Breathing
**highest score is 10. Categories range from 0 to 2; documented at 5 and 8 minutes

Question 2

What increases risk for postoperative apnea in infants?

Answer 2

Born large for gestational age (or normal), GA and regional anesthesia with sedation, anemia, post conceptual age <60 weeks

Question 3

Beckwith Wiedemann Syndrome

Answer 3

Increase in soft tissue growth. Abdominal wall defects, macroglossia, large body, hypoglycemia

Question 4

Klippel-Feil Syndrome

Answer 4

Cervical spine fusion resulting in difficult intubation.

Question 5

Prostaglandin Infusion

Answer 5

Can cause apnea in an infant. Keeps PDA open, causes decrease in PVR and SVR (can cause hypotension)

Question 6

Transfusions (Hct <20% or <25% with on-going bleeding)

Answer 6

Initial transfusion 10-15 ml/kg