Pediatrics Flashcards

1
Q

neonate

A

0-28 days of life

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2
Q

preterm

A

< 37 weeks of cooking

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3
Q

infant

A

28 days - 12 months

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4
Q

neonate

A

0-28 days of life

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5
Q

postmenstrual age

A

gestational age + postnatal age

how long they cooked + how long they are out

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6
Q

corrected age

A

postnatal age - how many many weeks born early
16 wk old born 12 wks premature = 4 wks corrected age

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7
Q

infnat weight ___ by 4-6 months

A

doubles

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8
Q

prediatric vital signs

  • baby HR starts ___ and ___ as they get older
  • baby BP starts ___ and ___ as they get older
  • baby RR starts ___ and ___ as they get older
A
  • high, decreases
  • low, increases
  • high, decreases
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9
Q
  • anything over ___ F or ___ C is considered a fever
  • ___ temps are more accurate
  • ___ have difficulty regulating temperature bc brains are still developing
A
  • 100.4 F
  • 38 C
  • rectal
  • neonates
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10
Q

T or F: refer everyone less than 3 months old with a fever

A

True

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11
Q

refering with a fever

  • fever with neck stiffness can be a sign of ___
  • refer pts less than 2 yo with a fever over __ hrs
  • refer pts 2 yo or greater with fever over ___ hrs
  • refer all ages with a fever over ___ F or ___ C
  • refer if no improvement despite treatment
A
  • meningitis
  • 24 hrs
  • 72 hrs
  • 104 F or 40 C
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12
Q

Acetaminophen dosing: __ mg/kg/dose q4-6h
MAX: ___ mgkg/day or ___ g/day (whichever is lower)
Standard concentration: ___

A
  • 10-15
  • 75
  • 4
  • 160mg/5mL (32mg/mL)
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13
Q

Ibuprofen Dosing: ___ mg/kg/dose q6-8h
MAX: ___ mg/kg/day
standard concentration: ___
* can cause ___ and GI upset
* only give to children ___ month or greater

A
  • 5-10
  • 40
  • 100mg/5mL (20mg/mL)
  • nephrotoxicity
  • 6 months
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14
Q

why do babies have a low SCr?

A

SCr is a byproduct of muscle and infants don’t have much!

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15
Q

baby PK

absorption
* thinner skin layers in ___
* slower rate of ___ absorption
* gastric pH not as ___
* oral administration of acid-labile compounds (penicillin G) have higher ___
* oral administration of weak acids (phenobarbital) require ___ oral doses

A
  • neonates
  • enteral
  • acidic
  • bioavailability
  • larger
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16
Q

baby PK

distribution
* increase total body ___
* increased extracellular ___
* ___ protein binding

A
  • water
  • fluid
  • decreased

babies are water balloons

17
Q

baby PK

Metabolism
* ___ enzymes take time to mature
* dosing requirements change over time
* CYP ___ reaches adult levels areounf 9-12 months of age

A
  • liver
  • 1A2

babies caffeine t1/2 = 3 days

18
Q

baby PK

Excretion - urine output
* appropriate = >/= ___ mL/kg/hour
* oliguria = < ___ mL/kg/hour
* anuria = 0 mL/kg/hour

CrCL calculated via bedside schwartz = ___ x (height in cm/SCr)

A
  • 1 mL/kg/hour
  • < 0.5 mL/kg/hour
  • 0.413
19
Q

baby PK

Excretion - GFR
neonates are not good at ___ urine. Renal function improves as they develop

A

concentrating