Pediatrics: Helpful Wards info

Question 1

Fluid requirements

Answer 1

Option 2 = 4/2/1 rule (to calculate hourly rate)
4 cc/kg/hour for first 10 kg; from 10-20 kg, additional 2 cc/kg/hour; over 20 kg, give 1cc/kg/hour for each additional kg.

Question 2

Adequate urine output

Answer 2

0.5-1.0 cc/kg/hr

Question 3

Caloric requirements for hospitalized patients

Answer 3

patients

Question 4

Caloric content of formula/breast milk

Answer 4

Formula and breast milk ->20kcal/ounce = 20kcal/30 cc = 0.67 kcal/cc

Similac 24 -> 24 kcal/30 cc = 0.8 kcal/cc

Tolerex -> 30kcal/30 cc = 1.0 kcal/cc

Question 5

Cow milk based formula

Answer 5

Similac, Enfamil, SMA

Question 6

Soy based formula

Answer 6

Isomil, Prosobee

Question 7

Elemental formula

Answer 7

Pregestimil, Nutramigen, Tolerex, Vivonex

Question 8

Pre-me infant formula

Answer 8

Special Care, Enfamil Premature

Question 9

Lactose-free formula

Answer 9

Lactofree

Question 10

Growth trajectory of neonates/infants

Answer 10

Infants should regain their birth weight by 10-14 days of age (after losing up to 10% of birth weight).
Infant gains 1 ounce (30 grams) per day.

Weight doubles by 5 months, triples by 1 year, quadruples by 2 years.

Length doubles by 1 year, triples by 13 years.

Question 11

Newborn vitals

Answer 11

HR=100-160

RR= 40-60

Answer 12

RR=30-60

HR=100-160

Question 13

1-2yo HR/RR

Answer 13

RR=24-40

HR=90-150

Question 14

2-5yo HR/RR

Answer 14

RR=22-34

HR=80-140

Question 15

5-12yo HR/RR

Answer 15

RR=18-30

HR=70-120

Question 16

> 12yo HR/RR

Answer 16

RR=12-16

HR=60-100