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Clinical prep > PEDS > Flashcards

PEDS Flashcards

1
Q

Peds ventilator compliance

A

1 ml/cmh20/ kg

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2
Q

Peds tube length (depth)

A

tube size x 3

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3
Q

Peds ett size > 2yrs

A

(Age/ 4) + 4 = uncuffed

(Age / 4) + 3 = cuffed

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4
Q

Premies < 1 kg ett size

A

2.5

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5
Q

Premies 1-2.5 kg ett size

A

3

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6
Q

Term neonates (6 mo) ett size (2.5-3 kg)

A

3.0-3.5

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7
Q

6 mo - 1 yr ett suze

A

3.5-4.0

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8
Q

1-2 yo ett size

A

4-4.5

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9
Q

EBV for premature infant

A

95 ml/kg

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10
Q

EBV for full term infant

A

85 ml /kg

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11
Q

Infant to 12 mo EBV

A

80 ml/kg

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12
Q

male child EBV

A

75ml/kg

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13
Q

female child EBV

A

65 ml/kg

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14
Q

Peds up to 5 kg LMA size and max cuff volume

A

size 1 up to 4 ml of air

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15
Q

Peds 5-10 kg LMA size and max cuff volume

A

size 1.5 up to 7 ml of air

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16
Q

Peds 10-20 kg LMA size and max cuff volume

A

size 2 up to 10 ml of air

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17
Q

Peds 20-30 kg LMA size and max cuff volume

A

size 2.5 up to 14 ml of air

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18
Q

Peds >30 kg LMA size and max cuff volume

A

size 3 up to 20 ml of air

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19
Q

peds atropine dose

A

0.02 mg/kg IV or IM

may double amount on second dose

ET - 0.03 mg/kg
child max - 1 mg
adolescent max = 2 mg

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20
Q

peds Epinephrine dose

A

0.01 mg/kg
5-10 mcg/kg

ETT dose is 10 x the IV dose . follow with 1-5 ml flush

gtt; 0.01-4 mcg/kg/min

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21
Q

succinylcholine dose peds

A

1 -2 mg /kg IV
2-4 mg/kg IM

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22
Q

When to use a peds circuit?

A

< 50 kg

reservoir bag
1L = 6 mon - 6 yrs < 25 kg
2L = 30-50 kg
3L > 50 kg

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23
Q

Peds VT

A

6-8 ml/kg

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24
Q

Ancef peds dose

A

25 mg/kg

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25
Q

ROC (zemuron) peds dose

A

< 1yo 0.25-0.5 mg/kg
1 yo 0.5-1.2 mg/kg
> 1 yo 1-1.3 mg/kg
IM 1-1.8 mg.kg

onset 90-120 sec
renal 30%, hepatic 70%

25% for maint dose

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26
Q

What does high FiO2 cause in peds

A

< 1250 gram or less than and < 31 weeks gestation are at highest risk for retinopathy of prematurity ( ROP) with high leves of O2

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27
Q

VEC norcuron dose PEDS

A

< 1 yo 0.05-0.1mg/kg
> 1 yo 0.1 mg/kg

onset 2-3 min renal 30%, hepatic 70%

25% for maint dose

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28
Q

Propofol induction dose for peds

A

2.5-3.5 mg /kg

emergency = 0.5mg/kg

gtt; 50-200 mcg/kg/min

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29
Q

Etomidate peds dose

A

0.3-0.4 mg/kg

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30
Q

Ketamine IV dose peds

A

1-2 mg/kg

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31
Q

Peds Ketamine IM dose

A

5-10 mg/kg

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32
Q

Peds Ketamine intranasal dose

A

0.15-0.3mg/kg

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33
Q

Nimbex beds dose peds

A

0.1-0.2 mg/kg

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34
Q

Robinul peds dose

A

0.01 mg/kg
or 5-10 mcg/kg

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35
Q

Neostigmine peds dose

A

0.05-0.07 mg/kg

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36
Q

Fentanyl peds dose

A

1-2mcg/kg IV

intranasal (1ml/nare) 2 mcg/kg

2-10 mcg/kg. hearts = 50 mcg/kg

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37
Q

Morphine peds doses IV and IM

A

0.05-0.1 mg/kg IV
0.1-0.15 mg/kg IM

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38
Q

Demerol peds dose

A

1-2 mg/kg

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39
Q

Dilaudid peds dose

A

0.015 mg/kg
< 20 kg not recommedned

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40
Q

Sufentanyl peds dose intransasal and IV

A

Intranasal 0.25–0.5 mcg/kg

IV = 0.2-0.6 mcg/kg

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41
Q

Remifent peds dose IV and GTT

A

0.5-1 mcg/kg

gtt 0.05-1.3mcg/kg/min

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42
Q

Narcan peds dose

A

0.01 mg/kg

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43
Q

nubain dose

A

0.1-0.2 mg/kg

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44
Q

Tylenol Peds dose, IV, Rectal/PO

A

10-15 mg/kg IV (safety and efficacy not esablished < 2 yo)

Rectal/PO; (10-40mg/kg)
3 mo - 3 yr=80 mg
3-6 yr = 120 mg
6-12 yr = 325 mg
> 12 yo = 325-650 mg

max = 4 grams in 24 hrs

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45
Q

Toradol Peds dose

A

0.5 mg/kg IV / IM

safety and efficacy not established < 2 yo

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46
Q

Precedex peds dose, intranasal, IV loading dose, emergence, gtt

A

Intransasal 2 mcg/kg

loading dose - 1 mcg/kg over 10 min

emergence 0.5 mcg/kg

gtt; 0.1-0.7 mcg/kg/hr

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47
Q

Ibuprofen (caldor) peds dose

A

10 mg/kg

daily max dose = 40 mg/kg or 2.4 grams whichever is less

not approved for < 6 mo

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48
Q

Versed Peds dose

A

0.05-0.15 mg/kg IV (0-6 months)

0.3-0.5 mg/kg Nasal
0.5-0.7 mg/kg PO up to 15 mg

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49
Q

Ativan peds dose

A

0.05 mg/kg

status epilepticus 0.05-0.1 mg/kg

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50
Q

Peds valium dose

A

0.1-0.2 mg/kg

status; 0.2-0.3 mg/kg

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51
Q

Romazicon peds dose

A

0.02-0.03 mg/kg reversal

max 0.1mg/kg

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52
Q

Crystalloid bolus for peds mild hypotension

A

< 10 kg = 5-10 ml/kg
> 10 kg = 20 ml/kg

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53
Q

Crystalloid bolus for peds severe hypotension

A

20-50 ml/kg

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54
Q

Albumin bolus for peds mild hypotension

A

< 10 kg = 5-10 ml/kg

> 10 kg = 20 ml /kg

55
Q

Albumin bolus dose for peds severe hypotesnion

A

20-50 ml/kg

56
Q

Peds blood bolus

A

10-20 ml/kg

57
Q

anzemet peds dose

A

0.35 mg/kg up to 12.5 mg

58
Q

Zofran peds dose

A

0.1 mg/kg

59
Q

Reglan peds dose

A

0.1mg/kg

60
Q

Decadron peds dose

A

0.2-1 mg/kg
max dose = 20 mg

61
Q

Pepcid peds dose

A

0.5 mg/kg

62
Q

solucortef (hydrocortizone) peds dose

A

1-2 mg/kg

63
Q

zantac peds dose

A

0.5-1 mg/kg

64
Q

Solumedrol peds dose

A

1-2 mg/kg max is 125 mg

65
Q

Phenergean peds dose

A

0.5-1 mg/kg

dont exceed 25 mg

66
Q

scopalamine peds dose

A

6 mcg/kg

67
Q

Esmolol peds dose IV and gtt

A

0.1-0.5 mg/kg

gtt 50-100 mcg/kg / min

68
Q

Hydralazine peds dose

A

0.15-0.3 mg/kg

69
Q

Isopreterenol peds dose gtt

A

0.1-2.0 mcg/kg/min

70
Q

mannitol peds dose

A

0.25-1 grams/kg

71
Q

lidocaine peds dose

A

1 mg/ kg

max = 3mg/kg

72
Q

Vasopressin peds dose

A

< 1 yo 0.1-0.2 units/kg
1-15 yo 0.1-0.3 units/kg

73
Q

Dantrolene meds dose

A

2.5 mg/kg q 5 min up to 30 mg/kg

ryanodex = same dose but its more concentrated

74
Q

Albuterol peds dose

A

MDI = multiple puffs
nebulizer 0.1-0.15 mg/kg

status asthematicus = 0.02-0.03 ml/kg of 5 mg/ml solution with nss to make 3 ml total in nebulizer. max dose is 2.5 mg

75
Q

Benedryl peds dose

A

0.5-2 mg/kg

76
Q

CaCL10% peds dose

A

20 mg/kg

dont bolus. for hypocalcemia, hypermagnzemia and ca channel blocker toxicity

77
Q

Ca Gluconate peds dose

A

30 mg/kg- 50 mg/kg

78
Q

Ephedrine peds dose

A

0.2-0.3 mg/kg

79
Q

adenosine peds dose

A

0.1mg/kg
if second dose is needed administer 2 x the initial dose

80
Q

Amiodarone peds dose

A

5 mg/kg

bolus over 20 min for SVT

81
Q

Magnesium peds dose

A

25-50 mg/kg

82
Q

milrinone peds dose bolus and gtt

A

50-75 mcg/kg loading dose

gtt= 0.25-0.75 mcg/kg/min

83
Q

furosemide peds dose

A

1 mg/kg

84
Q

Phenylephrine peds dose

A

2-5 mcg/kg
0.1-0.7mcg/kg/min

safety and efficacy not established

85
Q

Defibillation peds dose

A

2 joules/kg initial

if repeated 4 joules/kg

86
Q

Cardioversion peds dose

A

A flutter 0.5 joules/kg
a fib 1 joule/kg

87
Q

When is the sympathetic nervous system fully developed

A

4-6 months

88
Q

infants and newborns are prone to bradycardia with what?

A

Hypoxia
hypovolemia
laryngoscopy
pharyngeal suctioning

89
Q

Weight thats considered low birth weight

A

<1500 grams

90
Q

1 lb is how many grams

A

454 grams

91
Q

2 lbs is how many grams

A

908 grams

92
Q

3 lbs is how many grams

A

1363 grams

93
Q

4 lbs is how many grams

A

1818 grams

94
Q

Birth weight doubles by _____ triples by ____

A

Birth weight doubles by 6 months triples by 1 year

by 4 yrs the average wt is 18 kg and 40 inches long

95
Q

Resting stroke volume in neonate

A

1 ml/kg/min

SV is constant due to LV being non compliant because myocardium is not fully developed. and poorly developed

96
Q

CO at birth and adolesency

A

CO at birth = 200 ml/kg/min

CO at adolescence - 100 ml/kg/min

97
Q

PEDS EKG changes

A

right sided predominancy of the fetal heart so the neonate has a R axis deviation

Right leads have tall R waves
Deep S waves in the Left leads
SHort qrs duration
T waves intervets to the left

98
Q

Neonate normal HR

A

150 bpm

99
Q

Term neonate cerebral blood flow

A

42-48 ml/ 100 grams/ min

100
Q

4-6 months cerebral blood flow

A

90-100ml/100 grams/ min

101
Q

3-4 years old cerebral blood flow

A

110ml/100 grams/min

102
Q

9 years old cerebral blood flow

A

78 mls/ 100 grams/ min

103
Q

1 lb is how many grams

A

453 grams

104
Q

Normal ICP in neonates

A

2-4 mmhg

105
Q

Where does the spinal cord end at birth

A

L3 and is normal by the age of 8 yes

106
Q

HCO3 replacement dose

A

0.2 x weight (kg) x base deficit

1 meq/kg

for metabolic acidosis and TCA OD
use 0.5 meq/ml conc in neonates.

107
Q

Dopamine peds dose

A

3-20mcg/kg/min

108
Q

Dobutamine peds dose

A

2.5-20 mcg/kg/min

109
Q

Peds O2 consumption

A

6-7ml/kg/min

110
Q

FRC peds

A

27-30 ml /kg

111
Q

Oxy hbg curve shift with peds

A

left shift because incrased fetal hbg afifnity and decreased DPG

112
Q

Preterm Heart rate, sbp, RR

A

HR = 120-200 bpm
SBP= 40-60
RR= 55-60

map = gestational age in weeks

113
Q

Newborn HR, SBP, RR

A

HR= 100-150
SBP= 50-75
RR = 35-40

114
Q

6 month HR,SBP,RR

A

HR = 110-150
SBP= 60-110
RR- 25-30

115
Q

1-2 yrs HR, SBP, RR

A

HR= 100-130
SBP= 65-115
RR= 20-24

116
Q

2-3 yrs HR,SBP,RR

A

HR= 90-125
SBP = 75-125
RR= 16-22

117
Q

3-5 yrs HR, SBP,RR

A

HR= 80-135
SBP= 80-120
RR = 14-20

118
Q

5-8 yrs HR, SBP, RR

A

HR= 80-115
SBP= 90-120
RR = 12-20

119
Q

9-12 yrs HR,SBP, RR

A

HR = 70-110
SBP = 90-130
RR= 12-20

120
Q

12-14 yrs HR, SBP, RR

A

HR = 65-115
SBP= 110-140
RR = 10-14

121
Q

Room temps based on age

A

Newborns—-80
1-6 months–78
6mo-2 years-76
Over 2 years-74

122
Q

NPO times PEDS

A

Clear liquids —- 2 hours
Breast milk —- 4 hours
Infant formula– 6 hours
Non-human milk 6 hours
Light meal —— 6 hours
Meal with fat—- 8 hours

123
Q

Difference between formula and breast milk

A

breast milk = fat
formula = particulate matter = like a solid but not quiet

124
Q

Sevo MAC for 0-1 month

A

3.3%

125
Q

Sevo MAC 1-5 months

A

3%

126
Q

Sevo MAC 6 months - 3 yrs

A

2.8%

127
Q

SEVO MAC 3-12 yrs

A

2.5%

128
Q

PEDs TXA dose

A

loading dose 10 mg/kg over 30 min then gtt 1 mg/kg/hr

129
Q

Heparin peds dose

A

1-3 mg/kg IV or 100-300 units/kg

130
Q

Protamine peds dose

A

3-5 mg/kg SLOW IV

131
Q

nitroglycerine peds dose

A

0.5-5 mcg/kg/min

132
Q

SNP peds dose

A

0.05-5 mcg/kg/min

133
Q

Diltiazem (cardizem) peds dose bolus and gtt

A

0.25 mg/kg over 2 min
gtt = 4-15 mg/hr

134
Q
A

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