PEDS Flashcards
1
Q
Peds ventilator compliance
A
1 ml/cmh20/ kg
2
Q
Peds tube length (depth)
A
tube size x 3
3
Q
Peds ett size > 2yrs
A
(Age/ 4) + 4 = uncuffed
(Age / 4) + 3 = cuffed
4
Q
Premies < 1 kg ett size
A
2.5
5
Q
Premies 1-2.5 kg ett size
A
3
6
Q
Term neonates (6 mo) ett size (2.5-3 kg)
A
3.0-3.5
7
Q
6 mo - 1 yr ett suze
A
3.5-4.0
8
Q
1-2 yo ett size
A
4-4.5
9
Q
EBV for premature infant
A
95 ml/kg
10
Q
EBV for full term infant
A
85 ml /kg
11
Q
Infant to 12 mo EBV
A
80 ml/kg
12
Q
male child EBV
A
75ml/kg
13
Q
female child EBV
A
65 ml/kg
14
Q
Peds up to 5 kg LMA size and max cuff volume
A
size 1 up to 4 ml of air
15
Q
Peds 5-10 kg LMA size and max cuff volume
A
size 1.5 up to 7 ml of air
16
Q
Peds 10-20 kg LMA size and max cuff volume
A
size 2 up to 10 ml of air
17
Q
Peds 20-30 kg LMA size and max cuff volume
A
size 2.5 up to 14 ml of air
18
Q
Peds >30 kg LMA size and max cuff volume
A
size 3 up to 20 ml of air
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
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
21
Q
succinylcholine dose peds
A
1 -2 mg /kg IV
2-4 mg/kg IM
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
23
Q
Peds VT
A
6-8 ml/kg
24
Q
Ancef peds dose
A
25 mg/kg
25
ROC (zemuron) peds dose
< 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
26
What does high FiO2 cause in peds
< 1250 gram or less than and < 31 weeks gestation are at highest risk for retinopathy of prematurity ( ROP) with high leves of O2
27
VEC norcuron dose PEDS
< 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
28
Propofol induction dose for peds
2.5-3.5 mg /kg
emergency = 0.5mg/kg
gtt; 50-200 mcg/kg/min
29
Etomidate peds dose
0.3-0.4 mg/kg
30
Ketamine IV dose peds
1-2 mg/kg
31
Peds Ketamine IM dose
5-10 mg/kg
32
Peds Ketamine intranasal dose
0.15-0.3mg/kg
33
Nimbex beds dose peds
0.1-0.2 mg/kg
34
Robinul peds dose
0.01 mg/kg
or 5-10 mcg/kg
35
Neostigmine peds dose
0.05-0.07 mg/kg
36
Fentanyl peds dose
1-2mcg/kg IV
intranasal (1ml/nare) 2 mcg/kg
2-10 mcg/kg. hearts = 50 mcg/kg
37
Morphine peds doses IV and IM
0.05-0.1 mg/kg IV
0.1-0.15 mg/kg IM
38
Demerol peds dose
1-2 mg/kg
39
Dilaudid peds dose
0.015 mg/kg
< 20 kg not recommedned
40
Sufentanyl peds dose intransasal and IV
Intranasal 0.25--0.5 mcg/kg
IV = 0.2-0.6 mcg/kg
41
Remifent peds dose IV and GTT
0.5-1 mcg/kg
gtt 0.05-1.3mcg/kg/min
42
Narcan peds dose
0.01 mg/kg
43
nubain dose
0.1-0.2 mg/kg
44
Tylenol Peds dose, IV, Rectal/PO
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
45
Toradol Peds dose
0.5 mg/kg IV / IM
safety and efficacy not established < 2 yo
46
Precedex peds dose, intranasal, IV loading dose, emergence, gtt
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
47
Ibuprofen (caldor) peds dose
10 mg/kg
daily max dose = 40 mg/kg or 2.4 grams whichever is less
not approved for < 6 mo
48
Versed Peds dose
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
49
Ativan peds dose
0.05 mg/kg
status epilepticus 0.05-0.1 mg/kg
50
Peds valium dose
0.1-0.2 mg/kg
status; 0.2-0.3 mg/kg
51
Romazicon peds dose
0.02-0.03 mg/kg reversal
max 0.1mg/kg
52
Crystalloid bolus for peds mild hypotension
< 10 kg = 5-10 ml/kg
> 10 kg = 20 ml/kg
53
Crystalloid bolus for peds severe hypotension
20-50 ml/kg
54
Albumin bolus for peds mild hypotension
< 10 kg = 5-10 ml/kg
> 10 kg = 20 ml /kg
55
Albumin bolus dose for peds severe hypotesnion
20-50 ml/kg
56
Peds blood bolus
10-20 ml/kg
57
anzemet peds dose
0.35 mg/kg up to 12.5 mg
58
Zofran peds dose
0.1 mg/kg
59
Reglan peds dose
0.1mg/kg
60
Decadron peds dose
0.2-1 mg/kg
max dose = 20 mg
61
Pepcid peds dose
0.5 mg/kg
62
solucortef (hydrocortizone) peds dose
1-2 mg/kg
63
zantac peds dose
0.5-1 mg/kg
64
Solumedrol peds dose
1-2 mg/kg max is 125 mg
65
Phenergean peds dose
0.5-1 mg/kg
dont exceed 25 mg
66
scopalamine peds dose
6 mcg/kg
67
Esmolol peds dose IV and gtt
0.1-0.5 mg/kg
gtt 50-100 mcg/kg / min
68
Hydralazine peds dose
0.15-0.3 mg/kg
69
Isopreterenol peds dose gtt
0.1-2.0 mcg/kg/min
70
mannitol peds dose
0.25-1 grams/kg
71
lidocaine peds dose
1 mg/ kg
max = 3mg/kg
72
Vasopressin peds dose
< 1 yo 0.1-0.2 units/kg
1-15 yo 0.1-0.3 units/kg
73
Dantrolene meds dose
2.5 mg/kg q 5 min up to 30 mg/kg
ryanodex = same dose but its more concentrated
74
Albuterol peds dose
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
Benedryl peds dose
0.5-2 mg/kg
76
CaCL10% peds dose
20 mg/kg
dont bolus. for hypocalcemia, hypermagnzemia and ca channel blocker toxicity
77
Ca Gluconate peds dose
30 mg/kg- 50 mg/kg
78
Ephedrine peds dose
0.2-0.3 mg/kg
79
adenosine peds dose
0.1mg/kg
if second dose is needed administer 2 x the initial dose
80
Amiodarone peds dose
5 mg/kg
bolus over 20 min for SVT
81
Magnesium peds dose
25-50 mg/kg
82
milrinone peds dose bolus and gtt
50-75 mcg/kg loading dose
gtt= 0.25-0.75 mcg/kg/min
83
furosemide peds dose
1 mg/kg
84
Phenylephrine peds dose
2-5 mcg/kg
0.1-0.7mcg/kg/min
safety and efficacy not established
85
Defibillation peds dose
2 joules/kg initial
if repeated 4 joules/kg
86
Cardioversion peds dose
A flutter 0.5 joules/kg
a fib 1 joule/kg
87
When is the sympathetic nervous system fully developed
4-6 months
88
infants and newborns are prone to bradycardia with what?
Hypoxia
hypovolemia
laryngoscopy
pharyngeal suctioning
89
Weight thats considered low birth weight
<1500 grams
90
1 lb is how many grams
454 grams
91
2 lbs is how many grams
908 grams
92
3 lbs is how many grams
1363 grams
93
4 lbs is how many grams
1818 grams
94
Birth weight doubles by _____ triples by ____
Birth weight doubles by 6 months triples by 1 year
by 4 yrs the average wt is 18 kg and 40 inches long
95
Resting stroke volume in neonate
1 ml/kg/min
SV is constant due to LV being non compliant because myocardium is not fully developed. and poorly developed
96
CO at birth and adolesency
CO at birth = 200 ml/kg/min
CO at adolescence - 100 ml/kg/min
97
PEDS EKG changes
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
Neonate normal HR
150 bpm
99
Term neonate cerebral blood flow
42-48 ml/ 100 grams/ min
100
4-6 months cerebral blood flow
90-100ml/100 grams/ min
101
3-4 years old cerebral blood flow
110ml/100 grams/min
102
9 years old cerebral blood flow
78 mls/ 100 grams/ min
103
1 lb is how many grams
453 grams
104
Normal ICP in neonates
2-4 mmhg
105
Where does the spinal cord end at birth
L3 and is normal by the age of 8 yes
106
HCO3 replacement dose
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
Dopamine peds dose
3-20mcg/kg/min
108
Dobutamine peds dose
2.5-20 mcg/kg/min
109
Peds O2 consumption
6-7ml/kg/min
110
FRC peds
27-30 ml /kg
111
Oxy hbg curve shift with peds
left shift because incrased fetal hbg afifnity and decreased DPG
112
Preterm Heart rate, sbp, RR
HR = 120-200 bpm
SBP= 40-60
RR= 55-60
map = gestational age in weeks
113
Newborn HR, SBP, RR
HR= 100-150
SBP= 50-75
RR = 35-40
114
6 month HR,SBP,RR
HR = 110-150
SBP= 60-110
RR- 25-30
115
1-2 yrs HR, SBP, RR
HR= 100-130
SBP= 65-115
RR= 20-24
116
2-3 yrs HR,SBP,RR
HR= 90-125
SBP = 75-125
RR= 16-22
117
3-5 yrs HR, SBP,RR
HR= 80-135
SBP= 80-120
RR = 14-20
118
5-8 yrs HR, SBP, RR
HR= 80-115
SBP= 90-120
RR = 12-20
119
9-12 yrs HR,SBP, RR
HR = 70-110
SBP = 90-130
RR= 12-20
120
12-14 yrs HR, SBP, RR
HR = 65-115
SBP= 110-140
RR = 10-14
121
Room temps based on age
Newborns----80
1-6 months--78
6mo-2 years-76
Over 2 years-74
122
NPO times PEDS
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
Difference between formula and breast milk
breast milk = fat
formula = particulate matter = like a solid but not quiet
124
Sevo MAC for 0-1 month
3.3%
125
Sevo MAC 1-5 months
3%
126
Sevo MAC 6 months - 3 yrs
2.8%
127
SEVO MAC 3-12 yrs
2.5%
128
PEDs TXA dose
loading dose 10 mg/kg over 30 min then gtt 1 mg/kg/hr
129
Heparin peds dose
1-3 mg/kg IV or 100-300 units/kg
130
Protamine peds dose
3-5 mg/kg SLOW IV
131
nitroglycerine peds dose
0.5-5 mcg/kg/min
132
SNP peds dose
0.05-5 mcg/kg/min
133
Diltiazem (cardizem) peds dose bolus and gtt
0.25 mg/kg over 2 min
gtt = 4-15 mg/hr
134
