Peds Flashcards

1
Q

neonate

A

0-28 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

infant

A

28 days-1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

toddler

A

12-24 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

young child

A

2-12 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

older child

A

12-18 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

lung development: 4 weeks

A

lungs start to form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when do lung start producing surfactant

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when do mature alveoli form

A

36 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when do most alveoli form

A

postnatally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pediatrics have more _________ rib angle

A

horizontal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

peds breathing is __________ driven

A

diaphragmatically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ped ribcage has _______ compliance

A

high compliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why do peds have smaller tidal volumes

A

due to diaphragmatic breathing
25% type 1 fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

FRC is _____ in peds

A

decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

peds have a _______ apneic threshold

A

very short apeneic threshold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

neonates O2 consumption

A

6-8ml/kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

infant O2 consumption

A

3-4 ml?kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

closing capacity in infants is _____ than FRC

A

CC > FRC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when CC approaches FRC, what happens

A

small airway starts to collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

neonate breathing pattern

A

periodic breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is common post op in premature pts

A

apnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

neonatal myocardium has __________ myocytes

A

poorly organized myocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

peds SV

A

fixed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

peds CO is dependent on

A

HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

when is the sympathetic nervous system fully developed

A

4-6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

peds have an exaggerated

A

vagal response
prone to bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what do you give peds before DL

A

atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

as pts get older, HR ______

A

decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

as pts get older, systolic pressure ____

A

increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

as pts get older, RR

A

decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what replaces the placenta after birth

A

kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

GFR at birth

A

15-30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

GFR 5-10 day old

A

50%

34
Q

when does renal function approach normal

A

6 months

35
Q

what drug can you not give to peds under 6 months?

A

NSAIDs
toradol

36
Q

blood volume is ______ in youngest pts

A

higher

37
Q

blood volume in ________ to age

A

inversely proportional

38
Q

Hg before birth

A

HgF

39
Q

Hg after birht

A

HGA

40
Q

Hg at birth rate

A

14-20 g/dl
HgF = 70-80%

41
Q

Nadir occurs

A

9-12 weeks

42
Q

Nadir Hg

A

10-12 g/dL

43
Q

Nadir occurs when

A

loss of HgF but have not made enough HgA

44
Q

Nadir causes ______ shift of the oxy-hb curve

A

right shift due to 2,3 DPG

45
Q

Nadir compensatory mech

A

increase 2,3-DPG

46
Q

peds inhalational induction

A

faster than adults

47
Q

infants MV:FRC ration

A

5:1

48
Q

adults MV:FRC ration

A

1.5:1

49
Q

what pts need the highest MAC values

A

infants 0-6months

50
Q

what fluids should peds get in OR

A

isotonic to avoid hyponatremia/K+ disturbances

51
Q

what crystalloids should you give peds

A

LR
plasmalyte

52
Q

what colloids should you give peds

A

albumin

53
Q

when do we give glucose to peds

A

<6 mos
<5kg

54
Q

why do we give glucose to peds

A

pts are NPO
high metabolism makes diagnosis difficult

55
Q

peds have _________ occiput

A

larger occiput

56
Q

peds have _________ tongue

A

larger tongue

57
Q

what is the narrowest part of peds airway

A

cricoid
(cords)

58
Q

where is the larynx in peds

A

C3-4

59
Q

what shape is a peds epiglottis

A

omega

60
Q

neonate-12 mo mask size

A

2

61
Q

1-4 year mask size

A

3

62
Q

4-12 year mask sizde

A

4

63
Q

12+ year mask size

A

5

64
Q

err on the __________ size for mask

A

larger

65
Q

peds uncuffed ETT

A

age/4 +4

66
Q

peds cuffed ETT

A

uncuffed-0.5

67
Q

peds ETT depth

A

3*internal diameter of tube

68
Q

LMA has ______ airway complications vs ETT in peds

A

lower

69
Q

<5 kg

A

LMA 1

70
Q

5-10kg

A

LMA 1.5

71
Q

10-20kg

A

LMA2

72
Q

20-30kg

A

LMA2.5

73
Q

30-50kg

A

LMA 3

74
Q

50-70kg

A

LMA4

75
Q

peds IBW

A

IBW = 2*age+10

76
Q

peds lose heat more ________ than adults

A

more rapidly

77
Q

how do infants thermoregulate

A

non-shivering thermogenesis
brown fat metabolism

78
Q

when do kids start expericinge PONV

A

2 years

79
Q

what peds sx have higher PONV risk

A

tonsils
ears
eyes
gonadal
cleft palate
dental
lap

80
Q

how to treat PACU stridor

A

dexamethasone
racemic epi

81
Q

PONV treatment

A

dexamethasone
zofran
benadryl

82
Q

emergence agitation treatment

A

demedetomidine (0.5-1mcg/kg) at extubation