Peds Ch 3

Question 1

It is estimated that ____________ of children develop significant fear and anxiety before their surgery

Answer 1

40% to 60%

Question 2

Children between the ages of ____________ years are at greatest risk for developing extreme anxiety and distress.

Answer 2

1 and 5

Question 3

when does separation anxiety peak

Answer 3

1 year

Question 4

the most commonly used sedative premedicant

Answer 4

midazolam

Question 5

emergence delirium is characterized by (3)

Answer 5

• nonpurposeful restlessness and agitation
• thrashing, crying or moaning
• disorientation in the recovery room

Question 6

up to ____________ of all children undergoing anesthesia develop emergence delirium

Answer 6

80%

Question 7

what factors ↑ emergence delirium

Answer 7

• young age (2–6 years)
• preoperative anxiety (although controversial)
• the type of anesthetic (sevoflurane, desflurane, and isoflurane ≫ total intravenous anesthesia [TIVA], halothane)

Question 8

what does not predict delirium

Answer 8

Rapid emergence and depth of anesthesia do not predict delirium

Question 9

Some children demonstrate new negative behaviors postoperatively, such as …

Answer 9

new onset of general anxiety, nighttime crying, enuresis, separation anxiety, temper tantrums, and sleep or eating disturbances