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Advance Principles I, Exam 4 > Peds Co-existing Diseases > Flashcards

Peds Co-existing Diseases Flashcards

1
Q

What is required to maintain alveolar stability

A

Surfactant

Appears 23-34 weeks gestation, but not enough

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2
Q

Surfactant deficiency in alveoli causes

A

Collapsed alveoli
R–L shunting
Hypoxia
Metabolic acidosis

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3
Q

Anasthetic Managment of RDS

A

Hct >40%

May need a specialty vent from nicu

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4
Q

What is BPD

A

Chronic lung disorder in children with history of RDS

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5
Q

Why Preemies are at risk for IVH

A

Impaired cerebral autoregulation

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6
Q

Neonatal apnea

Anasthetic managment

A

GA w minimal narcotics

Monitor 24 hrs post op or minimum 12 hrs

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7
Q

Which defect is ass with club feet

List other conditions

A

Prune belly syndrome

Genitourinary & renal abnormalities
Musculoskeletal abd

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8
Q

What is hirschsprung disease

Anesthesia managment

A

Absence of ganglion cells in rectum and distal colon

Anasthetic managment same as for open abd case

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9
Q

Pyloric stenosis

Anasthesia managment

A

Full stomach, sx prior to intubation
Limit narcotics
Awake extubation

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10
Q

Which disease is ass with metabolic alkalosis and which with acidosis

A

Met alkalosis is pyloric stenosis

Met acidosis is necrotizing enterocolitis

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11
Q

Hallmarks of diaphragmatic hernia

A

Hypoxia
Scaphoid abdomen
Bowel in thorax

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12
Q

Rx for congetinal diap hernia

A

Pre op stabilization

  • aggressive ventilation strategies: surfactant, N2O, HFOV (tiny breaths, super fast)
  • ECMO
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13
Q

Anasthesia for congenital diaph hernia

A
  • awake intub
  • avoid N2O
  • ensure adequate O2
  • avoid barotrauma
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14
Q

Which is VATER syndrome

A 
Vertebral defect
Anal atresia
TEF
Esophageal atresia
Radial dysplasia
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15
Q

Post op CROUP is ass with what ETT

A

Too large

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16
Q

H influenza vaccination led to what condition to decrease

A

Acute epiglottitis

17
Q

Cerebral palsy anesthesia

A

Resistance to NDMR — anticonvulsant meds

Avoid SUX— MH

18
Q

What contributes to sickling in sickle cell crisis

A

Dec: BP, temp, o2, fluids

19
Q

Important anesthesia facts for sickle cell anemia pt

A

Hgb S

20
Q

Mandibular hypoplasia examples

A
  1. Pierre Robin Syndrome: micrognathia, glossoptosis, cleft palate
  2. Tracheal Collins Sundrome: micrognathia, most common
  3. Goldenhar syndrome: unilateral mandibular hypoplasia
  4. Nager Syndrome: rare, craniofacial abnormality
21
Q

What neonatal conditions are ass with prematurity

A 
Respiratory distress syndrome
Bronchopulmonary dysplasia
IVH
Retinopathy of prematurity
Apnea

Advance Principles I, Exam 4 (5 decks)

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