PEDS II 4/16

Question 0

1. always do what

2. ===

Answer 0

assess chest rise and lung sounds,

there is alot of dead space in the tubing

Question 1

1. what is a good mode to use for infants?

2. what pip should you start with?

Answer 1

1. pressure control

2. start with PIP of 15

Question 2

deep extubation is good for what procedures?

why?

Answer 2

1. a.eye surgery
   —b.herniorrhaphy
   —c.belly surgeries
   —d.??ENT (depending on if they are bleeding)
   to make sure they don’t pop their stitches.

Question 3

1. what is the best treatment for emergence delirium

2. secondary treatments; why are these secondary?

Answer 3

1. narcotics

2. versed or dexmetetomidine; may slow their recovery (sleepy)

Question 4

what is the addage for pain control for children

Answer 4

“start small” you can always give more

Question 5

caudal anesthesia

Answer 5

better than local nerve block or general anesthesia alone

Question 6

where does the dural sac end in children?

Answer 6

S1-S2 or even down to S3

Question 7

what can a spinal/caudal dimple be indicitive of?

Answer 7

spina bifida or sacral abnormalities

Question 8

1. what is one of the best indicators of intravascular injection of local (marcaine with epi)?
2. what should you do?

Answer 8

1. increased T wave

2. stop injection