Peds/Neonate Flashcards
IV Epi Dose=
0.01 mg/kg
ETT Epi Dose=
0.1 mg/kg
The most common cause of resp distress in preterm infants (born before 28-32 wks) is ________
Respiratory Distress Syndrome
Caused by deficiency of surfactant
Subtle Seizure=
repetitive motions such as mouth and tongue movements, bicycling, eye deviation, blinking, staring and apnea
PDA dependent =
Use Prostaglandins
ETT size calc:
Above 1 yr (Age +16)/4
Full Term: 3.5
Preterm: 3.0
< 28 weeks: 2.5
ETT depth calc:
< 1 yr = 6 + weight in kg
> 1 yr = ETT size x 3
or
Age/2 + 12
PPHN causes what kind of shunt?
Right to Left
Side effects of prostaglandin
Apnea and Hypoventilation
Meds used to accelerate closure of PDA=
Indomethacin
Ibuprofen
Urinary output in peds =
1-2 cc/kg/hr
Ominous sign in peds =
Hypotension and Bradycardia
Lab test used to diagnosis Reye syndrome
Ammonia Level
APGAR test results =
7-10 Generally Normal
4-6 Fairly low
< 3 Critical
Profound Anion Gap think ________
Ethylene Glycol Poisoning
Ped airway anatomy differs from adult anatomy in the following ways:
Airway diameter is smaller
The larynx is located more anterior
The epiglottis is long and narrow and angled away from the trachea
In kids less then 10 the narrowest portion of the trachea is the cricoid process
What X-ray finding would you expect to see with laryngotracheobronchitis?
Steeple Sign
Hypoglycemia is the neonate should be treated with _________
D10% 2-4 ml/kg
Nasal intubation should not be performed on pt’s less then _____ years of age
12
Epiglottis X-ray Findings=
Thumb Print Sign
Neonate Fluid Resuscitation =
10 ml/kg
Formula for determining weight of a child
(age in yrs x 2) + 8
When identifying the umbilical vein in relation to the umbilical arteries it is usually located the ____ o’clock position
12
The circulating blood volume in a child is _______
70-80 ml/kg
The circulating blood volume in a Term NEONATE is _______
80-90 ml/kg
A surgical airway can be placed through the cricothyroid membrane on a child older then _____
11
_________ is the most common cause of new-onset wheezing in children
Bronchiolitis
Do NOT ________ to pt’s with a snake bite.
Compression techniques including ice therapy
Esphogeal Atresia treatment =
Elevate the head of the bed to prevent gastric reflux