PICU board review

Question 1

propofol onset and duration

Answer 1

rapid (1-3 min)/ 3-15 min

Question 2

Effect of ketamine on resp

Answer 2

few effects but bronchial smooth muscle relaxation - great for asthma

Question 3

Which sedatives can lower icp

Answer 3

barbiturates

Question 4

NMB prefered if pt has renal and hepatic failure

Answer 4

Cis - hoffman elimination

Question 5

AE of succynylcholine

Answer 5

hyperkalemia and malignant hyperthermia

Question 6

Sugamadex reverses

Answer 6

Vec and Roc

Question 7

ECMO has more effect on drugs with ____ Volume of distribution

Answer 7

low, ecmo increases volume of distribution, so if a drug already has high Vd, not as big a deal

Question 8

Drugs that can be given ET in ALS. dose

Answer 8

Lipid soluble - LEAN Lidocaine, Epi, Atropine, Naloxone. Dose is 2x, except Epi is 10 x

Question 9

Which drugs can be given Intraosseous in ALS

Answer 9

All!

Question 10

drug tx for VF

Answer 10

epi

Question 11

Rhythms that are not shockable

Answer 11

PEA and Asystole

Question 12

supraventricular tachycardia (SVT) QRS complex is ___

Answer 12

narrow

Question 13

Drug treatment in VT/VF

Answer 13

Epi q 3-5 min, then amiodarone or lidocaine after 3rd shock

Question 14

SVT treatment

Answer 14

vagal, adenosine, cardioversion