PNRC 05

Question 1

HPI

Answer 1

history of present illness. this is obtained for pediatrics

**neonates do not have a history

Question 2

where is the O2 analyzer placed?

Answer 2

Before the humidifier

Question 3

Can help wean a pt from oxyhood

Answer 3

nasal cannula

Question 4

how can you change the FiO2 in the oxyhood?

Answer 4

need to change the FiO2 on the blender OR on the nebulizer

Question 5

thumb sign

Answer 5

seen on the xray in a pt with thumb sign

Question 6

what is the name of the indicator on an x ray for Croup

Answer 6

Steeple sign

Question 7

unilateral wheezing is highly indicative of what?

Answer 7

Foreign body aspiration

Question 8

how should you try to administer medication to a patient who is on the vent?

Answer 8

using a MDI or VM (mesh neb)

**Helps decrease chance of inadvertent PEEP

Question 9

If you are using a SVN on a neonate, what do you need to bring with you?

Answer 9

mask

Question 10

when do you suction the infant?

Answer 10

ONLY prn and post-CPT

Question 11

how to calculate catheter size of an intubated pt

Answer 11

take the size of the ETT tube and then double it

*ETT size 4? Use size 8 catheter

Question 12

If delivering O2 with a blender, what is required in order to deliver precise FiO2

Answer 12

Needs to have an O2 analyzer

Question 13

O2 analyzer calibration

Answer 13

Uses a two-point calibration (one is RA)

Performed q8 hours

Question 14

where does the O2 analyzer placed?

Answer 14

BEFORE the humidifier

Question 15

FiO2 used when suctioning a neonate

Answer 15

increase it by 20%

Question 16

what are two things you NEVER do regarding CPT

Answer 16

within an hour of feedings and never put in trendelenberg if <1500g

Question 17

fever in croup/epiglottitis

Answer 17

croup has a low grade fever

epiglottitis has high grade fever

Question 18

barking cough

Answer 18

only in croup not epiglottitis

Question 19

pulmicort dosage

Answer 19

SVN 0.25-0.5mg bid

DPI 0.5-1mg qd

Question 20

what is used to retrieve a foreign body?

Answer 20

a rigid bronchoscope

Question 21

if pt has epiglottitis, who intubates them?

Answer 21

needs to be an expert such as an anesthesiologist

Question 22

Croup effects what age group copared to epiglottitis

Answer 22

croup is 3 months to 3 years

age 2-6 years

Question 23

How do you know if an FBAO is severe and what is the treatment

Answer 23

no sounds heard. heimlich for a child and 5/5 back blows/compressions for an infant