PNRC 05 Flashcards
HPI
history of present illness. this is obtained for pediatrics
**neonates do not have a history
where is the O2 analyzer placed?
Before the humidifier
Can help wean a pt from oxyhood
nasal cannula
how can you change the FiO2 in the oxyhood?
need to change the FiO2 on the blender OR on the nebulizer
thumb sign
seen on the xray in a pt with thumb sign
what is the name of the indicator on an x ray for Croup
Steeple sign
unilateral wheezing is highly indicative of what?
Foreign body aspiration
how should you try to administer medication to a patient who is on the vent?
using a MDI or VM (mesh neb)
**Helps decrease chance of inadvertent PEEP
If you are using a SVN on a neonate, what do you need to bring with you?
mask
when do you suction the infant?
ONLY prn and post-CPT
how to calculate catheter size of an intubated pt
take the size of the ETT tube and then double it
*ETT size 4? Use size 8 catheter
If delivering O2 with a blender, what is required in order to deliver precise FiO2
Needs to have an O2 analyzer
O2 analyzer calibration
Uses a two-point calibration (one is RA)
Performed q8 hours
where does the O2 analyzer placed?
BEFORE the humidifier
FiO2 used when suctioning a neonate
increase it by 20%
what are two things you NEVER do regarding CPT
within an hour of feedings and never put in trendelenberg if <1500g
fever in croup/epiglottitis
croup has a low grade fever
epiglottitis has high grade fever
barking cough
only in croup not epiglottitis
pulmicort dosage
SVN 0.25-0.5mg bid
DPI 0.5-1mg qd
what is used to retrieve a foreign body?
a rigid bronchoscope
if pt has epiglottitis, who intubates them?
needs to be an expert such as an anesthesiologist
Croup effects what age group copared to epiglottitis
croup is 3 months to 3 years
age 2-6 years
How do you know if an FBAO is severe and what is the treatment
no sounds heard. heimlich for a child and 5/5 back blows/compressions for an infant
