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Advanced Principles 2 > Review deck 2 > Flashcards

Review deck 2 Flashcards

1
Q

Describe the maintenance fluid for a 35 kg child

A

4 mL for first 10
2 mL for second 10
1 mL/kg after
total 75 mL

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2
Q

Normal IV boluses for kids are

A

10-20 mL/kg

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3
Q

Describe how to estimate blood replacement

A

[(desired Hct-present Hct) x EBV]/Hct of PRBCs (~60%)

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4
Q

Cardiac arrest in the pediatric patient after receiving succinylcholine

A

treat for hyperkalemia

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5
Q

CPR should be started when HR is

A

60 bpm

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6
Q

Pierre Robin Sequence is made up of

A 
hypoplastic mandible (micronathia)
pseudo-macroglossia (posterior displacement of tongue)
high arched cleft palate
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7
Q

Kids with CP may have

A

normal intelligence

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8
Q

Patients with CF will have

A

restrictive lung disease & high peak pressures

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9
Q

CHARGE association is associated with

A

a difficult intubation

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10
Q

MPS is associated with

A

a difficult airway
has valvular regurgitation/stenosis
atlantoaxial instability

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11
Q

For a child with down syndrome who experiences bradycardia on induction,

A

give atropine

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12
Q

Patients with Down syndrome may have

A

subglottic stenosis
atlantoaxial instability
hypothyroidism
more prone to bradycardia

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13
Q

Unique anatomical features of children include

A

prominent occiput

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14
Q

An ETT that is too big or overinflated will cause

A

subglottic edema

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15
Q

Patients undergoing cardiac arrest in the OR need to have

A

a definitive airway established

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16
Q

After 10 minutes of CPR or unable to obtain an airway,

A

the ECMO team should be activated

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17
Q

Calculating the 50th percentile weight is

A

(age x 2)+ 9

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18
Q

Neonates have a higher _________ which requires

A

ECF volume which requires larger doses of water-soluble drugs

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19
Q

Atropine dosage is

A

0.02 mg/kg

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20
Q

Adenosine dosage is

A

0.1 mg/kg

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21
Q

PO versed dosage is

A

0.5 mg/kg

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22
Q

The pediatric population goes to sleep faster with inhaled anesthetics because

A

increased RR

decreased FRC

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23
Q

_____ can be used for second gas effect

A

N2O

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24
Q

Calculate the dosage of adenosine for a 3 year old child.

A

age x 2 + 9= 15

15 x .1= 1.5 mg of adenosine

25
Q

The use of these drugs in pediatric patients is associated with increased cardiac arrest

A

halothane

succinylcholine

26
Q

Patients at increased risk for periop arrest include

A

ASA 4
<1 month old
premature

27
Q

The agent of choice for inhalation inductions is

A

sevoflurane

28
Q

The IV induction dose of propofol for peds is

A

1-3 mg/kg

29
Q

Neonates have _____ sensitivity to NMBDS

A

increased; shorter onsets & may have prolonged duration of action

30
Q

The intubating dose of rocuronium for pediatrics is

A

0.6 mg/kg

31
Q

The dose of zofran for pediatrics is

A

0.1 mg/kg

32
Q

the highest separation anxiety in children is seen in this age group

A

6 months-4 years

33
Q

NPO guidelines for breast milk is

A

4 hours

34
Q

Describe the calculation for determining tube size for kids

A

(age/4)+3.5

35
Q

The code dose of epinephrine is

A

10 mcg/mL

36
Q

T&A recommendations include

A

IV dexamethasone 0.5 mg/kg
no routine abx.
avoid ketorolac
manage pain

37
Q

If a pediatric patient comes in with a fracture, this requires

A

an RSI

38
Q

Describe what is used and the dosage for vfib/vtach

A

defibrillation

2-4 J/kg up to 10 J/kg

39
Q

Cardioversion is used for

A

afib, aflutter, or SVT
synchronized with R wave
0.5-1 J/kg up to 2 J/kg

40
Q

An IO should be placed in the

A

anterior tibia

41
Q

Care after ROSC includes

A 
pulse ox 94-99%
assess for rebound of arrest
inform family
prevent hyperthermia
hyperglycemia & seizures
42
Q

What to do when caring for yourself after an adverse event?

A

don’t hide shit

43
Q

When harvesting abdominal organs, avoid this vasopressor

A

phenylephrine

44
Q

True or false: it is normal to see delayed urine output in living kidney donor transplant

A

false- should not be delayed

45
Q

In order to determine brain death, the following must be ruled out

A

reversible cerebral dysfunction

46
Q

Non-heart beating organ donors are brought down to the OR to

A

decrease warm ischemic time

47
Q

The following cannot be part of the decision team or declare brain death

A

transplant team
recipient family
CRNA

48
Q

Mannitol & steroids may be given to

A

scavenge free radicals

49
Q

Organ preservation includes

A

cooling to decrease metabolism
maintain cellular integrity
prevent cellular swelling & toxic metabolite buildup

50
Q

Organ preservation time of the heart & lungs

A

4-6 hours

51
Q

Organ preservation time of the liver

A

8-12 hours

52
Q

Organ preservation time of the pancreas

A

12-18 hours

53
Q

Organ preservation time of the kidney is

A

24-36 hours

54
Q

Brain death donors may have the following issues:

A

hypotension
diabetes insipidus
bradycardia
spinal-somatic reflexes

55
Q

Preserving organ function includes

A

UO 0.5 to 3 mL/kg/hr
hgb >10
CVP 5-10
core temp >35

56
Q

What medication should be given to brain dead patients with low HR & BP?

A

isoproterenol

57
Q

Cardiac concerns for brain dead patient is

A

warm ischemic time

58
Q

In pediatrics, the epiglottis is

A

angled over the cords

Advanced Principles 2 (42 decks)

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