Review deck 2

Question 1

Describe the maintenance fluid for a 35 kg child

Answer 1

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

Question 2

Normal IV boluses for kids are

Answer 2

10-20 mL/kg

Question 3

Describe how to estimate blood replacement

Answer 3

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

Question 4

Cardiac arrest in the pediatric patient after receiving succinylcholine

Answer 4

treat for hyperkalemia

Question 5

CPR should be started when HR is

Answer 5

60 bpm

Question 6

Pierre Robin Sequence is made up of

Answer 6

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

Question 7

Kids with CP may have

Answer 7

normal intelligence

Question 8

Patients with CF will have

Answer 8

restrictive lung disease & high peak pressures

Question 9

CHARGE association is associated with

Answer 9

a difficult intubation

Question 10

MPS is associated with

Answer 10

a difficult airway
has valvular regurgitation/stenosis
atlantoaxial instability

Question 11

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

Answer 11

give atropine

Question 12

Patients with Down syndrome may have

Answer 12

subglottic stenosis
atlantoaxial instability
hypothyroidism
more prone to bradycardia

Question 13

Unique anatomical features of children include

Answer 13

prominent occiput

Question 14

An ETT that is too big or overinflated will cause

Answer 14

subglottic edema

Question 15

Patients undergoing cardiac arrest in the OR need to have

Answer 15

a definitive airway established

Question 16

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

Answer 16

the ECMO team should be activated

Question 17

Calculating the 50th percentile weight is

Answer 17

(age x 2)+ 9

Question 18

Neonates have a higher _________ which requires

Answer 18

ECF volume which requires larger doses of water-soluble drugs

Question 19

Atropine dosage is

Answer 19

0.02 mg/kg

Question 20

Adenosine dosage is

Answer 20

0.1 mg/kg

Question 21

PO versed dosage is

Answer 21

0.5 mg/kg

Question 22

The pediatric population goes to sleep faster with inhaled anesthetics because

Answer 22

increased RR

decreased FRC

Question 23

_____ can be used for second gas effect

Answer 23

N2O

Question 24

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

Answer 24

age x 2 + 9= 15

15 x .1= 1.5 mg of adenosine

Question 25

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

Answer 25

halothane | succinylcholine

Question 26

Patients at increased risk for periop arrest include

Answer 26

ASA 4 <1 month old premature

Question 27

The agent of choice for inhalation inductions is

Answer 27

sevoflurane

Question 28

The IV induction dose of propofol for peds is

Answer 28

1-3 mg/kg

Question 29

Neonates have _____ sensitivity to NMBDS

Answer 29

increased; shorter onsets & may have prolonged duration of action

Question 30

The intubating dose of rocuronium for pediatrics is

Answer 30

0.6 mg/kg

Question 31

The dose of zofran for pediatrics is

Answer 31

0.1 mg/kg

Question 32

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

Answer 32

6 months-4 years

Question 33

NPO guidelines for breast milk is

Answer 33

4 hours

Question 34

Describe the calculation for determining tube size for kids

Answer 34

(age/4)+3.5

Question 35

The code dose of epinephrine is

Answer 35

10 mcg/mL

Question 36

T&A recommendations include

Answer 36

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

Question 37

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

Answer 37

an RSI

Question 38

Describe what is used and the dosage for vfib/vtach

Answer 38

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

Question 39

Cardioversion is used for

Answer 39

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

Question 40

An IO should be placed in the

Answer 40

anterior tibia

Question 41

Care after ROSC includes

Answer 41

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

Question 42

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

Answer 42

don't hide shit

Question 43

When harvesting abdominal organs, avoid this vasopressor

Answer 43

phenylephrine

Question 44

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

Answer 44

false- should not be delayed

Question 45

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

Answer 45

reversible cerebral dysfunction

Question 46

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

Answer 46

decrease warm ischemic time

Question 47

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

Answer 47

transplant team recipient family CRNA

Question 48

Mannitol & steroids may be given to

Answer 48

scavenge free radicals

Question 49

Organ preservation includes

Answer 49

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

Question 50

Organ preservation time of the heart & lungs

Answer 50

4-6 hours

Question 51

Organ preservation time of the liver

Answer 51

8-12 hours

Question 52

Organ preservation time of the pancreas

Answer 52

12-18 hours

Question 53

Organ preservation time of the kidney is

Answer 53

24-36 hours

Question 54

Brain death donors may have the following issues:

Answer 54

hypotension diabetes insipidus bradycardia spinal-somatic reflexes

Question 55

Preserving organ function includes

Answer 55

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

Question 56

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

Answer 56

isoproterenol

Question 57

Cardiac concerns for brain dead patient is

Answer 57

warm ischemic time

Question 58

In pediatrics, the epiglottis is

Answer 58

angled over the cords