Stevens #2 Emergencies Flashcards

1
Q

If drooling w/o airway distress where is foreign body?

A

Esophageal

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2
Q

If drooling and coughing where is foreign body?

A

Upper airway / Pharynx

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3
Q

If in respiratory distress, where is foreign body?

A

Airway

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4
Q

What is an extreme hazard in foreign bodies?

A

Ball valve

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5
Q

With a bronchoscopy for foreign body, what meds should be given on IV is established?

A
  • Atropine

- Steroids

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6
Q

What should be done with foreign body post op?

A
  • Pulmonary toilet
  • Re-expand lungs
  • Bronchodilators
  • Monitored bed
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7
Q

3 major fractures in children?

A
  • Supra condylar
  • Femur
  • Wrist
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8
Q

Why do children have full stomach with fractures?

A

Anxiety, pain, narcotics all cause gastroparesis.

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9
Q

What should you do with an after hours ortho case?

A
  • Decrease narcotic dose

- Will keep patients breathing

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10
Q

Why do ruptured globes need to remain calm?

A

↓ vitreous fluid loss

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11
Q

Ruptured globe may need what type of intubation?

A

RSI

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12
Q

In ruptured globe, why would you avoid succs?

A

-Vitreous fluid loss w/ fasciulations

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13
Q

What type of extubation with ruptured globe?

A

Deep to avoid coughing which causes ↑ IOP

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14
Q

How do you set up room for post TA bleeding?

A
  • RSI
  • Suction
  • Help for cricoid pressure
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15
Q

Shunt revisions are always considered what?

A

emergency

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16
Q

How to treat acute hydrocephalus medically?

A
  • Hyperosmolar therapy (mannitol, 3% Nacl)

- Intubation w/ hyperventilation

17
Q

How to treat less acute hydrocephalus?

A

Diamox

18
Q

What type of extubation with VP shunt?

A

-Wide awake

19
Q

Neonatal emergencies that require immediate intervention?

A
  • Bowel obstruction
  • Abd wall defects
  • Airway
  • Esophageal atresia
  • CDH
  • Teratommas
20
Q

Necrotizing Enterocolitis is what?

A

Bacterial Invasion Bowel Wall

21
Q

What to anticipate w/ NEC?

A
  • Aspiration
  • Hypovolemia
  • Sepsis
  • Coagulopathy
  • Pulmonary compliance
22
Q

Most common Tracheoesophageal fistula

A

Type C

23
Q

Tracheoesophageal fistula diagnoisis

A
  • Polyhydraminos
  • Resp distress w/ feeding
  • Drooling
  • Cant pass OGT
  • CXR
24
Q

Most common cardiac anomaly with Tracheoesophageal fistula

A

VSD

25
Q

Where do you want the ETT tip durin Tracheoesophageal fistula repair?

A

Distal to the fistula