Thoracic/Resp

Question 1

BVM ventilation

what rates at what age?

Answer 1

neonate: 30 breaths/min
infant: 20

child 10

Question 2

ETT tube sizes:

full term infant:

preemie:

child

MIller/mac sizes?

Answer 2

full term infant: 3.5

preemie: based on weeks: 30 week gets 3.0, 25 week gets 2.5
children: 14-7, 10-6, 6-5, 2-4

miller 0–preemie

miller 1–neonate/infant

mac 2–3-12

mac 3–12y

Question 3

LMA sizes, standard

Answer 3

4,5,6: small, med, large adult

1,2,3: neonate, 10-20kg, 30-50kg

comes in half sizes in between for peds

Question 4

RSI in peds

what dose atropine

Answer 4

0.02 mg/kg, min dose 0.1 mg

be ready for vagal response, bradycardia

Question 5

jet ventilation

what age

-what equipment

Answer 5

Age under 10

18G catheter

Question 6

peds asthma

• what PO steroid dose/course?
• in sick kids, what IV dose?
• what magnesium dose?

Answer 6

Dex 0.6mg/kg, 2 doses (max 10 or 16 mg)

2nd dose on day 2 or 3

easy alternative to prednisone

sick: solumedrol 1 mg/kg
mag: 50-75 mg/kg, max 2g

Question 7

peds asthma

how much albuterol? dose

atrovent dose

what is normal duonebs dose

Answer 7

continuous usu dose is 10mg/hr

sources state max 20 mg/hr, however! can go up to 100mg/hr in some facilities. So, go higher! high doses tolerated well

atrovent: 250mcg <20kg

500mcg >20kg

give 3 doses

duonebs: 3 mg albuterol, 0.5 mg atrovent

Question 8

peds asthma

epinephrine dose, IM and IV

Answer 8

IM, same as anapylaxis:

0.01 mg/kg 1:1000

for IV epi: give 10 mcg/kg bolus, with gtt start at 0.1 mcg/kg/min

Question 9

peds asthma

ketamine sub-D dose if using to see if pt’s tachypnea can resolve?

Answer 9

dose: 0.2-0.3 mg/kg sub-D
1. 5-2 mg/kg is sedation/intubating dose

Question 10

bronchiolitis

admission criteria

Answer 10

1. resp distress/apnea/hypoxia. Think:

RR>60, O2 sat <90, age <1 month in term baby

2. comorbidities
3. dehydration

Question 11

if you suspect croup, what else to consider

Answer 11

remember stridor ddx

FB, epiglottitis, RPA/PTA

Question 12

Croup:

rac epi dose

dexamethasone dose

how long to monitor after rac epi

Answer 12

0. 5ml in 2.5ml NS
1. 25ml <5kg
2. 75ml for adolexcent

(monitor 2h)

dex: 0.6 mg/kg PO x1 (0.15-3 mg/kg po may have similar efficacy)