Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pediatric Respiratory Care > Ken's Final > Flashcards

Ken's Final Flashcards

(57 cards)

Start Studying
1
Q

What are the four questions?

A

Is the baby term?
Is the amniotic fluid clear?
Is the baby breathing effectively?
Does the baby have good muscle tone?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What four things should you be prepared to do when receiving a newborn?

A

Be prepared to

  • Keep baby warm
  • Provide blended oxygen
  • Provide nasal CPAP
  • Deliver exogenous surfactant
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do you figure out what size ET tube to use on a baby?

A
  • <1000 grams = 2.5
  • 1000-2000 grams = 3.0
  • 2000-3000 grams =3.5
  • 3000 grams = 3.5 to 4.0
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What ventilator breath type should you use on a neonate?

What breath type should you never use?

A

SIMV with TCPL or PC.

Never use volume control.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How much tidal volume should you aim for when ventilating a newborn?

A

4-7 ml.kg.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the vent setting basic recipe?

A

20/5 x40 at 40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q 
PRDS CXR appearance:
\_\_\_\_, ground \_\_\_\_ appearance
\_\_\_\_\_ and \_\_\_\_\_
Air \_\_\_\_\_\_\_\_\_
No \_\_\_\_\_ \_\_\_\_\_\_\_
A

Bilateral ground glass appearance
Atelectasis -> volume loss
Air bronchograms
No pleural effusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Neonatal lungs should be inflated to ___.

A

T9 with rounded diaphragms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A newborn will be predisposed to PRDS if the mother is younger than ___ or older than ___ or if the mother smokes _____ or _____

A

Younger than 16
Older than 35
Smokes tobacco or crack. (Drug abuse)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

These two kinds of deliveries will predispose a baby to PRDS.

A

C-section

Multiple births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Neonatal acidosis can reduce/impair these three things.

Also it will increase this:

A

Reduced myocardial contractility
Abnormal brain function
Decreased surfactant
Increased pulmonary vascular resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q 
What's the treatment for PIE?
Gentile \_\_\_\_ and 
use of \_\_\_\_
\_\_ \_\_ as necessary
Place the affected side \_\_\_\_\_\_
Consider single \_\_\_\_\_ \_\_\_\_\_\_ 
and \_\_\_\_\_\_ \_\_\_\_\_\_
A 
Gentile ventilation with PHY
Chest tubes as necessary
Affected side down
Single lung ventilation
Mainstem intubation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do you do to decrease PaCO2 in Jet PIP?

A

Adjust upward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do you do to decrease PaCO2 in Jet rate?

A

Adjust downward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What three things determine PaO2 in HFJV?

A

CV FiO2
CV PEEP
CV Sigh rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In HFOV, how do you decrease PaCO2?

A

Turn up Delta P (aka Power/Amplitude)

Decrease the frequency (aka hertz)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q 
Treatment for CDH:
Don't \_\_\_\_ these pt's.
\_\_ immediately.
Have a \_\_ \_\_ \_\_ \_\_ placed.
The pt needs \_\_\_\_\_
A

Don’t bag these pt’s.
Intubate immediately and have double lumen gastric tube placed.
Needs surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ventilation concerns for CDH:
Anticipate __due to __ __.
__ is preferred but __ __ is OK

A

Anticipate pulmonary HTN due to refractory hypoxemia

HFOV is preferred but jet ventilation is OK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In HFOV, what is the target FiO2?

A

55-65

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How are CDH & MAS the same?

A 
Signs of hypoxia
Low APGAR
Don't bag them.
Gentile ventilation or HFOV
Nitric Oxide
ECMO: Last resort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

MAS pt’s need _____. CDH pt’s need ____

A

MAS needs suctioning. CDH needs intubation and surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Complications of nitric oxide delivery

A

Methmoglobinemia (rare)
inadvertent nitrus oxide delivery
Hyperthermia (rare)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Four conditions that nitric oxide should be considered.

Study These Flashcards
A

Neonatal pulmonary HTN secondary to MAS or diaphragmic hernia
Hypoxia
Bad lung development
ECMO avoidance

24
Q

These maternal factors do not cause BPD (x3)

Study These Flashcards
A

Pregnancy induced HTN
Prenatal Steroids
Maternal Age

25
Two things that do not cause BPD: The baby's ____ A low ______ Also, the _____ ______ will not cause BPD.
Gender Low APGAR Delivery route
26
What systems are involved with CF?
Pulmonary, digestive, endocrine, and reproductive
27
You will have a 25% chance of getting CF if ___.
Both parents carry the gene.
28
What are the CF transplant eligibility factors?
Severe CF No other organ failure Can't have Burkholderia Cepacia
29
What are the success rates of transplant for CF patients? ___ live beyond one year and ____ live beyond 5 years.
90% | 50%
30
RCP interventions for mild flail chest
Pain meds | Bronchial hygiene
31
RCP interventions for severe flail chest: For instability or paradoxical breathing, use __ __. Set __ on the ventilator. Monitor for __ __. Pharmacology: Use __.
For instability or paradoxical breathing, use Mech Ventilation PEEP Monitor for ARDS onset Sedation
32
How do you figure out ET tube depth?
Use ET tube size x3
33
What is the most common cause of pediatric ARDS?
Septic shock is most common
34
What does a swimming pool have to do with the causes of pediatric ARDS?
Near drowning can cause it.
35
What kind of trauma can cause pediatric ARDS?
Blunt chest trauma- pulmonary contusion
36
RSV patients are usually ___ months old.
4-6
37
RSV is most common during these times of the year.
Autumn and winter, also early spring
38
Symptoms of RSV include these upper airway symptoms. What kind of lung sounds (x2) Heart rate will be __. This will be noted with breathing.
``` Fever, runny nose, cough Moist wheezes Upper airway crackles Tachypnea Retractions ```
39
What does an RSV virus look like under a microscope? | How is it spread?
Variably shaped RNA virus. Spread by close contact with respiratory secretions of an infected person, or droplet inhalation, or by contact with contaminated surfaces.
40
What percentage of children with RSV will be symptomatic?
25-40%
41
What percentage of children with RSV will need hospitalization?
0.5-2%
42
How long does it take to recover from RSV?
About 1-2 weeks
43
RSV is more dangerous amongst children with pre-existing ___, ___, or ___ conditions.
Cardiac, pulmonary, or immunosuppressant
44
Which babies are most at risk of RSV?
Ex-Premies Infants <6 weeks old Former BPD patients
45
Children are more at risk of RSV if they are not _____.
Not breastfed
46
Babies at risk of RSV are given ___.
Synagis
47
Do not give ___ to RSV patients. Instead, you can try ___.
Do not give Albuterol. | Nebulized racemic epinephrine may help.
48
For severe RSV patients, treatment may include (Ventilatory modalities)
CPAP or BIPAP Heated high flow n/c Mech ventilation
49
For severe RSV patients, treatment may include (Drugs)
Ribavirin | Lasix
50
Croup has this telltale sign on an Xray:
Pencil Point Sign
51
Epiglottitis has this telltale sign on an Xray:
Thumb Sign
52
``` Croup is (bacterial / viral) Epiglottitis is (bacterial / viral) ```
Croup is viral (usually) | Epiglottitis is bacterial
53
``` Croup is (above/below) the trachea Epiglottitis is (above/below) the trachea ```
Croup: Below the trachea | Epiglottitis is above
54
Why is Mg effective in asthma?
Inhibits smooth muscle contraction Decreases histamine release Decreases acetylcholine release
55
How do you minimize air trapping in an asthmatic?
Low respiratory rates Long expiratory times Consider PHY
56
Ventilator considerations for status asthmatic?
PC/SIMV, rate of 12. Monitor optimal resp rate and inspiratory time when the wave form goes back to baseline.
57
When ventilating a baby with pulmonary hypertension, __ is preferred. Secondary is __ __ and __ __ ventilation due to __ __.
Ventilation: HFOV is preferred. | Secondary is low PIP & low PEEP ventilation due to hypoplastic lung

Pediatric Respiratory Care (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions