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Phase 2 PEDs > NL Peds Vitals > Flashcards

NL Peds Vitals Flashcards

(74 cards)

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1
Q

NL - Newborn RR

A

30-60 b/m

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2
Q

The less mature the neonate changes RR how?

A

Higher

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3
Q

And progression of below NL interventions

A

120-160

>100 = routine care
60-99 = ventilation support
<60 = ventilation + chest compressions
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4
Q

> 40mmhg - elevated pulse pressure indicates

A

PDA

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5
Q

After age 3 - BP calculation tool

A 
SBP = 80+(age x 2)
DBP = 2/3 SBP
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6
Q

NL Temp mean temp

Fever

And

Acceptable range

A

NL mean - 37 Celsius (98.6 F)

Fever- >38C (>100.4F)

Range - 97-99.6 F

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7
Q

Pediatric pattern of diurnal fever

A

Lower in AM

Higher in PM

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8
Q

Definition of fever

A

> 100.4F - rectally (38C)

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9
Q

Rectal versus Oral pediatric temp? Which is higher?

A

Rectal > oral by 1 degree

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10
Q

Do not get pediatric temperatures from what sites?

A

Do not get tympanic, axillary, or temporal artery temps

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11
Q

Fever vs hyperthermia?

A

Fever - altered set point

Hyperthermia - excess external heat w/out regulation

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12
Q

SPO2 goals immediately after birth

A 
1m - 60-65%
2m - 65-70%
3m - 70-75%
4m - 75-80%
5m - 80-85%
10m - 85-95%
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13
Q

NL HR after birth?

A

> 100 bpm

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14
Q

Intervention for HR <100

A

1L - PPV and SO2 observation

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15
Q

Intervention for HR <60

A

Consider intubation
Chest compressions and
PPV

Fail = IV Epi

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16
Q

What is chest compression rate for newborn?

A

120 bpm

3:1 compression:respiration

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17
Q

Neonates 1st sign following hypoxia is?

A

Apnea (Not tachypnea)

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18
Q

Neonatal Blow by O2 rate?

A

10 LPM < 1/2inch from face

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19
Q

BVM / PPV rate?

A

40-60 breaths/min in sniffing position

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20
Q

What is the preferred placement of Pulse oximetry?

A

Right upper extremity (Due to PDA)

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21
Q

Neonatal hypoglycemia is?

A

<45 mg/dL

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22
Q

Very low birth weight equals how many grams?

A

<1500

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23
Q

Low birth weight indicates how many grams?

A

<2500

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24
Q

NL heart rate range for newborns?

A

120-160 bpm

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25
NL respiratory rate range for newborns?
40-60 RR
26
NL systolic blood pressure for newborns?
60-90 mmHg
27
NL temperature for newborn?
97.7-99.5
28
NL weight of newborn? Female/male
F - 6lb 3oz - 8lb 14oz M - 6lb 7oz - 9lb 5oz
29
NL length range of newborn?
19-21”
30
NL head circumference range for newborn?
13-15”
31
Pulse ox screening for newborn congenital heart disease - negative result
>= 95% in Right hand/foot w/ <3% difference between the two
32
Pulse ox screening for newborn congenital heart disease - Repeat readings in 1 hour if?
O2 is 90-94% in right hand/foot or >3% absolute difference between right hand/foot 3 readings will indicate an echocardiogram
33
Pulse ox screening for newborn congenital heart disease - | Positive result
< 90% O2 in right hand or foot = echocardiogram
34
Weak pulses may indicate?
Poor CO (aortic stenosis)
35
Bounding pulses may indicate?
High cardiac output (PDA)
36
>40 mmHg pulse pressure (between brachial/femoral) may indicate?
PDA
37
Decreased pulse pressure (between brachial/femoral pulses) may indicate?
Coarctation of the aorta
38
NL pediatric weight per growth charts?
5-85th percentile
39
Is weight loss normal the first few days of life?
Yes
40
How much wgt loss is NL for the first few days of life?
5-10%
41
When does a child return to their birth wgt?
Day 7-10 age
42
When does a child double birth wgt?
4-5mo (triple in 1 yr)
43
Daily wgt gain amount 1st 3-4mo?
20-30g (15-20g rest of yr)
44
When does a child double their birth length?
4yo
45
Average head circumference?
35cm (13.5in)
46
Head circumference growth rate 1st year?
1cm per month - (2cm 1st 3mo)
47
Number one reason pediatric growth is stunted?
Caloric intake adequate (then chronic illness)
48
Red flags of growth development (take action)?
<5% Infant crosses 2 percentile lines w/out cause. LRG discrepancy between Wgt/Hgt/Head
49
NL BP calculation >3yo (SBP/DBP)
SBP - 80+(age x 2) | DBP - 2/3 SBP
50
When to screen for anemia?
12mo or 4mo if high risk
51
When to screen for lead?
12 and 24mo (5-10ug/dL = learning issues)
52
CI to immunization
Hx of anaphylaxis NO live vaccines (pregnant/x-imm) Moderate/severe illness Egg allergy (Flu/yellow fever)
53
Vaccinate premmie's when?
Same schedule
54
Only time a vaccination is post-poned?
<2000g and mom is HBV negative (Give at 1mo instead)
55
How long is breastfeeding recommended?
6mo
56
How often is feeding 1st few weeks of life?
8-12/day
57
NL diaper habits of infant?
6-8 wets/d | >3 stools/d (except food transition periods -up to 1w)
58
When to begin solid foods?
6mo
59
When to give honey?
12mo
60
What is normal volume of feeds/day?
18-30oz/d
61
How much juice to give per day?
<4oz/day (toddlers/young) | <8oz/day (7-18yo)
62
When can you give cow's milk?
12mo
63
NL amount of cows milk?
<24oz per day
64
Does overweight children need to be on diets?
Not before 3yo
65
Toilet training occurs when?
2-3yo
66
Deciduous teeth Teeth eruption order?
1. Lower incisors 2. Upper incisors 3. Lateral incisors
67
If teeth eruption is delayed what are possibilities?
Check TSH/Calcium
68
Permanent teeth occurs when?
Starts 6yo Ends 12yo Third molars - 18yo
69
When does dental visits begin?
1yo (q 6mo)
70
At 1 yr to protect teeth?
Avoid prolonged/nighttime bottles | Soda/juice
71
Begin fluoride brushing when?
2yo
72
When to evaluate female for primary amenorrhea?
No menarche by age 15yo
73
Basic calorie requirement of adolescents?
Girls 14-18 = 1800-2400 | Boys 14-18 = 2000-3200
74
Calcium requirements of adolescents?
1300mg

Phase 2 PEDs (23 decks)

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