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Flashcards in PED HEAD Deck (25):
1

In the post-arrest setting, which of the following is the drug of choice in treating hypotension in a child

epinephrine infusion

While dopamine is the drug of choice in adults

2

____________ are all physiologic consequences of hypothermia in itsy bitsy

Metabolic acidosis, increased oxygen consumption, hypoglycemia, and apnea

3

In the post-arrest setting, which of the following is the drug of choice in treating hypotension in an adult

dopamine

4

Bradycardia in a newborn is?

HR < 100

5

intraosseous (IO) access complications

Marrow and fat emboli
Anterior compartment syndrome
Tibial fracture
Long bone fracture is a contraindication

6

Work up for Intussusception

Barium enema is both a diagnostic and often therapeutic procedure

Can result in perforation

pediatric surgery consultation should occur in conjunction with ordering this test.

7

In a newborn, bradycardia is most commonly an indicator of

hypoxemia


may exhibit cyanosis, lethargy, and unresponsiveness, but unlike older patients the heart rate tends to be slow

8

The correct endotracheal tube size can be approximated by using a simple formula:

Inside diameter (ID) in mm = (16 + age in years) / 4

ex: 8 year old = 6 mm

9

The pediatric airway is more ____ vs adult airway.

anterior

10

Pediatric airway

usually performed using a straight blade

infant’s head is naturally in the correct “sniff” position

more anterior airway

The pediatric tongue is relatively larger vs adult

Teeth are more easily knocked out during a pediatric intubation vs adult.

11

What is the most common category of shock in the pediatric population

hypovolemic

12

Hill–Sachs fracture

cortical depression in the posterolateral head of the humerus. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly.

Like a football player arm baring

13

What is the most common heart rhythm seen in pediatric arrest?

bradycardia

14

Which of the following is the commonest type of pediatric rhythm in the setting of cardiopulmonary arrest?

asystole

15

In contrast to adults, pediatric epidural hematomas are _________

venous in origin

16

Retinal hemorrhages are not commonly found in children in cases of __________ head trauma

mild-moderate trauma

17

Supracondylar humerus fractures can lead to injuries of the ________ nerves. Immediate operative repair is frequently required.

median and ulnar

18

Chest compressions should be started when in infants

heart rate < 60 bpm
-->only if oxygen and adequate ventilation have first been tried and failed to increase the heart rate.

19

The drugs which may be given by endotracheal route can be remembered by the mnemonic “LEAN” and are?

lidocaine, epinephrine, atropine, naloxone.

20

Asystole is in fact the commonest rhythm in full pediatric arrest. _________ is the drug of choice.

Epinephrine

21

____________ are the initial and most important steps in neonatal resuscitation

Drying, warming, positioning, suctioning and stimulating the neonate

22

Causes for gastrointestinal bleeding in an infant include:

swallowed maternal blood/ dyes in foods
gastritis
milk allergy
bleeding from vaginal/ urinary tract
necrotizing enterocolitis
intussusception
vascular malformations
rectal fissure
toxic ingestions
bleeding dyscrasia
occult trauma

23

_________ are the most frequent reasons for airway obstruction--> arrest in the neonate.

Mucus, blood, meconium, big tongue, and pulmonary prematurity

24

A 5-minute Apgar score of 0-3 defines the presence of _________

perinatal asphyxia.

25

Even though succinylcholine has been shown to cause fatal _________ in some cases, it is still the recommended relaxant used in pediatric RSI.

hyperkalemia