Pediatrics Flashcards
(15 cards)
What should you do if leak pressure on an pediatric uncuffed ETT is > 40?
it should be replaced with a smaller size tube
What renal changes are seen in first few days of life?
- systemic arterial pressure increases
- renal vascular resistance decreases
- these result in increase renal blood flow and GFR
Why do neonates have impaired ability to dilute and concentrate urine?
Due to low GFR
When does GFR reach adult levels?
2 years of age
In which syndrome are features of maxillary hypoplasia, wide skull with proptosis and beaked nose seen?
Crouzon syndrome
Which syndrome has features of cleft palate, micrognathia, glossoptosis, and congenital heart disease?
Pierre Robin syndrome
Which features are seen in Treacher Collins syndrome?
micrognathia, aplastic zygomatic arches, microstomia, choanal atresia, congenital heart disease
What is seen in Goldenhar syndrome?
unilateral facial hypoplasia characterized by mandibular hypoplasia, ear, eye and vertebral anomalies on the affected side
What are mucopolysaccharidoses?
Hurler or Hunter syndrome - a/w upper airway obstruction, difficult intubation secondary to infiltration of lymphoid tissue, macroglossia, small mouth opening, excessive thick secretions
What is morquio?
coarse facial features, prognathism, odontoid hypoplasia, atlantoaxial instability, macroglossia, small mouth opening
What is the most likely side effect of a beta 2 adrenergic agonist on fetus after cord is clamped?
neonatal hypoglycemia
Which FHR tracing is seen during fetal hypoxia?
late deceleration
This cause of stridor is worse when infant is supine and feeding and improves when infant is prone
Laryngomalacia
What findings are seen in laryngomalacia?
- shortened aryepiglottic folds
- omega shaped epiglottis
- redundant arytenoid tissue that prolapses over the glottis
How do anticonvulsants affect duration of neuromuscular blokade?
