Peds/Neonate Flashcards by Ty Hobbs

IV Epi Dose=

0.01 mg/kg

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ETT Epi Dose=

0.1 mg/kg

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The most common cause of resp distress in preterm infants (born before 28-32 wks) is ________

Respiratory Distress Syndrome

Caused by deficiency of surfactant

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Subtle Seizure=

repetitive motions such as mouth and tongue movements, bicycling, eye deviation, blinking, staring and apnea

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PDA dependent =

Use Prostaglandins

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ETT size calc:

Above 1 yr (Age +16)/4
Full Term: 3.5
Preterm: 3.0
< 28 weeks: 2.5

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ETT depth calc:

< 1 yr = 6 + weight in kg
> 1 yr = ETT size x 3
or
Age/2 + 12

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PPHN causes what kind of shunt?

Right to Left

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Side effects of prostaglandin

Apnea and Hypoventilation

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Meds used to accelerate closure of PDA=

Indomethacin

Ibuprofen

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Urinary output in peds =

1-2 cc/kg/hr

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Ominous sign in peds =

Hypotension and Bradycardia

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Lab test used to diagnosis Reye syndrome

Ammonia Level

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APGAR test results =

7-10 Generally Normal
4-6 Fairly low
< 3 Critical

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Profound Anion Gap think ________

Ethylene Glycol Poisoning

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Ped airway anatomy differs from adult anatomy in the following ways:

Airway diameter is smaller
The larynx is located more anterior
The epiglottis is long and narrow and angled away from the trachea
In kids less then 10 the narrowest portion of the trachea is the cricoid process

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What X-ray finding would you expect to see with laryngotracheobronchitis?

Steeple Sign

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Hypoglycemia is the neonate should be treated with _________

D10% 2-4 ml/kg

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Nasal intubation should not be performed on pt’s less then _____ years of age

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Epiglottis X-ray Findings=

Thumb Print Sign

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Neonate Fluid Resuscitation =

10 ml/kg

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Formula for determining weight of a child

(age in yrs x 2) + 8

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When identifying the umbilical vein in relation to the umbilical arteries it is usually located the ____ o’clock position

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The circulating blood volume in a child is _______

70-80 ml/kg

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The circulating blood volume in a Term NEONATE is _______

80-90 ml/kg

A surgical airway can be placed through the cricothyroid membrane on a child older then _____

_________ is the most common cause of new-onset wheezing in children

Bronchiolitis

Do NOT ________ to pt's with a snake bite.

Compression techniques including ice therapy

Esphogeal Atresia treatment =

Elevate the head of the bed to prevent gastric reflux

Fontanelles anterior closes at ______ mo and posterior and closes at _____ mo

12-18 months | 2 months

Children will not demonstrate hypotension until acute blood loss totals approx _____ of the circulation blood volume.

25%

Oxygen consumption in infants is _______ that of adults.

Double

The circulating blood volume in a Premature NEONATE is _______

90-100 ml/kg

4/2/1 Fluid

4 ml/kg for 1st 10 kg 2 ml/kg for 2nd 10 kg 1 ml/kg for every kg over 20 kg For over 20 kg just add 40 to the weight

Hypoglycemia Neonate when < _____ | Hypoglycemia Child when < _______

30mg/DL | 40mg/DL

To treat hypoglycemia in kids use ______

D25

Peds Cardioversion

0.5-1.0 J/kg on synch

Defib in Peds

2J/kg the 4J/kg

Peds Atropine Dose

0.02 mg/kg min 0.1 max 0.5

The single largest cause of traumatic death in peds is _________

Motor vehicle related injury

Wadell's Triad

Common injuries when a child is struck by a car. 1. Head 2. Trunk 3. Extremities

_______ is the most common organ injured in child abuse cases

Skin

Who should use an issolette?

<10 lb or 30 days corrected age

Hot kids are _______ and _________

Fussy and tachycardic

Cold kids are ______ and _______

obtunded and bradycardic/hypotensive

In peds for every degree above 37 the HR increases by ____ and the resp rate increases by ______

20 | 10

Infant Vent Management standard of care is

Pressure targeted ventilation

Infant ITime=

>0.5 sec

Infant PEEP

0-5

Infant PIP

15-20

Volume targeted ventilation is typical after ____ mo of age

6 mo

Child vT

6-12 ml/kg

Child PEEP

0-5 cm

Child PIP

< 30-40 cm H20

2 common causes seizures in neonate/infant

1. Hypoglycemia | 2. Febrile

Diaphgramatic Hernia Treatment

Intubate | OG to Suction

Choanal Atresia Treatment

Oral Airway Access

Suctioning Order post birth

Mouth then Nose

Minimize ______ with TEF

Positive Pressure Ventilation till intubated

Acyanotic Lesion

Blood returning to the RA has passed through the lungs like normal

________ is the most common congenital heart defect

VSD

Acyanotic Presentation

CHF like symptoms | Pulmonary overload and CHF/Pulmonary Edema Symptoms

Acyanotic is _________ to ______ shunt

left to right

Cyanotic is a ______ to _____ shunt

right to left

Cyanotic Lesion

Any condition with true mixing of unoxygenated and oxygenated blood. Commonly causes a cyanotic appearance

Cyanotic lesion are commonly ____ dependent

PDA

With Cyanotic Lesion you should avoid ______

Any stimulus that cause a cough (suctioning, pain, acidosis)

How to get D10 from D50

The simplest way is getting a D50 syringe and removing 40 mL of it. Just waste that 40 mL leaving 10 mL in the syringe. Fill the D50 syringe back up with 40 mL of sterile water. You now have 50 mL's of D10.

How to get D25 out of D50

To make D25% discard 25 ml out of one amp of D50, then draw 25 ml of NS or sterile water into the D50 amp

PDA creates a ________ to _______ shunt

left to right

To Close PDA use ________ | To Maintain Patency of PDA use ________

1. Oxygen, Indomethicin | 2. Prostaglandin

VSD treatment:

Preload Reduction such as lasix

VSD is usually a _______ to _______ shunt

left to right

Tetrology of Fallot is a _______ to _______ shunt

Right to Left

Peds/Neonate Flashcards

(74 cards)