Flashcards in Peds-other Deck (41)
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1
Tonsillectomy and Adenoidectomy:
All children undergoing T&A should be considered at increased rick for what periop complication
airway complication esp if diagnosed w/ sleep apnea
2
Tonsillectomy and Adenoidectomy:
what is the position postop
Left lateral head down
3
Myringotomy and Tympanotomy Tubes:
what is good anesthestic
VAA and N2O
Facemask/LMA
4
Malignant Hyperthermia:
what are 6 early signs/symptoms
Masseter muscle spasm
Tachypnea
Rapid exhaustion of soda lime
tachycardia
Irregular HR
5
Malignant Hyperthermia:
4 intermediate signs/symptoms
warm
Cyanosis
dark blood in surgical site
irregular HR
6
Malignant Hyperthermia: Signs and Symptoms
4 late signs/symptoms
Prolonged bleeding
dark urine
irregular HR
muscle rigidity
7
Malignant Hyperthermia: Monitor Changes
3 early changes
Increased MV
Increased ETCO2
Peaked T waves
8
Malignant Hyperthermia: Monitor Changes
what is the 1st sign of MH
Increased ETCO2
9
Malignant Hyperthermia: Monitor Changes
what is 3 intermediate changes
Increased body temp
decreased O2 sat
Peaked t waves
10
Malignant Hyperthermia: Monitor Changes
how much does the temp increase
1 C Q 5 min
11
Malignant Hyperthermia: Monitor Changes
1 late change
peaked T waves
12
Malignant Hyperthermia:
what usually causes death
V-fib
Renal failure
DIC
13
Malignant Hyperthermia: Biochemical Changes
3 early signs
Hyperkalemia
Increased PaCO2
Acidosis
14
Malignant Hyperthermia: Biochemical Changes
1 intermediate sign
hyperkalemia
15
Malignant Hyperthermia: Biochemical Changes
3 late signs
hyperkalemia
increased CK
Myoglobinurinia
16
Malignant Hyperthermia: treatment
what drug do u give
dantrolene
17
Malignant Hyperthermia: treatment
how much dantrolene and how often do you dose it
2.5 mg/kg Q 5-10 min
18
Malignant Hyperthermia: treatment
what is the max total dose of dantrolene
10 mg/kg
19
Malignant Hyperthermia: treatment
what is the treatment
call for help
IV dantrolene
turn off VAA
maintain anesthetic
hyperventilate w/100% O2 (ambu bag)
Initiate cooling
correct metabolic acidosis
maintain UOP
20
Malignant Hyperthermia:
how do you prepare the machine?
vaporizers out
high O2 flow (10 LPM)
for 20-30 min
21
Neonate: Post birth
what are they placed in
radiant warmers in slight trendelenburg
22
Neonate: Post birth
what are normal respiration
30-60 bpm
23
Neonate: Post birth
normal HR
120-160 bpm
24
Neonate: Post birth
w/ APGAR the 1 min correlates to what?
survival
25
Neonate: Post birth
w/ APGAR the 5 min correlates to what?
neurological outcome
26
Neonate: Post birth
what is the most common cause of neonatal depression
intrauterine asphyxia
27
Neonate: what should you do?
APGAR 0-2
intubate chest compressions
28
Neonate: what should you do?
APGAR 3-4
temp assist w/ ventilation
29
Neonate: what should you do?
APGAR 5-7
stimulation and O2 across the face
30
