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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

Neonate:
what are indications for positive pressure ventilation

Apnea
HR

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