week 2 Flashcards
(24 cards)
what questions do you not ask children to give control?
yes or no anwers. Ask should I listen to heart or lungs first?
literature supports what is most effective for induction?
PO versed with parental presence
Children should also be included in consent process?
Yes, accent
Giving ketamine with developmentally delayed/difficult patients?
typically IM
How long for oral/IM precedex to work?
45 minutes
What is first montiro, then second and third?
pulse ox, EKG, BP
If crying and uncooperative? ok to mask induction first?
yes
Stage 1 anesthesia
awake, eyes midline
stage 2
hyper-excitable, eyes divergent
stage 3
asleep, eyes midline
stage 4
cv reflexes are anesthetized, can be hypotensive, bradycardic, eyes midline
Narrowest portion of ped airway
cricoid cartilage
Neck compared to adult
shorter
Larynx is ____ and cephalad
anterior
T/F: risk of mainstem intubation is much higher in peds due to short trachea and bronchus?
True
Epiglottis is _____ and narrower
longer
Is the tongue proportionally larger?
yes
rectal tylenol in potty trained?
NO
IV fluid administration
10-20mL/kg bolus then maintenance 4-2-1
Can infants shiver to increase body heat?
No
T/F: Warm infants will be bradycardic, hypotensive, and slow to awaken.
false, cold infants
Succs dose for laryngospasm
4mg/kg IM,
0.4mg/kg IV
Positive pressure needed to break laryngospasm
40mmHg
Narcan dose
0.5mcg/kg