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HA final-peds
HA final
| Question | Answer |
|---|---|
| peds pulm. transition takes how long? | 5-10 mins |
| differences b/n infant and adult pulmonary syst. | higher o2 consumption, closing vol., ratio of min. vent. to FRC, pliable ribs |
| infants o2 consumption | 7-9ml/kg/min |
| infants have equal TV and closing vol. which means they have | no reserve |
| faster induction and ____ emergence with a neonate | faster |
| myelination is mature by | 3 years |
| you can check ___ for hydration or vol. | fontanelles |
| the peds spinal cord ends at | L3 |
| most common for of heat loss for infant | radiant;from infant to cold take in OR |
| OR temp should be | 26 degress |
| renal system in the fetus is similar to what syst. | pulmonary |
| most common for of heat loss for infant | radiant;from infant to cold take in OR |
| OR temp should be | 26 degress |
| renal system in the fetus is similar to what syst. | pulmonary |
| after one month infants kidney efficiency of _% is reached | 60 |
| less than _wks of time of surgery the premie can be at risk of apnea, should observe 24hrs postop | 50 |
| pt with insulin pump they should be put on a __ rate | basal |
| premature is considered less than __ wks | 36 |
| what are the guidelines for outpt. surgery age; _ wks post conceptual age | 56 |
| narrowest portion of the airway is the | cricoid cartilage |
| permature level is C_ and term is C_-C_ | premature C3 term C3-C4 |
| distressed by seperation from primary care giver, physical discomfort (hunger, cold, etc.) is what age group | infants |
| school age psycho aspects | loss of control, pain, disappointing adults, death. logical thinking "age of reason" |
| loss of control, altered body image, segregation from peers, "won't wake up" is which age group psycho. aspect | adolescent |
| which age group has separation anxiety | toddler |
| preop fasting small children or more prone to ___ and ___ | dehydration and hypoglycemia |
| does a <6mo require more time for NPO vs. 6-36mos | yes |
| NPO at __ is recommended | midnight |
| chewing gum does what | increase gastric vol, pH only cancel if child swallows gum |
| aspiration usually occurs on induction or emergence with peds | induction |
| at what age are peds at a greater risk of aspiration | less than 3 |
| viral, bacterial, non-infectious are common illnesses causing | upper airway symptoms |
| what type of system is best for infants <10kg | semiclosed systems |
| calculation ETT size for >2 yrs | age+ 16/4 |
| how many tubes should be at bedside prior to intubation | 3; one size under and over and the one they think will fit. |
| this test is positive at 15-20 cmH2O | leak test |
| MAC is higher for __>___>___ | infants>toddler>children |
| best location of perocordial stethoscope | L chest |
| prior to intubation turn __ off or down for several breaths to increase alveolar O2 | N2O |
| when peds are having a larnygeal spasm you should give | positive pressure first make sure air isn't going to the stomach instead |
| sternal retraction or nostril flaring are signs of | distress |
| take precordial stethoscope off prior to transport to PACU | false; keep on and take infants mask with you |
Created by:
melbacs