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