Peds Numbers Barry
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Oral airway sizes: | Preterm –000,00
Neo <3months-0
3-12 months-1
1-5yrs - 2
> 5yrs - 3
🗑
|
||||
| ETT sizes for premies: | Less than 2 gm - 2.5
Over 2 gm - 3.0
🗑
|
||||
| ETT sizes for neonates: | 3.0-3.5
🗑
|
||||
| ETT size for 0-6 months: | 3.5
🗑
|
||||
| ETT size for 6-12 months: | 4.0
🗑
|
||||
| ETT sizes for 12-18 months: | 4.0-4.5
🗑
|
||||
| ETT size for 2 yr: | 4.5
🗑
|
||||
| ETT sizes for 2-3 yrs: | 4.5-5.0
🗑
|
||||
| ETT size for 4 yr olds and over: | Age + 16 / 4
OR
Kg + 35 / 10
🗑
|
||||
| Depth of insertion of ETT for children based on weight up to 4 kg: | 1 kg - 7 cm
2 kg - 8 cm
3 kg - 9 cm
4 kg - 10 cm
🗑
|
||||
| For a child from 4 kg up to 1 yr ETT should be how deep? | 10 cm
🗑
|
||||
| Depth of insertion of ETT based on age greater than one yr? | Age / 2 + 12
🗑
|
||||
| Depth of insertion of ETT based on internal diameter of ETT? | Internal diameter X 3
🗑
|
||||
| Where do you want your pediatric ETT to leak? | 20-25 cm H2O
🗑
|
||||
| You should change to a smaller ETT when it leaks above what number? | 30 cm H2O
🗑
|
||||
| Leaving in an ETT that didn't leak until over 30 cm H2O can cause what? | Post extubation croup.
🗑
|
||||
| Change to a larger ETT when you have a leak at less than what number? | 15 cm H2O
🗑
|
||||
| Cuffed tubes are rarely needed at less than what age? | 8-10.
🗑
|
||||
| When using cuffed tube, how does your size determination change? | You reduce your size by 0.5
🗑
|
||||
| What Miller sizes for what ages? | Miller 0 - preterm, neonate
Miller 1 - neonate-age2
Miller 2 - 3 and older
🗑
|
||||
| LMA sizes for what kilograms? | 1 - less than 5 kg
1.5 - 5-10
2 - 6.5-25
2.5 - 20-30
3 - 25-small adult
4 - large adult
🗑
|
||||
| Reservoir bag sizes for what ages? | Newborn - 0.5L
1-3 yrs - 1L
3-5 yrs - 2L
Over 5 - 3L
🗑
|
||||
| IV catheter sizes for what ages? | 24 g neonates, 22 g 1-5 yrs, 20 g over 5.
🗑
|
||||
| Size of infusion bag should not exceed: | Patient's estimated fluid deficit.
🗑
|
||||
| Microdrip set with volume limited device is mandatory for what ages? | Under 10.
🗑
|
||||
| What's an ideal pediatric anesthesia breathing system? | Low dead space
Low resistance
Lightweight and compact
Low compression volume
Easily humidified
Easily scavenged
Suitable for both controlled ans spontaneous ventilation
Economy of fresh gas flow
🗑
|
||||
| What's the most commonly used breathing system in infants? | Mapleson D.
🗑
|
||||
| Bain circuit is: | A Mapleson D with fresh gas flow tubing inside corrugated breathing tube.
🗑
|
||||
| For traditional mask induction, what percentage of gases? | 30% O2, 70% N2O.
🗑
|
||||
| For single breath induction, what percentage Halothane or Sevoflurane? | 5% or 8 %.
🗑
|
||||
| What nerve stimulates laryngospasm (sensory)? | Superior laryngeal nerve.
🗑
|
||||
| Risk factors for laryngospasm? | AGE
EXTUBATION
AIRWAY
URI
LIGHT ANESTHESIA
🗑
|
||||
| How can you tell if laryngospasm is partial or complete? | Presence of sound:
Yes - incomplete airway obstruction
No - laryngospasm!
🗑
|
||||
| Preventative measures against laryngospasm: | Extubate in stage 3 or 1
Stretch the larynx with jaw thrust
Suction while deep
🗑
|
||||
| Ketamine pediatric induction dose: | 2 mg/kg IV - 4-8 mg/kg IM
🗑
|
||||
| Diprivan pediatric induction dose: | 2.5 - 3.5 mg/kg
🗑
|
||||
| Intubating doses of sux: | 2mg/kg infants
🗑
|
||||
| What's the most commonly used breathing system in infants? | Mapleson D.
🗑
|
||||
| Bain circuit is: | A Mapleson D with fresh gas flow tubing inside corrugated breathing tube.
🗑
|
||||
| For traditional mask induction, what percentage of gases? | 30% O2, 70% N2O.
🗑
|
||||
| For single breath induction, what percentage Halothane or Sevoflurane? | 5% or 8 %.
🗑
|
||||
| What nerve stimulates laryngospasm (sensory)? | Superior laryngeal nerve.
🗑
|
||||
| Risk factors for laryngospasm? | AGE
EXTUBATION
AIRWAY
URI
LIGHT ANESTHESIA
🗑
|
||||
| How can you tell if laryngospasm is partial or complete? | Presence of sound:
Yes - incomplete airway obstruction
No - laryngospasm!
🗑
|
||||
| Preventative measures against laryngospasm: | Extubate in stage 3 or 1
Stretch the larynx with jaw thrust
Suction while deep
🗑
|
||||
| Ketamine pediatric induction dose: | 2 mg/kg IV - 4-8 mg/kg IM
🗑
|
||||
| Diprivan pediatric induction dose: | 2.5 - 3.5 mg/kg
🗑
|
||||
| Intubating doses of sux: | 2mg/kg infants
1mg/kg older kids
2mg/kg IM
🗑
|
||||
| Intubating dose of roc: | Rocuronium - 0.6 mg/kg
🗑
|
||||
| Fentanyl for pediatric surgery: | FENTANYL- 1-2 UQ/KG SUPPLEMENT OR MAJOR 5 UQ/KG & INFUSION 2-4 UQ/KG/HR
🗑
|
||||
| “Sundown sign of Imminent Awakening" | Contraction of the rectus muscle of the eye causing the eyeball to look downward toward the toes.
🗑
|
||||
| What could be the cause of a blue but well ventilated child? | PFO
🗑
|
||||
| What's the treatment for a blue but well ventilated child with a PFO? | 100% O2 & it will resolve.
🗑
|
||||
| Etiology of child with PFO turning blue on emergence? | Emergence will cause increase in increase in PVR leading to R to L shunt- cyanosis.
🗑
|
||||
| What approximate percentage of exhaled agent do you NEVER want to extubate at? | 0.15-2%
🗑
|
||||
| Criteria for awake extubation: | Grimacing using eyebrows and forehead, opens eyes
Spontaneous eye movement
Purposeful movement, reaching for endotracheal tube
Opens mouth with oral suction
🗑
|
||||
| You can assess the adequacy of your fluid replacement by urine output, which should be... | 1-2 ml/kg/hr.
🗑
|
||||
| EBV for various ages: | Preterm - 90-100
Term - 80-90
3mo-1yr - 70-80
Child - 70
Obese - 60-65
🗑
|
||||
| For infants and neonates a sudden drop in BP = | Sudden drop in volume (blood loss).
🗑
|
||||
| What can you replace 1 mL of blood with? | - 3 mL of crystalloid
- 1 mL of colloid
- 1 mL of whole blood
- .5 mL of PRBC
🗑
|
||||
| What is the crit of PRBC? | 75%
🗑
|
||||
| How much PRBC to give (formula)? | PRBCs (ml) = [(blood loss –ABL) x desired Hct] ÷ Hct of PRBCs (75%)
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
1592042303
Popular Medical sets