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25 Cards in this Set
- Front
- Back
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What is the cutoff for hypotension in a newborn?
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60 systolic
70 for older kids |
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Where do you check pulses in a kid during a trauma?
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femoral pulse
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Where do you get access to fluids for a kid in trauma?
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IO tibial tuberosity
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What empiric antibiotics are standard for neonate emergency?
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amp gent acyclovir
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Why do you push D10 rather than D50 for hypoglycemia in neonate/infant?
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D50 is hard on veins
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rule for dextrose amount IV for kids
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1 gram dextrose per kilo of body weight
thus 3 kg kid = 3 g dextrose = 30 ml |
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amount of normal saline for kids in trauma
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20 ml/kg is standard
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If you give a fluid bolus to a kid and the liver edge becomes palpable, what should you suspect?
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RHF; get bedside echo, CXR
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What is the treatment for RHF?
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more fluids?
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What is given to kids in prep for RSI? Why?
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atropine, to counter bradycardia from vagal effects
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What induction would be good for an asthmatic kid?
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ketamine; it's a bronchodilator
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What caution on using etomidate in kids?
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avoid in septic kids, it can cause adrenal failure
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Is succinylcholine used in kids?
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No, use versed (?)
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hyperkalemia in pediatric trauma of male...think?
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CAH
girls will have ambiguous genitalia boys will be salt wasters and have hyperkalemia |
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High WBC might be an indicator of ? rather than sepsis
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acute phase reaction
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What is the main treatment for new onset cyanosis in a neonate?
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prostaglandin E1, keeps duct open
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Black patient with anemia, consider ?
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sickle cell
G6PD blood in stool menstruation thalassemia leukemia (ask abot wt loss) |
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In addition to CBC, what other blood test should you check for anemia?
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retic count
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normal RDW
what happens in leukemia? |
11-14
it widens (>14) |
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Most common thalassemia in US
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alpha trait
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What labs do you order as a second stage workup for hemolytic anemia?
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direct coombs
LDH indirect bilirubin haptoglobin (binds free Hg) |
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Child with pallor, hg 3.9, no other sx. What is your first question in history?
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"How much milk does she drink?"
Picky eater - only drinks milk - poor nutrition - iron deficiency |
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If nutritional iron deficiency anemia in child,
1. what will retic count be? 2. what will MCV be? 3. what will RDW be? 4. what else should you order? |
1. normal
2. low 3. high? 4. lead level; iron studies probably unecessary if you confirm nutrition problem (milk excess) |
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What is the "rule of twos" for asthma severity?
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2+ episodes per week
2 nights of cough to point of waking up per month |
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Rales in adults...think ?
Rales in kids...think ? |
pneumonia
atelectasis |
