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120 Cards in this Set
- Front
- Back
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What are the 2 calcium salts?
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gluconate and chloride
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What is the risk with calcium infusions?
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it burns very badly
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What concentration of sodium bicarb is ONLY used in the NICU?
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4.2%
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What does dopamine do?
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increase vascular tone
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what does dobutamine do?
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increase force of contrac tion
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How is dopamine/dobutamine usually ordered?
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in ml/hr
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How is dopamine/dobutamine dispensed?
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in mcg/kg/min
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How is dopamine/dobutamine usually given?
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via central access
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What is the standard concetration for dopamine/dobutamine
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1.6 mg/ml
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What is the precursor to necorisis when giving dopamine/dobutamine ?
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blanching
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What drug can be given to reverse blanching and necrosis from dopamine/dobutamine ?
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phentolamine
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Why is norepinephrine used?
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to treat septic shock
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Norepinephrine is vaso_________
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active
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What does milrinone do? WHat doesn't it do?
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increases contractility but NOT HR
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What is a risk with milrinone?
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significant hypotension
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How is fentanyl dosed?
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mcg/kg/hr
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What is the risk with fentanyl?
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chest wall rigidity
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what is the antedote for fentanyl induced rigifidity?
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narcan
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Does midazolam control pain?
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NO
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what does midazolam do?
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sedate
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What is another name for Alprostadil?
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PGE
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why is alprostadil used?
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to maintain or reopen the ductus arteriosus
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what is the standard rate for alprostadil?
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10mcg/ml
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what are 3 side effects of alprostadil?
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apnea
pyrexia bone pain |
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Why is caffeine used?
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treatment of apnea
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Taxoplasmosis
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TORCH
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how is toxoplasmosis caught?
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eating raw contaminated meat or cat litter ingestion
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How is taxoplasmosis detected?
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serologic antibody testing and ELISA
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Congenital Syphalis?
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TORCH
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how do you detect syphalis?
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VDRL test
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Rubella
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TORCH
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how does rubella manifest in mom?
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pink rash, lymph enlargement, fever, malaise and headache
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when does fetal infection of rubella occur?
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before 11 weeks and after 35 weeks
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CMV
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cytomegalovirus
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Cytomegalovirus
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TORCH
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how is cytomegalovirus detected?
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IgM titer
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herpes simplex
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TORCH
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Bacterial vaginosis may cause....
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premature birth and PPROM
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A positive fetal fibronectin may foreshadow....
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PPROM. preterm labor
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periodontal disease may increase risk for.....
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preterm labor
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what is fetal fibronectin?
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protein found in amniotic fluid used to predict preterm labor
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A positive fetal fibronectin indicates labor within ____ days
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14
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women with positive fetal fibronectin are more likely to also have...
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chorioamnionitis
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what is the most common pathway for chorioamnionitis?
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rupture of membranes
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what is the greatest risk factor for early onset neonatal sepsis?
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chorioamnionitis/ intrauterine infection
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what 2 meds are used to treat group b strep?
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penicillan G and ampicillan
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WHen are women screaned for group b strep?
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35-37 weeks
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what 3 tests are used to detect sepsis?
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C&S with gram stain
CSR CBC |
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what are the first signs in a CBC of sepsis?
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decreased platelets and bandemia
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An ABG will show what with sepsis?
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metabolic acidosis
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A CRP trending up indicates....
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infection
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a CRP trending down indicates....
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treatment regime is effective
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decreased glucose in CSF may indicate...
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meningitis
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how much blood should be collected for a blood culture?
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1ml
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thrombocytopenia
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decreased platelets
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CRP
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C-reactive protein
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CLABSI
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central line associated blood stream infection
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what is the most frequent CLABSI pathway?
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umbilical lines
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VAP
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ventilator associated pneumonea
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polypoloidy
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condition in which there is more than 2 sets of chromosomes
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aneuploidy
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extra or missing chromosome
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Another name for trisomy 21?
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Downs Syndrome
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What disorder?
mental retardation abnormal pattern of palm creases flat face sparse, straight hair short stature |
trisomy 21
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life expetency for trisomy 21?
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mid teens
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trisomy 21 patients are at increased risk for developing....
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alzheimers
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increased maternal age is a risk for...
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trisomy 21
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What disorder?
mental/physical retardation skull/facial abnormalities defects in all organ systems poor muscle tone |
trisomy 18
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Another name for trisomy 18?
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edward syndrome
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What is the survival for trisomy 18?
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2-4 months
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Another name for trisomey 13?
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Patau Syndrom
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What disorder?
mental/physical retardation skull/facial abnormalities defects in all organ systems cleft lip large, triangular nose extra digits |
trisomey 13
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Turner Syndrome phenotype:
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XO
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What disorder?
sexually underdeveloped short stature fold of skin on neck wide-spaced nipples narrow aorta pigmented moles malformed elbows infertile normal intelligence |
Turner Syndrome
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All patients with turner syndrome will be...
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female
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What disorder?
Tall Thin Have mentraul irregularities IQ normal or slightly reduced |
Triple X syndrom
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What is the phenotype of triple x syndrome?
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XXXX
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All patients with triple X syndrome will be...
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female
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Phenotype for Klinefelter Syndrome?
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XXXY
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What disorder?
reduced sexual maturity sexual characteristics breast swelling infertility slow to learn possible mental retardation |
Klinefelters syndrome
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All patients with klinefelters syndrome will be...
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male
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Phenotype for Jacob Syndrome?
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XYY
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What disorder?
unaware of extra chromo. tall may have speech /reading problems |
Jacob Syndrome
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What causes Chi Du Chat?
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deletion of a portion of chromosome 5
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What is the mental capacity of Chi Du Chat individuals?
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mentally retarded
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What is the second most common cause of mental retardation?
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fragile X syndrome
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what is the most comon cause of mental retardation?
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down syndrome
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What disorder?
Long, narrow face that becomes porlonged with age |
Fragile X syndrome
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what causes fragile X syndrome?
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an abnormal number of repeats on the X chromosome
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which gender is more likely to add repeats of the X chromosome?
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female
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in what gender is fragile X more common?
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males
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aneuploidy
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extra or missing chromosome
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Another name for trisomy 21?
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Downs Syndrome
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What disorder?
mental retardation abnormal pattern of palm creases flat face sparse, straight hair short stature |
trisomy 21
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life expetency for trisomy 21?
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mid teens
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trisomy 21 patients are at increased risk for developing....
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alzheimers
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increased maternal age is a risk for...
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trisomy 21
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What disorder?
mental/physical retardation skull/facial abnormalities defects in all organ systems poor muscle tone |
trisomy 18
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Another name for trisomy 18?
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edward syndrome
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What is the survival for trisomy 18?
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2-4 months
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Another name for trisomey 13?
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Patau Syndrom
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what gene causes systic fibrosis?
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chromosome 7
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What builds up in the neurons with Tay Sachs?
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a fatty substance
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what is caused in tay sachs?
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gradual paralysis and loss of nervous function
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when is the average death in tay sachs?
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age 4-5
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what race is most likely to get tay sachs?
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jewish, cajun, french-canadian
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SIckle cell anemia is common in...
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african americans
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how many separate genetic diseases does an individual with neurofibromatosis have?
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3
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what gene is mutated in neurofibromatosis?
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chromosome 17
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What disorder?
slow degeneration leading to: jerking muscles slurred speech swallowing difficulaty loss of balance mood swings reasoning and memory loss incapacitation death |
Huntingtons disease
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When is onset of Huntington's disease?
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35-45 years
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What causes hungington's disease?
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repeated DNA sequence
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People most at risk for huntintons inherit the gene from their...
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father
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What gene is huntingtons disease on?
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chromosome 4
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what is the most common and most severe form of muscular dystrophy?
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duchenne
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When does muscular deterioration begin with duchenne dystrophy?
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between ages 3-5
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What stage IVH?
subependymal hemorrhage in the germinal matrix |
1
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What stage IVH?
partial filling of the lateral ventricles with ventricular dilation |
2
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What stage IVH?
filling of ventricles with ventricular dilation |
3
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What stage IVH?
IVH with periventricular hemorrhagic infaction |
4
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How do you evaluate IVH?
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head ultrasound
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