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20 Cards in this Set
- Front
- Back
- 3rd side (hint)
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T/F: Pediatric renal function approximates adult renal function at 1-2 years of age? |
True |
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What is apnea of prematurity related to? |
Underdeveloped brainstem |
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Compare length of treatment differences between a <28 week gestation vs >28 week gestation. |
<28 weeks: treat until 43 weeks postmenstrual age >28 weeks: 37 weeks PMA |
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What should supplemental oxygen saturations for AOP be between? |
85%-95% |
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What is a nonpharmacologic treatment to increase oxygen carry capacity? |
Red blood cells transfusion |
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What is the pharmacologic therapy for AOP? |
Methylxanthines |
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What is the MOA of methylxanthines? |
Inhibits adenosine and Inhibits phosphodiesterase |
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Define BPD |
Chronic lung disease of infancy in which the infant lung is characterized by inflammation and fibrosis |
Bronchopulmonary dysplasia |
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Define RDS |
Lung condition of prematurity. A respiratory disorder caused by surfactant deficiency. |
Respiratory Distress Syndrome |
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Define atelectasis |
Complete or partial collapse of the lung |
Due to inadequate surfactant production |
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What are the critical components of surfactant required for normal respiratory function? |
Phosphatidylcholine, surfactant protein B, surfactant protein C |
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Definitive diagnosis of PDA? |
Echocardiogram with left to right flow |
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What is patent ductus aeteriosus? |
Ductus aeteriosus remaining open after birth |
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Untreated PDA? |
CHF congestive heart failure Hypoperfusion of brain, intestines, kidneys |
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Refractory hypotension may be due to? |
PDA |
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When is alprostadil .05 mcg/kg/min continuous infusion used? |
Maintenance of PDA |
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How do you manage CHF related to PDA? |
Fluid restriction Diuretics |
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Betamethasone 12 mg IM daily x2 doses for what? |
Antenatal steroidnfor prevention of PDA |
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How is AOP recognized? |
Cessation of breathing for at least 20 seconds or a briefer episode with one of the following... Bradycardia (low HR) Cyanosis (bluish coloration) Pallor (pale appearance) |
Apnea of Prematurity |
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What other causes must first be ruled out before the diagnosis of AOP? |
CNS disorders Decreased oxygen delivery to brain Infection Metabolic disorders Thermal instability |
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