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32 Cards in this Set
- Front
- Back
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piagets four stages of development and associated ages are?
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sensorimotor Birth-2
preoperational (talker-7) concrete 1st grade-early adolescent formal operations (adolescence) |
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this stage of piagets cog development concerns ages of ____ and is egocentric, use equipment the person can touch
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peroperational talker to 7 years old
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this stage of piagets cog development concerns ages of ____ and has separation anxiety, modify behavior with facial expressions, frowns and smiles
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sensorimotor birth to 2 years old
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this stage of piagets cog development concerns ages of ____ and is an abstract thinker, give a chance to ask questions
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concrete 1st grade to early adolescent
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this stage of piagets cog development concerns ages of ____ and is hypothetical and deductive reasoning, may need privacy from parents to discuss concerns
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formal operations (adolescent)
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what is the NPO status for clear liquids?
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2 hours
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what is NPO status for breast milk and formula
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breast-4 hrs
formula- 6hrs |
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light meal and nonhuman milk NPO status
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6hrs
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fatty foods or large meals NPO status
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8hrs
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What is brown fat utilized for in babies?
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babies unable to shiver, brown fat metabolism increases heat productin by 100% (premies do not have brown fat)
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what are the four types of heat loss and the associated %.
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Radiant 60%(most)- body into cool environment, walls
Evaporative- (22) loss from liquids on the skin such as prep or expiration of warm air, skin, organs. (cover the skin) Convective- (15%)moving cool air Conductive- (3%) direct transfer of heat between cool objects or fluids (OR table) |
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___% of heat loss is from a childs head?
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60%
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what type of fluid should be administered for a premie, infant, child?
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infant/premie= dextrose solution
child LR |
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if a child is on TPN decrease the dose by ____ and use LR for the remaining maintenance and 3rd spacing.
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half
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What are blood volumes for
Premies term newborn 1-12 months older child adult? |
Premies 90-105ml/kg
term newborn 80-85 1-12 months 70-80 older child 70-80 adult-55-65 |
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ypovolemia/shock replace fluid with ___cc/kg of crystalloid then whole blood __cc/kg
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20 crystaloid
10cc/kg blood |
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urine output should be maintained at ___cc/kg/hr
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0.5-1cc/kg/hr
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where dose the spinal cord end in an adult and infant?
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L1-L2 adult and older child
L3- in infact |
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Does bp change more in infants or adults after administration of a spinal?
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more change in adults
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name 3 factors effecting quality, duration and extent of caudal block?
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volume, dose, concentration
level of block is controlled by volume |
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what is the max dose of the following?
bupivicaine ___mg/kg bupivicaine 0.25% ___cc/kg bupivicaine 0.5% ___cc/kg |
total 3mg/kg
0.25% max of 1cc/kg 0.5% max of 0.5cc/kg |
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max dose of ropivacaine, lidocaine, lido with epi, epi
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ropivicaine-3mg/kg
lidocaine- 4mg/kg lido w/epi-7mg/kg epi-5-10mcg/kg |
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what is the lipid emulsion dose __ml/kg of 20%
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1.5ml/kg then 0.25ml/kg/min for 30-60 min
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what is the #1 bacterial cause of otitis media
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streptococcus pnemoniae, moraxella cararrhalis and non-typeable haemophilus influenzae
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prematurity is determined as less than __ weeks gestation
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37 weeks
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is inhalational or fentanyl favored in premature infants?
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fentanyl
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apgar at 1 min correlates with ___ and at 5 min correlates with ___
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survival and neurological outcome
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what does apgar stand for and which score is associated with intubation and chest compressions?
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appearance, pulse, grimace, activity, respiration
0-2 must intubate and CPR |
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neonatal hypovolemia is caused by what 6 things?
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early cord clamp
prematurity maternal hemorrhage placental transection sepsis twin to twin transfusion |
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how much fluid should be given to a neonate for volume resuscitation?
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10ml/kg of LR or albumin
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copious secretions, violent coughing, disease of resp and digestive system causing resp failure 2nd-3ed decade of life is ___
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cystic fibrosis
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cystic fibrosis patients have
_____ residual volume and airway resistance and _____ vital capacity and expiratory flow rate |
increase RV and resistance
decrease VC and EFR |
