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CRNA Board Review--Pediatrics
CRNA Board Review
22
Nursing
Graduate
12/28/2009

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Cards

Term
Describe cardiac output in neonates and infants
Definition
Stroke volume is fixed, so they are heart rate dependent
Term
What is the narrowest point in the pediatric airway?
Definition
The cricoid ring
Term
What is the formula for endotracheal diamter for kids?
Definition
(Age/4) + 4
Term
What is the formula for depth of ETT insertion in kids?
Definition
Age/2 + 5
Term
What level is the pediatric cricoid cartilage? Adult?
Definition
Peds--C4
Adults--C6
Term
What is the estimated blood volume for a premie, neonate, and child?
Definition
Premie--90mL/kg
Neonate--80mL/kg
Child--75mL/kg
Term
Where are most congenital diaphragmatic hernias? What percentage?
Definition
70-90% are on the left, via the foramen of Bochdalek
Term
What does VACTER stand for?
Definition
Vertebral defect, Anal atresia, Cardiac abnormality, Tracheoesophageal fistula, Esophageal atresia, renal dysplasia
Term
What is the most common type of tracheoesophageal fistula?
Definition
A blind esophageal pouch with a fistula between the lower trachea and esophagus (Type IIIB)
Term
What does "small for gestational age" mean?
Definition
Below the 5th percentile
Term
What kind of pH abnormality is seen with pyloric stenosis?
Definition
Metabolic alkalosis, followed by a compensatory respiratory acidosis
Term
How are the Na, K, and Cl levels in a child with pyloric stenosis?
Definition
Low Na, K, and CL
Term
What is a classic presentation of pyloric stenosis?
Definition
Projectile vomiting
Term
What IV solution should be avoided with pyloric stenosis?
Definition
LR (lactate can be metabolized to bicarb)
Term
What causes acute epiglottitis?
Definition
Haemophilus influenza Type B bacteria
Term
Compare epiglottitis vs. croup
Definition
Epiglottitis is bacterial, presents acutely with high fever, drooling, and leaning forward. Must be intubated in the OR. Croup is viral (common cold), more insidious, and not as much an emergency
Term
Compare/contrast omphalocele vs. gastroschisis
Definition
Omphalocele is more common, midline, has associated problems, and has a hernia sac
Term
What is the biggest concern with Pierre-Robin and Treacher-Collins sydrome?
Definition
very difficult airways
Term
If a child has sudden cardiac arrest after sux, what should be done?
Definition
treat for hyperkalemia
Term
Which agent has the same MAC for neonates and infants?
Definition
Sevo
Term
The cricoid cartilage is the narrowest point in the pediatric airway up to what age?
Definition
Age 5
Term
How long after pediatric viral infection should GETA be delayed?
Definition
2-4 weeks
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