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Details

Principles 3, Test 1, neonatal lecture slides 39-47
get in my belly
11
Nursing
Graduate
01/31/2010

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Term
What commonality do most kids with chromosomal disorders share?
Definition
heart anomalies
Term
What considerations should cross my mind if i have a kid with Turner Syndrome
Definition
potential difficult intubation (short stature, webbed neck, small mandible), HTN due to coarctation of the aorta (avoid sympathomemitics like ketamine, endocrine problems (DM, thyroid conditions)
Term
What odd surgical situation may someone with Klinefelter syndrome put you in?
Definition
Breast CA correction in a male, they have an extra X chromosome and pronounced female characteristics. The most common symptom is infertility.
Term
What are concerns with cri-du-chat?
Definition
airway stridor and difficult intubations due to abnormal larynx, cleft lip/palate, hypotonia, laryngomalacia
Term
What response do kids with down's have to volatiles? muscle relaxants?
Definition
They have a reduction in catecholamine stores thus they have a reduced MAC requirement. the response to muscle relaxants is exaggerated.
Term
Along with difficult intubations, volatiles, and muscle relaxant changes, what two concerns may cross your mind when you prepare to anesthetize an down's kid?
Definition
Neck instability (may sublux at C1-C2) and congenital heart issues
Term
Pierre robin syndrome, what is my main concern?
Definition
the tounge falling back and producing breathing problems
Term
I have concerns reguarding difficult intubation, upper airway obstruction, increased ICP, and strabismus, what genetic disorder am I?
Definition
crouzon's
Term
My symptoms include blue sclera, hx of multipla fractures, abnormal platelet aggrigation, deafness, and intracranial hemmorhage. What congenital disease process am i and what are your anesthetic concerns?
Definition
osteogenesis imperfecta, use art line (BP cuff will break bones), fragile teeth, document preop and post op fractures, avoid succs (fasciculations can also break bones), elevated temp with general (but not associated with MH)
Term
what two gastric issues are present with scleroderma and how would you treat?
Definition
reflux (RSIV), and malabsorbtion (especially of Vit K) check coag labs
Term
scleroderma is a multisystem connective tissue disorder, aside from gastric issues, what other 2 major organ systems are effected?
Definition
lungs (fibrosis, restrictive disease, pulmonary HTN, effusions, cor pulmonale) and renal (renal disease presents 3 years after diagnosis)
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