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SUM'20 - Advanced Principles > Basic principles of Peds > Flashcards

Flashcards in Basic principles of Peds Deck (81)
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1

for a adolescent arriving for elective surgery what must be done?

Stop everything and get a pregnancy test

2

the major objectives of pre-anesthetic medication are too

(1) allay anxiety
(2) block autonomic (vagal) reflexes
(3) reduce airway secretions
(4) produce amnesia
(5) provide prophylaxis against pulmonary aspiration of gastric contents
(6) facilitate the induction of anesthesia
(7) if necessary, provide analgesia.

3

premedication may also decrease the stress response to anesthesia and prevent

cardiac arrhythmia

4

factors to consider when selecting a drug or a combination of drugs for premedication include:

the child’s age,
ideal body weight,
drug history, and allergic status;
underlying medical or surgical conditions and how they might affect the response to premedication or how the premedication might alter anesthetic induction;
parent and child expectations;
the child’s emotional maturity, personality, anxiety level, cooperation, and physiologic and psychological status

5

diazepam oral

0.1-0.5mg

6

diazepam Rectal

1mg

7

midazolam oral

0.25-0.75mg

8

midazolam nasal

0.2mg

9

midazolam rectal

0.5-1mg

10

midazolam IM

0.1-0.15

11

lorazepam oral

0.025-0.05mg

12

Ketamine oral

3-6mg/kg

13

ketamine nasal

3mg/kg

14

ketamine rectal

6-10mg/kg

15

ketamine intramuscular

2-10mg/kg

16

benzodiazepines how do we prevent neurotoxicity

use preservative free for nasal administration

17

Anticholinergic agents were used

1) to prevent the undesirable bradycardia associated with some anesthetic agents (halothane and succinylcholine)
(2) to minimize the autonomic vagal reflexes manifested during surgical manipulations (e.g., laryngoscopy, strabismus repair)
(3) to reduce secretions.

18

most commonly used anticholinergics

atropine
scopolamine
glycopyrrolate

19

undesirable effects of anticholinergics

tachycardia
dry mouth
skin erythema
hyperthermia
result of inhibited sweating

20

which two anticholinergics cross the BBB

atropine and scopolamine

21

the recommended doses of anticholinergics are

atropine, 0.01 to 0.02 mg/kg
scopolamine, 0.005 to 0.010 mg/kg

22

which anticholinergic does not cross the BBB

glycopyrollate

23

which anticholinergic used to block the vagus nerve

atropine

24

which is better for sedative

scopolamine

25

infants who are at risk for or show early evidence of slowing of the heart rate should receive

atropine before the heart rate actually decreases to ensure a prompt onset of effect to maintain cardiac output.

26

which drug is twice as potent as atropine in decreasing oral secretions and the duration is three times greater

glycopyrrolate.

27

the recommended dose of glycopyyrolate

0.01mg/kg half that of atropine

or 10mcg/kg

28

the routine use of an anticholinergic for the sole purpose of drying secretions is probably unwarranted why

dry mouth can be a source of extreme discomfort for a child

29

When is glycopyolate best used for

sialorrhea associated with ketamine.

30

what is as important as your laryngoscope

suction