Pediatrics

Question 1

Defib energy for cardiac arrest

Answer 1

First: 2j/kg
Second: 4j/kg

Question 2

NRP ET tube size

Answer 2

1. below 1kg (<28wks) = 2.5mm
2. 1-2kg (28-34 wks) = 3.0mm
3. > 2kg (>34 wks) = 3.5mm

Question 3

NRP initial assessment

Answer 3

Term?
Tone?
Crying?

Question 4

What to do if neonate is not crying, with no tone?

Answer 4

stimulate, warm, dry, suction if needed.

Question 5

Neonate has apnea after stimulation:

Answer 5

Position Airway
suction
supplemental O2
CPAP?
pulse ox

Question 6

Neonate HR<100 after stimulation:

Answer 6

PPV
Pulse ox
monitor
wait 30 seconds and reassess HR

Question 7

Neonate HR<100 after PPV:

Answer 7

consider advanced airway

Question 8

Neonate HR<60:

Answer 8

CPR 3:1 ratio
PPV (advanced airway)
100% O2

Question 9

When to give epi during neonatal resuscitation

Answer 9

After 30 seconds of PPV
AND
another 60 seconds of chest compressions coordinated with PPV

Question 10

NRP epi dose IV/IO

Answer 10

0.02mg/kg (0.2ml/kg)

Question 11

NRP epi dose endotracheal

Answer 11

0.1mg/kg (1ml/kg)

Question 12

NRP fluid bolus/volume expander

Answer 12

10ml/kg

Question 13

Considerations if neonate is not responding to NRP algorithm with epi administration

Answer 13

hypovolemia
pneumothorax

Question 14

Pediatric IBW calculation

Answer 14

Pediatric:
1. Age 1–5 years:IBW=(Agex2)+8
2. Age 6–12 years:IBW=(Agex3)+7

Question 15

Pediatric push dose epi dosage

Answer 15

0.1 mL/kg (1 mcg/kg) every 3 – 5 min PRN to maintain SBP >70 + (2x age in years). Max 20 mcg per dose