Croup
Upper airway viral infection also called laryngotracheitis that occurs in children 6 months to 3 years of age
Usually caused by PIV type 1 and sometimes PIV type 3
Low grade fever, inspiratory stridor
Steeple Sign
ETT Sz
(Age + 16)/4
ETT Depth
ETT x 3
or
(age/2)+12
Inspiratory vs expiratory wheezing
Inspiratory = Upper Airway Obs
Expiratory = Asthma
When do fontanels close
Anterior: 12-18 months
Posterior: 2 months
ETT so for term neonates
Premie: 2.5-3
Term: 3-3.5
3 months to 1 year: 3.5-4
Pierre Robin Syndrome
Look into it, specifically airway complications
Treacher-Collin’s
Look into airway complications
Hurler’s syndrome
Look into airway complications
Led atropine dose
0.02 mg/mg, min of .1, max .5
Narcan led dose
1 mg/kg, max 2mg
PGE1 dose
0.05-0.1 mcg/kg/min
Multiple jerking motion in upper extremities
Myoclonic SZ
Mouth/tongue in out, bicycling, eye deviations, repetitive blinking
Subtle SZ IN FUCKING BABIES YOU DUMB FUCK
Choanal Atresia
Birth defect in which the posterior nasal passage is obstructed by tissue.
Suctioning newborn
Mouth then nose
What is Down’s syndrome associated with in the babies
VSDs
Aortic Stenosis
PDAs
Most common congenital heart defect
VSD
Indomethacin Dose
0.2 mg/kg followed by 0.1/kg 12 hr after repeat 24 hours
Or
0.2 mg/kg q 12 x 3
PGE side effects
Apnea
Bradycardia
Hypotension