ATCN 2020 Chapter 10 Outline
Pediatric Trauma Page 188 Exam 100%
Correct!!
_________________________________________ is a significant stress factor in children. - ANSWER
Thermal energy loss is a significant stress factor in children.
The optimal endotracheal tube depth (in centimeters) can be calculated as: - ANSWER Three times
the appropriate tube size.
For example, a 4.0 ETT would be properly positioned at 12 cm from the gum line.
The smallest area of a young child's airway is: - ANSWER At the cricoid ring, which forms a natural
seal around an unruffled ETT.
The use of a ______________________ ETT even in toddlers and small children, provides the benefit
of improving ventilation and carbon dioxide management, resulting in improved cerebral blood flow.
- ANSWER The use of a cuffed ETT
The ideal ETT cuff pressure is: - ANSWER 30 mm hg
A simple technique to gauge the ETT size needed for a specific patient is to: - ANSWER Approximate
the diameter of the child's external nares or tip of the child's smallest finger and use the tube with
the smaller diameter.
Position the ETT __________________________ cm below the __________________________ and
secure in place. - ANSWER Position the ETT 2 to 3 cm below the vocal cords and secure in place.
What pneumonic is used to aid in identifying difficulties ventilating a patient with a definitive airway -
ANSWER D - dislodgement
O - Obstruction
P - Pneumothorax
E - Equipment failure
, Use of a pediatric bag mask is recommended for children under ___________________ kg. -
ANSWER 30 kg
______________________________ and poor ________________________________________ are
the only keys to early recognition of hypovolemia and the early initiation of appropriate fluid
resuscitation. - ANSWER Tachycardia and poor skin perfusion
Infants have a more pronounced _______________________________________ to endotracheal
intubation than do children and adults, and they may experience bradycardia with direct laryngeal
stimulation. - ANSWER Vagal response
Bradycardia in infants is more likely due to ________________________. - ANSWER Hypoxia
__________________________________________________________________________________
___is the preferred method of obtaining a definitive airway control. - ANSWER Orotracheal
intubation under direct vision with restriction of cervical motion is the preferred method of obtaining
a definitive airway control.
Do not perform __________________________________ in children - ANSWER Do not perform
nasal intubation in children
List more subtle signs of blood loss in children (besides tachycardia and poor skin perfusion) -
ANSWER Progressive weakening of peripheral pulses
Narrowing of pulse pressure to less than 20 mm hg
Skin mottling
Cool extremities compared to torso
Decrease level of consciousness with dulled response to pain
Decrease in blood pressure
Normal vital signs for Infant 0 - 12 months
Weight
Heart rate
Blood pressure
Respiratory Rate
Urinary output - ANSWER Weight 0 - 10 kg
Pediatric Trauma Page 188 Exam 100%
Correct!!
_________________________________________ is a significant stress factor in children. - ANSWER
Thermal energy loss is a significant stress factor in children.
The optimal endotracheal tube depth (in centimeters) can be calculated as: - ANSWER Three times
the appropriate tube size.
For example, a 4.0 ETT would be properly positioned at 12 cm from the gum line.
The smallest area of a young child's airway is: - ANSWER At the cricoid ring, which forms a natural
seal around an unruffled ETT.
The use of a ______________________ ETT even in toddlers and small children, provides the benefit
of improving ventilation and carbon dioxide management, resulting in improved cerebral blood flow.
- ANSWER The use of a cuffed ETT
The ideal ETT cuff pressure is: - ANSWER 30 mm hg
A simple technique to gauge the ETT size needed for a specific patient is to: - ANSWER Approximate
the diameter of the child's external nares or tip of the child's smallest finger and use the tube with
the smaller diameter.
Position the ETT __________________________ cm below the __________________________ and
secure in place. - ANSWER Position the ETT 2 to 3 cm below the vocal cords and secure in place.
What pneumonic is used to aid in identifying difficulties ventilating a patient with a definitive airway -
ANSWER D - dislodgement
O - Obstruction
P - Pneumothorax
E - Equipment failure
, Use of a pediatric bag mask is recommended for children under ___________________ kg. -
ANSWER 30 kg
______________________________ and poor ________________________________________ are
the only keys to early recognition of hypovolemia and the early initiation of appropriate fluid
resuscitation. - ANSWER Tachycardia and poor skin perfusion
Infants have a more pronounced _______________________________________ to endotracheal
intubation than do children and adults, and they may experience bradycardia with direct laryngeal
stimulation. - ANSWER Vagal response
Bradycardia in infants is more likely due to ________________________. - ANSWER Hypoxia
__________________________________________________________________________________
___is the preferred method of obtaining a definitive airway control. - ANSWER Orotracheal
intubation under direct vision with restriction of cervical motion is the preferred method of obtaining
a definitive airway control.
Do not perform __________________________________ in children - ANSWER Do not perform
nasal intubation in children
List more subtle signs of blood loss in children (besides tachycardia and poor skin perfusion) -
ANSWER Progressive weakening of peripheral pulses
Narrowing of pulse pressure to less than 20 mm hg
Skin mottling
Cool extremities compared to torso
Decrease level of consciousness with dulled response to pain
Decrease in blood pressure
Normal vital signs for Infant 0 - 12 months
Weight
Heart rate
Blood pressure
Respiratory Rate
Urinary output - ANSWER Weight 0 - 10 kg
