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Involuntary muscle contractions of the laryngeal muscles causing the vocal cords to close -
answer-:Laryngospasms
5 nursing interventions for laryngospasms - answer-:1. Administer humidified 100% oxygen
2. Continuous positive pressure by mask maintaining end-expiratory pressure to open vocal
cords
3. Suctioning secretions
4. Notify anesthesia (airway and ventilator support, be prepared for ventilation)
5. Administer muscle relaxant (e.g. succinylcholine)
Sudden constriction of the muscles in the walls of the bronchioles resulting in a high-pitched
wheeze, coarse rales, increased respiratory rate, mild-severe dysnea, and intercostal retractions
- answer-:Bronchospasms
6 nursing interventions for bronchospams - answer-:1. Administer oxygen
2. Suction secretions
3. Notify anesthesia
4. Administer bronchodilators
,5. Support ventilation, possible reintubation
6. Consider overnight admission for observation
Inhalation of gastric or oropharyngeal contents that may cause irriation to trachea or bronchi -
answer-:Aspiration
What are the daily fluid requirements by body weight for someone 10kg or less - answer-
:100ml/kg
What are the daily fluid requirements by body weight for someone 10-20kg? - answer-:1000ml
+ 50ml/kg for each additional kg between 10-20kg
What are the daily fluid requirements by body weight for someone greater than 20kg? - answer-
:1500 ml + 20ml/kg for each additional kg over 20kg
Minimum urine output for infants and toddlers - answer-:2-3 ml/kg/hr
Minimum urine output for preschoolers and young school-aged children - answer-:>1-
2ml/kg/hour
Minimum urine output for school aged children and adolescents - answer-:0.5-1ml/kg/hour
5 risk factors for post-op nausea and vomiting in children - answer-:1. Surgeries lasting longer
than 30 minutes
2. Otorhinolaryngological, opthalmologic, testicular, or dental surgery
3. 3 years or older
4. Motion sickness
5. History of PONV in parents or siblings
,A condition characterized by a state of excitement upon emergence from general anesthesia -
answer-:Emergence Delirium
What types or surgeries are most associated with emergence delirium? - answer-
:Otorhinolaryngologic and Ophthalmologic
What 4 anesthetic agents are associated with emergence delirium? - answer-:1. Sevoflurane
2. Desflurane
3. Isoflurane
4. Halothane
3 predisposing conditions for malignant hyperthermia - answer-:1. Young athletic males (highest
risk)
2. Children
3. Myopathies and musculoskeletal disorders
What does the acronym F.L.A.C.C. stand for ? - answer-:Face, Legs, Activity, Cry, Consolability
What age group is the FLACC scaled used for? - answer-:Infant-7 years old
Children as young as ___ years old can use the FACES pain rating scale. - answer-:Three years
old
5 signs of peripheral nerve block toxicity - answer-:1. Metallic taste
2. Dysrhythmias, cardiac arrest
3. Confusion, seizures
, 4. Nausea, vomiting, diarrhea
5. Neurologic injury
The gold standard for opioids in pediatric patients is - answer-:Morphine
Naloxone dosing - answer-:0.01mg/kg or 10mcg/kg every 1-2 minutes prn
Ondansetron dosing for pediatric patients - answer-:0.15mg/kg (max dose 4 mg)
General dosing guidelines for IV Acetaminophen - answer-:Children >2 years: 15mg/kg every 6
hours or 12.5mg/kg every 4 hours
Maximum single dose: 15mg/kg
Maximum daily dose: 75mg/kg/day not to exceed 3750mg/day
General dosing guidelines PO Acetaminophen - answer-:Load: 20 mg/kg
Maintenance: 10-15mg/kg q4-6h
Maximum single dose: 1000mg
Maximum daily dose: 90mg/kg or 4g/24 hours
General dosing guideline Codeine - answer-:0.5-1mg/kg/dose q4-6h
Max single dose 60mg
General dosing guideline for Dexmedetomidine (Precedex) - answer-:Load: 0.5-1 mcg/kg
General dosing guideline for Ibuprofen - answer-:4-10mg/kg/dose q6-8h