Complete Solutions
A 10-year-old girl was involved in a personal watercraft
accident and suffered a C-3 fracture requiring mechanical
ventilation. Nine days following intubation, the pediatric
intensivist asks the neonatal/pediatric specialist for a
recommendation regarding an artificial airway for this patient.
The specialist should recommend a/an
A. uncuffed endotracheal tube.
B. tracheostomy tube.
C. laryngeal mask airway.
D. Carlen's tube. Correct Answers B. tracheostomy tube
A 10-year-old girl with asthma weighs 75 lb. Her physician asks
the neonatal/pediatric specialist to use Clark's Rule to determine
the amount of albuterol the child should receive. The standard
adult dose of albuterol is 2.5 mg. The proper dose for this child
is
A. 1.0 mg.
B. 1.25 mg.
C. 1.5 mg.
D. 1.75 mg. Correct Answers B. 1.25 mg.
A 2-year-old patient with a severe case of
laryngotracheobronchitis was extubated earlier in the morning.
The patient received aerosolized racemic epinephrine Q6H
throughout the day. During her initial assessment, the night shift
neonatal/pediatric specialist notes that the patient has mild to
, moderate inspiratory stridor. Vital Signs: blood pressure is 80/40
mm Hg, heart rate is 100/min, respiratory rate is 28/min,
temperature is 37°C and SpO2 is 93% on 30% oxygen by cool
aerosol. Which of the following should the specialist
recommend?
A. Levalbuterol (Xopenex®)
B. Prostacyclin (Flolan®)
C. Helium-oxygen gas mixture
D. Reintubate the patient Correct Answers C. Helium-oxygen
gas mixture
A 3-year-old patient is on mechanical ventilation after nearly
drowning in his grandmother's backyard pool. He developed a
kidney infection and has been on antibiotics for four days. The
neonatal/pediatric specialist is also concerned about the
development of ventilator-associated pneumonia. Which of the
following should the specialist recommend to reduce this risk?
1. Keep head of bed elevated 30 - 45 degrees
2. Closed suction catheters
3. Change ventilator circuits every 72 hours
4. Use SVN for bronchodilators instead of MDI
A. 1 and 2 only
B. 3 and 4 only
C. 1, 2 and 4 only
D. 1, 3 and 4 only Correct Answers A. 1 and 2 only
A 5-year-old patient with epiglottitis was intubated for airway
management. Following extubation, the neonatal/pediatric