3400=Psych unit??
FLUIDS!
MISC
Lab workup
Bugs and drugs
100
A 5150 or 5585 keeps minors on hold for ____ hours
72
100
Explain how to calculate maintenance fluids
4-2-1 rule
100
The ratio of which hormones affect catamenial seizures?
Estrogen: Progesterone
100
What would you expect to find in a UA of a patient with rhabdomyolysis?
elevated blood (but they are actually myoglobin, not hemoglobin)
(May also see elevated protein)
100
Which immunization do you have to check for in cyanotic infants?
Pertussis
200
Name 3 different types of codes called on our patients this week
BERT, Green, Blue (ha!)
200
Which fluid should we use to bolus pediatric patients?
Normal saline
(Sometimes you will also see lactated ringer's)
200
What is a potential adverse effect of Oragel (oral numbing agent)? How do you treat it?
Methemoglobinemia; Methylene Blue
200
Name 2 causes for INDIRECT hyperbilirubinemia
200
Why do you use Ceftaz instead of Ceftriaxone in neonates?
Ceftriaxone can cause increased bilirubin
300
Which psychiatric medication is also used for abdominal migraines?
amitriptyline
300
What bolus volume should you give for children with cardiac conditions?
10mL/kg (instead of 20)
300
Explain why squatting helps with Tet spells
1. Increases systemic vascular resistance
2. Decreases venous return to the heart (stops return from lower extremities)
300
A diabetic patient goes to bed after his bedtime insulin. His 2AM glucose is 50, and his 6AM preprandial is 500. What is this called?
Somogyi effect
300
In the case of a neonatal fever, what are the top 3 bugs you want to cover for?
Listeria
GBS
E coli
400
Pseudoseizure is the old term for this condition
Psychogenic Non-Epileptic Seizure (PNES)
400
Calculate this: A patient has approximately 5% fluid loss from dehydration. He did not receive any fluid boluses. Today's weight: 16kg.
At what rate(s) of fluids should he receive in the first day of life?
102mL/hr for the first 8 hours
77mL/hr for the next 16 hours
400
For a 4 month old female with UTI, when do we order a VCUG?
After 2nd UTI OR if the renal ultrasound is abnormal
400
Name 3 labs you would order when working up a first time non-febrile seizure
BMP (look for Na+, glucose, and kidney function)
Mg
iCa
400
Azithromycin is first line treatment for ______ (name 3)
Pertussis
Chlamydia
Mycoplasma
500
Which drug is the only FDA-approved antidepressant for use in pediatrics?
Prozac (Fluoxetine)
500
Normal Saline has ____ mEq/L of Sodium and ____ mEq/L of Chloride
154, 154
500
BRUE occur in children under this age
1 year
500
Name 5 labs/Orders for workup of fever in a 26 day old infant
UA + Urine Culture
LP (Gram stain, Culture, protein, glucose, WBC)
Blood culture
CMP
CBC with diff
CRP
If Respiratory Symptoms:
CXR, RVP
500
Which bug is associated with both bloody stools and seizures?
Shigella