Pediatric Pathophysiology
The most common non-infectious cause of death in infants <1 year?
What is SIDS
What does decerebrate posturing look like?
Make them act it out, charades-style for the points
A small square on an ECG readout = ____ seconds
0.04 seconds
Does cold or hot water drowning have a better survival rate
The colder the better
Most common causative pathogen of bronchiolitis
Respiratory syncystial virus
Name 3 things that can cause delirium in ICU
Toxic situations, hypoxemia, infection, non-pharmacological interventions, K+/electrolyte problems, drugs, environmental factors, labs, respiratory status (ABG), immobility, organ failure, unrecognized dementia, shock
What is the equation for SVR
SVR = ((MAP-CVP)/CO)*80
What is the major determinant of subsequent survival and long term morbidity in cases of drowning?
CNS injury
Cardinal CXR sign of epiglottitis
What is the ABCDE protocol
Protocol designed to assess sedation levels of patient in the ICU - Awake and Breathing Coordination, Delirium mgmt, Early exercise
When does an intra-aortic balloon pump inflate?
Diastole - results in diastolic augmentation (increases back P + forces blood into coronary arteries)
Does a second degree burn affect tissue regeneration
No
How do you diagnose a TE fistula
Can’t pass a catheter to the stomach
A train of 4 score of 1/4 equates to what % of functionality?
10% functionality (90% blockade)
How does transesophageal pacing work?
A tube through the esophagus that delivers electricity to the heart
On CXR, what changes will you see in a dry-drowning patient
None, their lungs are normal
Is coarctation of the aorta cyanotic or acyanotic
Acyanotic
Is SjvO2 monitoring local or global
Approximates global cerebral oxygenation
What leads are impacted in a lateral heart injury
Leads I, aVL, V5, V6
What concerns do we have in the late stage of an inhalation burn injury
Infection, pneumonia, pulmonary embolism