Pediatrics
Airway
Trauma
Cardiac
Mystery
100
A pt presents w/ SOB, tripoding, and drooling w/ a SPO2 of 88%. What medication and what dose would you give this pt?
Blow-by O2 10-15L
100
Condition where the bronchioles are widened.
Bronchiectasis
100
What type of shock is Septic shock?
Distributive shock
100
What are the two calcium channel blockers in our medication protocols?
Verapamil
Diltiazam
100
What is the correct dose of vecuronium for induction?
0.1mg/kg
200
At what rate should a child under 1 years of age be ventilated at?
40-60
200
A pt with audible crackles in the lower airway would most likely have what condition excluding COPD?
Left sided heart failure
200
What consists of the Trauma lethal triangle?
Bonus points (100 points)
What is the Lethal diamond consist of?
200
What abnormalities on a 12 lead would you suspect pericarditis?
Diffuse St elevation w/ Depressed PR-segments
200
What are the respiratory receptors of the brain?
Medullla and pons
300
A 6 year old is involved in a T-bone crash. He has a right humerus fracture and a 3 inch bruise on lateral aspect of rib cage. Blood pressure us 104/50, pulse 110, and respirations 20. What should you suspect?
- Tension pnuemo
- Pulmonary contusion
- Cardiac contusion
- Diaphragm rupture
Pulmonary contusion
300
This condition can be defined as Right sided heart failure that is caused by chronic lung disease and usually results in thick blood due to increased RBC's.
Cor Pulmonale
300
Which part of the spinal cord affects the diaphragm and phrenic nerve?
C3-C5
"C3-5 keeps the diaphragm alive"
300
What does a J hook or fishhook at the J point of a 12 lead represent?
Benign Early Repolarization:
300
What is the correct dose for a norepinephrine drip?
4-12 mcg/min
mixing:
Add 4mg to 500mL (concentration of 8mcg/mL)
400
A 6 y/o pt presents w/ RR of 10, BP of 90/40, HR of 58. What intervention should be done FIRST?
PPV for 30-60 seconds
400
What type of breathing pattern is this and what area of the body is affected to cause this?
Prolonged gasping inhalation w/ short ineffective exhalation
Apneustic breathing
400
What S&S are needed to indicate a needle decompression of the chest?
*Hypotension
*Absent LS
JVD
Tracheal deviation
400
A pt presents with wide QRS complex tachycardia w/ WPW syndrome. What rhythm does this pt have?
Antidromic AVRT
400
Explain the body's reaction for stimulation for the following receptors:
Alpha 1 & 2
Beta 1 & 2
Alpha 1: Vasoconstriction
Alpha 2: Vasodilation
Beta 1: Increased HR, BP, BV, and Heart contractility
Beta 2: Bronchodilation
500
What is the correct dose of atropine for symptomatic vagal induced bradycardia and for organophosphate poisoning in a pediatric?
0.02mg/kg
0.05mg/kg
500
What are the 4 phases of capnography waveform?
Respiratory Baseline, Exhalatory upslope, Alveolar plateau, inspiratory downslope.
500
What is the parkland formula?
500
Identify this rhythm: 
LBBB
Prolonged QRS over 0.12 seconds
Monomorphic s wave in V1
Monomorphic R wave in V1 and V6
500
Name 3/6 adverse reactions of ketamine
- mild to moderate elevations in BP and heart rate
- Negative emergence reactions (including hallucinations, and delirium when drug is wearing off)
- respiratory depression
- hypersalivation
- laryngospasm
- nausea/vomiting