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You broke my leg!/Current events
My Head hurts:-(
A Breath of Fresh Air
I have an "outie"
Extra weight
100
Sites acceptable to consider for IO in neonate or small infant
What are proximal tibia, distal tibia, distal femur
100
The appropriate rate of head growth/week in a neonate.
What is < 1 cm/week.
100
The two best methods of assuring correct ETT placement
What are increasing HR and positive CO2 detection
100
The use of these IV solutions in a UAC are associated with RBC hemolysis and should be avoided.
What is dextrose or saline solutions less the 0.45%.
100
This is the size of angiocath one can use to perform a neonatal abdominal paracentesis.
What is 24 or 25 gauge catheter.
200
Name 2 contraindications for an IO site
What is skin or soft tissue infection at site, suspected or real fracture of bone, bone where previous IO was unsuccessful, presence of hardware from previous orthopaedic procedure, underlying bone disease - OI or osterpenia
200
The three contraindications to performing a VP reservoir tap.
What is low blood pressure/circulating blood volume, cellulitis near the site of the tap, & a sunken fontanelle.
200
The appropriate size of an LMA for a neonate
What is size 1
200
The umbilical arteries are a direct continuation of these two vessels.
What are the internal iliac arteries.
200
These are the landmarks used when performing an abdominal paracentesis.
What is a point between the umbilicus and the anterior superior iliac spine & one third of the way from the anterior superior iliac spine.
300
The drugs(s) and fluids acceptable to give through patent IO access
What are any blood products, fluids or drugs that can be given intravenously
300
The amount of CSF you can draw off in initial tap and the amount you can draw off in subsequent sequential taps.
What is 10 ml initially, then may increase 5 ml/day up to a max of 30 ml total.
300
The "Tip to Lip" formula for placing the depth of an ETT
What is adding 6 to the weight in kg
300
Chlorhexidine
What is an antiseptic solution that should never be used on the neonatal abdominal skin.
300
The position to place the infant in order to obtain large amounts of pleural fluid.
What is flat.
400
The recommended number of IV attempts or length of time to attempted IV access prior to placing an IO for emergency access.
What is 3 attempts or 90 seconds; whichever comes sooner
400
These are the symptoms of increased intracranial pressure.
What is apnea, decreased HR, poor feeding, hypotonia, somnolence.
400
The Neonatal Resuscitation Program (NRP) defines a nonvigorous infant as an infant who meets 1 or more of these conditions.
What is Depressed respirations Depressed muscle tone Heart rate below 100 beats/min The consistency of the meconium in the amniotic fluid (thin versus thick) is no longer used to determine the need for tracheal suctioning.
400
This is the vertebral level of the bifurcation of the aorta and the common iliac vessels.
What is L3-5.
400
The direction the catheter tip should be directed in order to obtain intrathoracic fluid.
What is posteriorly.
500
This is the joules used to treat VF after the second time you attempt to defibrillate.
What is 4 joules/kg, increasing subsequent shocks up to 10/kg.
500
Three "hypo" complications that occur as a result of drawing off CSF.
What is hyponatremia, hypovolemia, hypoproteinemia.
500
This must be interpreted with caution for 1 to 2 minutes after administration of epinephrine or other vasoconstrictive medications because these medications may reduce pulmonary blood flow.
What is end title CO2 detector An intravenous (IV) bolus of epinephrine may transiently reduce pulmonary blood flow and exhaled CO2 below the limits of detection.
500
The portal vein is located before ductus venosis and shunts blood to this organ and the hepatic vein is located after the ductus venosis and shunts blood in this direction.
What is into the liver and away from the liver towards the heart.
500
These will be elevated in an infant that has a chylothorax.
What is triglycerides, cholesterol, and lymphocytes.