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Please review the handout: "Pediatric anesthesiology; The basics", prior to this case. |
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A 12 week old infant born
at 32 weeks of gestation presents for an elective inguinal hernia repair. |
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1. The child should be appropriately NPO prior to surgery. Which of the following are acceptable? Surgery is scheduled for 0800 |
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2. What is this child's post conceptual age? |
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| B. 32 weeks | ||||
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3. Calculate the acceptable blood loss for this child. His current hemoglobin is 12.0 His acceptable hemoglobin is 8.0 |
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4. The child is an ex premature infant. He is at risk for all of the following except: |
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| A. Postoperative apnea | ||||
| B. Intraventricular hemorrhage | ||||
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5. You induce anesthesia using nitrous oxide and an inhalational agent. After placing an IV in the saphenous vein, you give muscle relaxant and place an endotracheal tube. Which of the following statements is true regarding the pediatric airway? |
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A. You should use a cuffed tube in order to maintain a tight seal in the airway. |
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B. The vocal cords are the narrowest part of the pediatric airway |
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D. The larynx is more caudad and more posterior than in adults |
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| 6. You are concerned about the child's comfort. Which of the following statements is true? | ||||
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A. Administration of bupivicaine in the caudal space would be an appropriate measure |
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B. Ilioinguinal nerve blocks are contraindicated in children |
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C. Morphine should be administered by intramuscular injection in children |
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