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13 Cards in this Set

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Identify the objectives of the preanesthetic visit in the pediatric population
- help provide relevant and appropriate info to the pt and family.

- identify areas of concern

- minimize emotional stress

- utilize preanesthetic meds
Identify the goals of the preanesthetic visit in the pediatric population
-to anticipate potential complications before they occur , to avert them when possible, and to minimize the risks to the health of the child
most common cause of death in Kids
trauma
risk factors of complications with patients who have an "acute URI"
-ET intubation

- hx of prematurity

-RAD

-parental smoking, nasal congestion, airway surgery
List 6 conditions that present with upper airway abnormalities
-crouzon's disease

-Aperts syndrome

-Goldenhar's syndrome

-Treacher collins

Pierre Robin's

Mucoploysaccharidosis (hurlers/hunters)
What is the plan of action for a peds patient who presents with "acute disease of the lower airway"
delay 6-7 weeks
BPD presents with the following symptoms.....
-chronic hypoxemia

-hypercapnia

-pulm HTN

cor pulmonale
What is the goal for managing a pt with BPD who needs surgery
optimize lung function - to at least baseline status
Apnea/Bradycardia is more prevalent in which age group...
<45-60wks
What are the risk factors for apnea/bradycardia in the premature infant
-hx of mech vent

-hx of apnea

-anemia
The treatment of patients with cerebral palsy should include careful assessment of?
their level of intelligence
Effective preop management of patients who present with hyperactivity include?
oral premed with versed, clonidine, or ketamine.

IM Ketamine (2-4mg/kg) may be used as a last resort
Discuss strategies to decrease preoperative anxiety in pediatric patients
"premedication" agents....

However, these pharmacologic adjuncts cannot substitute for a thorough and thoughtful preoperative visit and discussion with the pt and family