PNCCT
What type of equipment would be needed during pediatric and neonatal transport? -
ANSWERPumps that can do decimal points, Ventilators that can perform pressure
ventilations, pediatric restraints, isolette, and thermoregulation equipment.
What are some aspects of a pediatric assessment that should be performed by the cct
provider? - ANSWERToe-Head assessment, AMPLE history, and immunization record
How do CCT providers obtain consent while dealing with pediatric patients? -
ANSWERImplied consent for emergency care, parents for non-emergency procedures,
and social services for children in state custody.
What will be noted on an x-ray of a child with croup? - ANSWERSteeple sign
How do you decide the appropriate ETT size for a pediatric patient? - ANSWERETT=
(Patient's age in years +16)/4
How do you decide the appropriate ETT size for a neonate patient? - ANSWERETT=
Patients gestational weeks/10
What drugs are contraindicated in sepsis? - ANSWEREtomidate, ibuprofen
How do you establish the appropriate fluid administration in pediatrics? -
ANSWER4cc/kg for the first 10 kg, 2 cc/kg for the second 10 kg, and 1 cc/kg for each
additional kg. 4-2-1 rule
What type of maintenance fluid do neonates receive? - ANSWERDextrose 10%
What do the majority of pediatric's receive as maintenance fluid? - ANSWERDextrose
5%
What pediatric patients do not receive dextrose as a maintenance fluid? -
ANSWERHead injuries, hyperglycemia, and metabolic disorders
What rate should the maintenance fluid be set at for dehydration? - ANSWER2x the
standard rate
What rate should the maintenance fluid be set at for CHF? - ANSWER2/3 the
maintenance rate
, What is required for emergency transfers or if there is a difference in opinion between
parents? - ANSWERtwo physician signatures
What happens during Syndrome of Inappropriate ADH (SIADH) - ANSWERFluid
overload, hyponatremia, and decreased urine output.
What happens during diabetes insipidus - ANSWERIncreased urine output,
hypernatremia, and increased urine output
What is urine output is characteristic of DI? - ANSWER5-10 ml/kg x 2hours
What is the hypoglycemia threshold for neonates? - ANSWER30-40
What is the hypoglycemia threshold for pediatrics? - ANSWER60-70
How fast can hypoglycemia be rectified? - ANSWERquickly
What infections is croup generally associated with? - ANSWERViruses: Parainfluenza,
adenovirus, RSV, influenza, & measles
How does croup generally present? - ANSWERIn children <3, with ear infection or
pneumonia, low grade temp, harsh barking cough, hoarseness, stridor, and steeple
sign.
What is the treatment for croup? - ANSWERAOV, evaluate perfusion status, potential
intubation, inhaled saline, inhaled epinephrine, SQ epinephrine, dexamethasone.
How does epiglottitis present? - ANSWERbacterial infection in children >4. Temp > 101,
rapid onset, drooling, and unvaccinated
What is the management of epiglottitis? - ANSWERAOV, perfusion status, possible
intubation, possible cricothyrotomy.
What occurs during a foreign body airway obstruction? - ANSWERfood is usually found
below the vocal cords, atelectasis develops, and metabolic acidosis occurs from
increased work of breathing.
What is retropharangeal abscess? - ANSWERA collection of pus in the tissue in the
back of the throat.
What are some signs and symptoms of an upper airway obstruction? - ANSWERStridor,
drooling, poor chest rise, altered mental status,
What does grunting indicate? - ANSWERAlveolar collapse, auto-peep
What type of equipment would be needed during pediatric and neonatal transport? -
ANSWERPumps that can do decimal points, Ventilators that can perform pressure
ventilations, pediatric restraints, isolette, and thermoregulation equipment.
What are some aspects of a pediatric assessment that should be performed by the cct
provider? - ANSWERToe-Head assessment, AMPLE history, and immunization record
How do CCT providers obtain consent while dealing with pediatric patients? -
ANSWERImplied consent for emergency care, parents for non-emergency procedures,
and social services for children in state custody.
What will be noted on an x-ray of a child with croup? - ANSWERSteeple sign
How do you decide the appropriate ETT size for a pediatric patient? - ANSWERETT=
(Patient's age in years +16)/4
How do you decide the appropriate ETT size for a neonate patient? - ANSWERETT=
Patients gestational weeks/10
What drugs are contraindicated in sepsis? - ANSWEREtomidate, ibuprofen
How do you establish the appropriate fluid administration in pediatrics? -
ANSWER4cc/kg for the first 10 kg, 2 cc/kg for the second 10 kg, and 1 cc/kg for each
additional kg. 4-2-1 rule
What type of maintenance fluid do neonates receive? - ANSWERDextrose 10%
What do the majority of pediatric's receive as maintenance fluid? - ANSWERDextrose
5%
What pediatric patients do not receive dextrose as a maintenance fluid? -
ANSWERHead injuries, hyperglycemia, and metabolic disorders
What rate should the maintenance fluid be set at for dehydration? - ANSWER2x the
standard rate
What rate should the maintenance fluid be set at for CHF? - ANSWER2/3 the
maintenance rate
, What is required for emergency transfers or if there is a difference in opinion between
parents? - ANSWERtwo physician signatures
What happens during Syndrome of Inappropriate ADH (SIADH) - ANSWERFluid
overload, hyponatremia, and decreased urine output.
What happens during diabetes insipidus - ANSWERIncreased urine output,
hypernatremia, and increased urine output
What is urine output is characteristic of DI? - ANSWER5-10 ml/kg x 2hours
What is the hypoglycemia threshold for neonates? - ANSWER30-40
What is the hypoglycemia threshold for pediatrics? - ANSWER60-70
How fast can hypoglycemia be rectified? - ANSWERquickly
What infections is croup generally associated with? - ANSWERViruses: Parainfluenza,
adenovirus, RSV, influenza, & measles
How does croup generally present? - ANSWERIn children <3, with ear infection or
pneumonia, low grade temp, harsh barking cough, hoarseness, stridor, and steeple
sign.
What is the treatment for croup? - ANSWERAOV, evaluate perfusion status, potential
intubation, inhaled saline, inhaled epinephrine, SQ epinephrine, dexamethasone.
How does epiglottitis present? - ANSWERbacterial infection in children >4. Temp > 101,
rapid onset, drooling, and unvaccinated
What is the management of epiglottitis? - ANSWERAOV, perfusion status, possible
intubation, possible cricothyrotomy.
What occurs during a foreign body airway obstruction? - ANSWERfood is usually found
below the vocal cords, atelectasis develops, and metabolic acidosis occurs from
increased work of breathing.
What is retropharangeal abscess? - ANSWERA collection of pus in the tissue in the
back of the throat.
What are some signs and symptoms of an upper airway obstruction? - ANSWERStridor,
drooling, poor chest rise, altered mental status,
What does grunting indicate? - ANSWERAlveolar collapse, auto-peep
