STABLE Test Exam 82 Questions and Correct
Answers.
Maintain BG between - ANS 50-110 mg/LD.
Treat BG levels <___ STAT - ANS 50
IV D10W Starting Rate - ANS 80 mL/kg/day
IV D10W Infusion Rate - ANS 5.5 mg/kg/minute (body's normal is 4-6)
If BG is <50 what do you do? - ANS Begin D10W at 80 mL/kg/day, administer bolus of 2
mL/kg at rate of 1 mL/min, re-test BG, if still <50 repeat bolus until BG >50, check BG
15-30 minutes after each bolus
Highest concentration of dextrose through peripheral IV (D___W) - ANS D12.5W
Where do you want UVC tip to sit - ANS IVC (inferior vena cava)/RA (right atrial)
Junction?
Heparin Dose for infants - ANS 0.5-1.0 unit/mL of IV fluid
UAC High Line Location - ANS T6-T9
UAC Low Line Location - ANS L3-L4
Normal Core Temperature - ANS 36.5-37 *C
(97.7-99.5 *F)
Mild Hypothermia - ANS 36-36.4 *C
(96.8-97.6 *F)
Moderate Hypothermia - ANS 32-35.9 *C
(89.6-96.6 *F)
Severe Hypothermia - ANS < 32 *C
(< 89.6 *F)
The transfer of heat between two solid objects that are in contact with each other - ANS
conductive heat loss
Body heat swept away by air currents - ANS heat loss by convection
Moisture on skin or respiratory tract mucosa is converted to vapor - ANS heat loss by
evaporation
, Heat loss due to transfer of heat between solid surfaces that are not in contact with
each other - ANS heat loss by radiation
HIE - ANS Hypoxic-Ischemic Encephalopathy
Brain damage d/t severe metabolic acidosis, acidemia, and hypoxia
Candidates for Therapeutic Hypothermia - ANS > or = 36 weeks
> or = 1800 grams
started within SIX hours of bith
Therapeutic Hypothermia Core Body Temp & Duration - ANS 33.5 *C for 72H
Rewarming Speed - ANS NO more than 0.5 *C / hour
Incubator Temp for Rewarming - ANS Set incubator air temp 0.5-1 *C warmer than
baby's core temperature
Rapid RR with or without need for supplemental O2 and with or without signs of distress
(such as nasal flaring) - ANS Mild Respiratory Distress
Cyanotic on room air. Additional signs of respiratory distress such as grunting and
retractions (COLOR CHANGE) - ANS Moderate Respiratory Distress
Infant struggling to breath and increasing difficulty maintaining acceptable O2 sat,
despite supplemental O2. Abnormal blood gas, altered mental status (hypotonia,
poor/no response to stimuli), and shows exhaustion & worsening hypoxia - ANS Severe
Respiratory Distress
Normal RR in Infants - ANS 30-60
Tachypnea - ANS >60
Bradypnea - ANS <30
S/S of Increased WOB - ANS Nasal flaring, retractions, grunting
Normal O2 Sat at 24H of life - ANS 95-99%
Pre-Ductal O2 Sat Location - ANS *Right* hand/wrist
Post-Ductal O2 Sat Location - ANS Either foot or umbilical artery
What you want to see when measuring pre & post-ductal O2 sats - ANS Pre- and post
sats are nearly equal, <3%
Tells you that there is no right to Left shunting
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