A General Approach to Ill and Injured Children Flashcards

1
Q

Manifestations of CNS hypoxia

A

Irritability, confusion, delirium seizures and unresponsiveness

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2
Q

Manifestations of CV compromise

A

Tachycardia, diaphoresis, bradycardia and hypotension

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3
Q

In sick children, more than half have this system affected, 25% have this alternative system affected

A

Respiratory system followed by CV system

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4
Q

Tachycardia and tachypnea in a child who is 1 month to 1 year old

A

HR > 180, RR > 34

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5
Q

In a child who is 1 month to 1 year old what is systolic hypotension and what is the 50th percentile for SBP

A

Less than 75, 85-95

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6
Q

Tachycardia and and tachypnea in a child > 1 year to 5 years is defined as

A

HR > 140, RR > 22

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7
Q

In a child who is > 1 year to 5 years old what is systolic hypotension and what is the 50th percentile for SBP

A

Less than 74, 88-95

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8
Q

Tachycardia and and tachypnea in a child 5-12 years is defined as

A

HR >130, RR >14

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9
Q

In a child who is 5 years to 12 years old what is systolic hypotension and what is the 50th percentile for SBP

A

Less than 83, 96-106

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10
Q

Tachycardia and and tachypnea in a child 12-18 years is defined as

A

HR >120, RR >14

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11
Q

In a patient who is 12 years to 18 years old what is systolic hypotension and what is the 50th percentile for SBP

A

Less than 90, 108-118

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12
Q

How the children respond to increasing respiratory distress?

A

reduce the tidal volume and increase the respiratory rate

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13
Q

true or false; small infants depend more on diaphragmatic motion during respiratory distress

A

true

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14
Q

How does Grunting arise in infants and young children?

A

During expiration and the glottis closes. Grunting occurs whenever escapes through and actively closed glottis in attempts to maintain functional residual capacity.

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15
Q

HoW his respiratory Center disease manifest in children?

A

Irregular respiratory pattern with pauses or apnea.

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16
Q

What is the most common cause of hypoxemia in children?

A

Hypoventilation and ventilation perfusion mismatch.

17
Q

What his cardiac output?

A

This is equal to the mean arterial pressure divided by the systemic vascular resistance, scratch that. Cardiac output is also the product of stroke volume and heart rate

18
Q

true or false: in cardiogenic shock the heart rate may be normal or only modestly elevated?

A

True

19
Q

What percentage of the circulating volume and needs to be decreased in children to result in hypotension?

A

50%

20
Q

True or false: In a code situation it is inappropriate to use any existing Broviac, port, PICC line for axis

A

False

21
Q

True or false: There is evidence that the use of albumin or sympathetic colloids in pediatric septic shock has shown benefit.

A

False.

22
Q

True or false: Dextrose containing solution should not be used for initial resuscitation.

A

True; there is increased risk for hypoglycemia and secondary osmotic diuresis and neurologic injury.