Acute Flashcards
What would you assess when assesing a childs airway?
- Vocalisation
- Added sounds - stridor, secretions, snoring
- Consciousness
If there was soft tissue swelling around a childs airway, what could you give them to try to reduce the swelling?
Adrenaline nebuliser
What would you assess when assessing a childs breathing?
- SpO2 + oxygen requirements
- RR
- Inspection
- Palpation
- Percussion
- Auscultation
What are signs of respiratory distress in a child?
- Subcostal/intercostal recession
- Nasal flaring
- Tracheal tug
- Accessory muscle use
- Grunting
How might you treat hypoxia in a child?
- High-flow O2 through non-rebreath mask
- Consider non-invasive ventilation - Optiflow, CPAP, BiPAP
- Consider invasive ventilation
What signs might indicate that your treatment of hypoxia was not adequate?
- Increased RR
- Decreased Sats
- Increased CO2
- Child working hard
What would you assess on assessing circulation in a child as part of your ABCDE assessment?
- Colour
- Hydration
- Peripheral temperature
- CRT
- Radial pulse (+volume)
- BP
- Ausculatate Heart sounds
What might you look at to assess hydration status in a child?
- Nappy
- Mucous membranes
- Skin turgor
- Cap refill
- Urine output
What fluid challenge would you give a child if they were hypotensive?
20ml/kg 0.9% saline and monitor response
What might you assess when assessing disability as part of your primary ABCDE assessment of a child?
- Alertness/activity
- Fontanelles
- Pupils
- Limb tone
- Rashes
- Cap glucose
What might be the cause of a child that can’t be consoled (true irritability)?
Raised ICP
What might a bulging fontanelle indicate?
Raised ICP
What might cause sluggish pupillary resposes in a child?
- Post-ictal
- Drug overdose
What might asymmetrical pupils indicate in a child?
SOL
What might cause changing pupil size or abnormal gaze in a child?
Seizure
