Acutely Unwell Child Flashcards
How do you assess circulation?
- HR - sats probe
- BP
- Central capillary refill
- Fontanelle
How do you assess disability?
- Conscious state
- Floppiness
- Tone
- Movement
How do you assess breathing?
- Chest rise and fall
- Listen for breathing noises
- Auscultate chest
How do you get IV assess?
IV
IO
What do you check on initial bloods?
FBE, UEC, CRP
Blood cultures
Lactate, pH - from blood gas
What other initial investigations can be performed?
Urine - SPA, catheter, clean catch
How much fluids do you give in acute resuscitation?
10-20ml/kg bolus then maintenance
What broad spectrum Abx are given in acute rescus
Cefotaxime 50mg/kg
Flucloxicillin 50mg/kg
Consider acyclovir
What do you give in a seizing patient?
Midazolam IM or IV - 0.15mg/kg
What do you support the airway in resuscitation? What is the trigger?
HR less than 60bpm
CPAP or intermittent breathing
What is the adrenaline dose in resuscitation?
0.1-0.3ml/kg in 1:10,000
How do you assess for meningitis on exam?
Eye tracking
Neck movements
What do you ask for in an LP?
MCS
Glucose
Protein
Virology
What are some causes of septic presentation in a neonate?
Meningitis Group B strep UTI Other viral infections Pneumonia
Cardiac failure
Pulmonary
What is the formula for high flow O2?
2L/kg to a maximum of 35L
