Assessment Flashcards
Paediatric respiratory signs of distress
- tachypnoea
- grunting
- wheezing
- chest wall retraction
- use of accessory muscles
- pallor
- cyanosis
- abdominal protrusion
Paediatric signs of hypoxia
- pallor
- hypotension
- lethargy
- apnoea
- bradycardia
- restlessness
- tachypnoea
- cyanosis
- tachycardia (Brady late sign)
Paediatric CO2 retention signs/symptoms
- sweating (uncommon in infants)
- hypertension
- tachycardia
- bounding pulse
- pupillary dilatation
- eventually leading to cardiovascular and central nervous system depression
Mild Pain treatment
Panadol oral liquid 15mg/kg or 500mg tablet
Splinting
Ice packs
Moderate pain (Fentanyl IN dose/intervals)
Small Child (1-4yrs) 10-17kg 25mcg
Medium Child (5-11yrs) 18-39kg 25- 50mcg
Large Child (12-16yrs) 40-60kg 100mcg (Adult CPG)
- Repeat dose 5-10 mins intervals (max 3 doses)
- Consult with clinician/RCH for child <10kg (1 year)
What are our 4 options for pain relief in paeds
Panadol (Oral)
Fentanyl (IN)
Methoxyflurane (Inhale)
Morphine (IM)
When do you commence CPR in paeds
Infant (Up to 1 year) = HR <60
Children (Up to and including 11yrs) = HR <40
QUESTT Pain Scale
Q Question the child
U Use pain rating scales
E Evaluate behaviour and physiological changes
S Secure parents involvement
T Take cause of pain into account
T Take action and evaluate results
FLACC Pain Score
Common signs of pain in paeds
- Loss of appetite
- Guarding
- Pulling at the body part
- Grimacing, frowning
- Showing rigidity
- Arching their back
- Difficult to console, crying
- Jerking, Kicking
- Jaw clenching
- Knees to chest
CPR Ratios for Infants/Children
One Operator = 30:2
Two Operator = 15:2
100-120 compressions per minute with a pause for ventilations
When Intubated or have secure airway 15:2 with no pause for ventilations
Paeds defibrillator pads age and weight
Paediatric pads up to 25kg or 8 years old. Use anterior when possible or anterior/posterior if pads are touching
