Chapter 32A - Pediatric Emergencies Flashcards
1
Q
Infant HR
A
90-160
2
Q
Infant RR
A
24-60
3
Q
Infant SBP
A
50-100
4
Q
Age of infant
A
12 months or less
5
Q
Child HR
A
80-120
6
Q
Child RR
A
20-30
7
Q
Child SBP
A
90+(2 x Age)
8
Q
Cap refill location for Infant or children
A
Thenar prominence
9
Q
Infant - development characteristics
A
0-2 months
- sleeps 16 hours
- sucking/rooting reflex
2-6 months
- eye contact, active
6-12 months
- babble/crawl
- react to voices/noises
- reflex grip (if non = Neurologic defects)
- understand “NO” by 8 months
- places everything into mouth
- tends to use abdominal muscles to breath
Fears
- separation
- strangers (late)
10
Q
Toddler - infant development
A
Age = 1 - 3 years
- limited vocabulary
- walks, runs, climbs (off your gurney
- increased injuries (exploration - knees, shins, elbows, head)
Fears
- separation (parent, caregiver, toy)
- loss of control (sickness, give them choices during assessment)
11
Q
Pre-schooler - development characteristics
A
Age = 3-5 years
- more concrete body image
- increased verbal skills
- refuse to speak of frightened
- taught to resist touch by strangers
Fears
- unknown
- loss of control
- blood
- being left alone
- injury
12
Q
School age - development characteristics
A
Age = 6-12 years of age
- cooperative/curious
- require explanation/reassurance
- modest about “private parts”
- need peer and home support
- like adult attention
Fears
- body injury
- death
- loss of control
- not pleasing
13
Q
Adolescent
A
Age = 13-18 years
- same respect as adult
- require explanation/reassurance
- peer support important
- interested in opposite sex
- concerned about body image, modesty and disfigurement
- suicide, depression, ETOH, drugs
- same sex EMS provider evaluation
- develops interest in opposite sex
Fears
- death
- altered body image
- disfigurement
- permanent disability
14
Q
S/S of dehydration in a child
A
- poor muscle tone (limp)
- red, warm, dry skin, could be ashen or mottled
- poor skin turgor with tenting, dry mucus membrane
- sunken fontanels, sunken eyes
- decreased urine output, intense thirst
- poor or no response to mother
- brief Hx of diarrhea
- crying without tears
15
Q
Causes of Fever in children
A
Infection
Dehydration
