CP 1 study Flashcards
Nasal prongs fr
1-4 per minute
Simple mask
6-8 per minute
Neb
8 lpm
Resivour mask
10-15 Lpm
Mannual ventilation bag
10-15 Lpm
A
N
T
S
A access is difficult
N number of pt a scene exceeds road resources
T pt has a time sensitive condition
S pt needs personal of higher skill and clincally significant time will be saved by that person helicoptering in
Times
Stat 1 15 mins at minimum will b saved
Stat 2 30 mins will b saved
Stat 3 60 mins at minimum will b saved
Diastolic pressure
pressure in arteries when heart if filling/relaxed.
eccymosis
bruising or discolouration
How children compensate for respiratory difficulty
increased rate of breathing
What is an early sign of respiratory distress in children
tachpnoea
Children’s dominant respiratory muscle
the diaphragm- the chest wall is not moved significantly. This is why children are stomach breathers.
children indrawing and retraction
As children have very elastic ribs so in drawing, retraction very obvious and can lead to fatigue.
what does hypoxia cause in children
tachycardia, agitation, drowsiness pallour, cyanosis is a very late sign.
children blood volume
Children have a higher blood volume and CO relative to size in comparison with adults. However they have a lower total blood volume. Therefore a lot less significant injuries such bleeding from scalp can cause hypovalemic shock. Children are good at vasocontricting, So a drop in BP is a very late sign of shock.
signs of shock in children
tachycardia, tachypnoea, vasoconstriction (causing slow CRT and mottled skin).
estimated 1-10 yr olds
11-14 yr olds
( age +4) x 2
age x 3
supine
lying flat on back
What is pre-term labour
37 weeks
RR normal
12-20
BP systolic normal
90-140
temp normal
36.5-37.5
PEARL
Pupils equal, accommodating and reactive to light.
New born HR
1-12 months
1-4 years
5-12 years
120-180
100-160
80-100
65-100
RR newborn
1-12 months
1-4 years
5-12 years
30-60
30-50
24-40
18-30
BP newborn
1-12 months
1-4 years
5-12 years
60-90
90-105
95-105
100-110
reasons to administer O2
- SPO2 less than 94%
- airway obstruction
- respiratory distress
- shock
- severe TBI
- carbon monoxide poisoning
- smoke inhalation
- decompression illness
- a condition where sedation is required
LLQ
descending colon, sigmoid colon, uterus
RLQ
ascending colon, uterus, ceceum ( top of large intestines, appendix
ULQ
kidney, liver (more on right), stomach, spleen, pancreas
URQ
kidney, duodenum, liver, gallbladder
4 types of plans / directives
Dnr
Advance care plans
Advance directives
Allow natural death orders
When is cyanosis visible
Usually with says below 80%
Vital signs recorrding
Stat 1-2 10-15 mins
Stat 3 20-30 mins
Cardiac compromise Not Mild Moderately Severe
Not- normal Vs no MI
Mild- near normal VS mild symptoms of MI
Moderate- abnormal VS significant symptoms of MI
Severe- very abnormal VS could by LOC, high risk cardiac arrest
What etco2 do u aim for in post rosc care
35-45
Signs of shock in young children
Tachyponea, tachycardia, vasoconstriction
Shoulder relocation technique
Modified kochers technique- rotate out and up
Stimsons technique- lying on bed arm hanging
Shoulder dislocation looks like
Squared off shoulder rather than protruding clavicle. This is usually a acromioclavicular dislocation.
Central Cord syndrome
Injury/ bleeding central spinal cord. Central spinal duct is where arm nerves are. So moto function of arms impaired, legs none or a little.
Anterior Cord syndrome
Injury to front 2/3 of cord. Loss of motor function, pain and temperature sensation.
Brown Sequard syndrome
Injury to one side of the cord. Injury to descending colon, loss of motor function of same side as injury.
Ascending- loss of proprioception. And loss of temperature and pain on opposiste side to injury.
stages of delevery
1st stage is contractions, until the cervix is fully dilated. 2nd stage is pushing and baby delivery, 3rd stage is the placenta being birthed.
pre-term labour
37 weeks
PPH
is more than 500mls blood
APH
occurs after 20 weeks and before birth
ABCD 2 score
2 points for unilateral weakness and symptoms for over 60 mins everything else one point.
Abdominal pain that radiates to the flank, loin, spine
pancreatitis, peptic ulcers, cholecystitis, pyelonephritis, leaking aortic aneurysm.
cholecystitis
inflammation of gallbladder usually from gallstones.
pyelonephritis
inflammation of the kidney
quadrants
URQ- gallbladder, large part of liver, kidney, pancreas
LUQ stomach, kidney pancreas, spleen
LRQ- appendix, ascending colon, small intestines
LLQ-small intestines, descending colon
