Emergency med paeds

Question 1

Anaphylaxis dosages in children?

Answer 1

Under 6 months - 100 to 150 mcg
6 months to 6 years - 150 mcg.
6-12 years - 300 mcg.
> 12 years - 500 mcg

Question 2

Where do you inject adreanline?

Answer 2

Anterolateral aspect of middle 1/3rd of thigh

Question 3

Criteria for a severe asthma attack in children

Answer 3

SpO2 < 92%
PEF 33-50% of best or predicted.
Too breathless to talk/feed.
HR > 140 if ages 1-5 or > 125 if over 5y.
Resp rate > 40 if aged 1-5 or > 35 if over 5y.
Use of accessory neck muscles.

Question 4

Criteria for a life threatening asthma attack in children?

Answer 4

SpO2 < 92%.
PEF < 33% of best or predicted
Silent chest
Poor resp effort
Agitation
Altered consciousness
Cyanosis

Question 5

Management of a mild/moderate exacerbation of asthma in children?

Answer 5

1. Bronchodilator therapies: B2 agonist via spacer or closing fitting mask if child < 3 years old.
2. All children require steroid therapy for 3-5 days. 1-2mg/kg once daily.

Question 6

What are the risk factors for sudden unexplained death in infancy and when is it most common?

Answer 6

RFs: Prematurity, male sex, co-sleeping, low birth weight, smoking (during pregnancy and household)
Most common - infants under age 6 months

Question 7

Fluid resuscitation in paediatrics?

Answer 7

10mL/kg over 10 mins