Exam II Lecture 12 Pediatric Emergencies The Basics Dr. Metts

Question 1

What temperature correlates to a neonatal fever?

Answer 1

Temp >100.4 (38)

and no focus of infection.

Question 2

When should a peds be admitted to the hospital for a fever?

Answer 2

If the peds is younger than 28 days with a fever.

Question 3

Which bacteria should be covered in a neonate with fever?

Answer 3

E. Coli
Listeria
GBS

Question 4

What medications should be used in peds patients with concominant fever?

Answer 4

Ampicillin and Cefotaxime

Question 5

When is it okay to discharge a peds aged >28 days to 2 months for fever?

Answer 5

If the PMH is negative and labs are normal.

WBC 5-15,000
Bands <1500
UA normal <10 wbc

Question 6

What should a seizure pt be administered?

Answer 6

Oxygen
Get CBC, lites

give benzos!

Question 7

What are the basic treatments for asthma?

Answer 7

Albuterol for bronchospams

Steroids for inflammation

ensure proper hydration.

Question 8

How do you treat a croup patient with significant strdor?

Answer 8

Nebulized racemic epinephrine

and

Dexamethasone

Question 9

If a patient presenting with laryngotracheobronchotis like symptoms doesnt respond to nebulized racemic epinephrine or dexamethasone what is your differential?

Answer 9

Foreign Body
Bacterial Tracheitis
Epiglottitis

Question 10

how do you treat dehydration?

Answer 10

Bolus in peds 20 ml/kg of normal saline or lactated ringer.

Question 11

What are the signs of dehydration?

Answer 11

Tachycardia
Prolonged cap refill
Decreased blood pressure

Question 12

What is indicated for moderate to severe dehydration but does not change the initial bolus fluid?

Answer 12

Electrolytes