Final review Flashcards

1
Q

3 types of shock

A

hypovolemic
distributive
cardiogenic

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2
Q

if someone is stroking out and has a broken leg what do you treat first

A

stroke

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3
Q

chest pain non cardiac causes (more common)

A
trauma
pneumothorax
PE
asthma 
sickel sell
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4
Q

early signs of shock

A
increased HR
poor cap refill
weak pulses
decreased urine
dry
no tears
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5
Q

late signs of shock

A

mental status
cyanosis
apnea
low BP

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6
Q

bradyarrhythmias are secondary to…

A

hypoxia

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7
Q

types of tach HR in kids

A

narrow and wide

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8
Q

narrow tach

A

SVT

wack/absent P waves

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9
Q

wide tach

A

VT

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10
Q

APGAR

A
appearance
pulse
grimace
activity 
respirations 

min score 0
max score 10

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11
Q

peds vs adult

A

bigger head to body ratio
head is 2/3 size it will be as an adult
cover it to prevent heat loss

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12
Q

where does towel go to get sniffing position?

A

under the shoulders

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13
Q

kids necks are…

A

short and stubby

finding a carotid pulse may be difficult

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14
Q

t/f kids in shock lose their BP faster than adults?

A

false!

more blood loss before hypotension

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15
Q

kids brains are __% of their body weight

A

10

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16
Q

kids abdomen

A

wall is thinner so less protection

multiple organ injuries are common

liver and spleen are larger

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17
Q

kids skin

A

thinner

stretchier

less fat

thermal burns can be deeper

lose more fluids/heat

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18
Q

t/f newborns can shiver

A

F!

KEEP THEM BABIES WARM

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19
Q

neonate age

A

0 - 1 month

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20
Q

infant age

A

1 month - 1 year

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21
Q

toddler age

A

1 - 3 years

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22
Q

preschooler age

A

3 - 6 years

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23
Q

school age

A

6 - 12 years

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24
Q

adolescent

A

12 - 18 years

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25
Q

what age can infants hold their head up?

A

4 months

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26
Q

average neonate weight

A

6 - 8 lbs / 3 - 3.5 kg

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27
Q

situational crisis phases

A

protest
despair
withdrawal

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28
Q

SIDS

A

sudden infant death syndrome

more common in boys, formula fed, premature babies between the ages of 2-4 months

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29
Q

T/F sids is diagnosis of exclusion?

A

T!

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30
Q

How to prevent SIDS

A

breast feed
let baby sleep on its back
no blankets for BABY

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31
Q

infant distress signs

A

retractions (chest movements)
grunting (keeps air in the lungs)
apnea (paused breathing)

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32
Q

jaundice

A

something in the blood

can cause brain damage if left untreated

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33
Q

croup

A

upper airway infection

most common!

larynx/trachea/bronchioles are infected

more common in boys

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34
Q

croup findings

A

stridor
barking cough
hoarse voice
increased breathing

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35
Q

larynx parts

A

supraglottis
glottis
subglottis

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36
Q

peds larnyx

A
funnel shaped
sub glottis most narrow 
hyoid/cartilage overlap
crics not possible usually 
sits higher
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37
Q

cardiovascular emergency categories

A

anatomic
acquired
electrical

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38
Q

peds assessment triangle

A

appearance
work of breathing
circulation

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39
Q

wolf parkinson white

A

short PR interval
slurred up stroke on QRS
(delta wave)
prolongation of the QRS interval

an accessory pathway that pre excites the ventricles

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40
Q

T/F cardiac arrest is more common in kids then adults

A

F! its more common in adults

when it happens its usually connected to a respiratory issue

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41
Q

hypovolemic shock

A

most common type of shock

loss of volume

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42
Q

distributive shock

A

leakage of plasma out of vessels into surrounding tissues

vasodilation

caused by anaphylaxis, sepsis, spinal cord injury

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43
Q

obstructive shock

A

impaired filling of the heart

reduced cardiac output

PE/pneumo/cardiac tamponade

44
Q

cardiogenic shock

A

pump failure

uncommon in kids

heart failure

45
Q

fever rectal temp

A

> 38.3C

46
Q

fever benefits

A

inhibit growth/replication of microorganisms

increase WBC function

activate lymphocytes/antibodies

47
Q

most common age to contract meningitis

A

1 - 5 y/o

more common in males

48
Q

meningitis s/s

A
flu like symptoms 
fever
photophobia
kernigs/brudzinskis signs 
headache 

VERY FAST ONSET

49
Q

encephalitis is usually a ________ infection

A

viral

50
Q

how to tell if a infant has encephalitis

A
bulging of the fontanels 
N/V
stiffness
crying
poor feeding 
irritability
51
Q

AEIOUSTIPPS

A
alcohol
epilepsy
opiates
uremia
trauma
infection
psych
poison
stroke
52
Q

increased ICP cushings triad

A

increased systolic
brad HR/RR

rapid transport

53
Q

febrile seizure cause

A

I don’t fucking know

54
Q

types of febrile seizures

A

simple/complex

55
Q

epilepsy seizures can be…

A

over 20 minutes

2+ seizures without a return to baseline

56
Q

whos more likely to purposely expose themselves to toxins…

A

adolescents

57
Q

if a toxic substance has been applied to the skin

A

a glass of milk or water may help no syrups!

activated charcoal may help

or dialysis

58
Q

forms of abuse

A

physical
sexual
emotional
neglect

59
Q

most common form of child abuse

A

physical

60
Q

young or older children are more at risk for abuse

A

younger

61
Q

nature vs nurture reasons for abuse

A

nature - its the abusers nature

nurture - based off of childhood experiences

62
Q

___% of abusers claimed they didn’t mean to hurt the child

A

70

63
Q

suspicions of child abuse

A

scene assessment

family history

multiple contusions in weird spots and in different healing stages

child doesn’t look to parent for reassurance

64
Q

what to do if you suspect abuse

A

document in PCRs

call law enforcement

65
Q

death rate with shaken baby syndrome

A

70% 1/4 die

most shakers are fathers or baby sitter if female is involved

66
Q

what type of disorder is autism

A

pervasive developmental disorder

causes difficulty understanding/communicating

67
Q

autism symptoms relate to…

A
communication
social interaction
sensation of discomfort
ability to play
ability to purposely shift attention
68
Q

autism is genetic t/f

A

T!

69
Q

frontal lobe function

A

speech/movement

70
Q

occipital lobe function

A

vision

71
Q

temporal lobe function

A

hearing/facial recognition

72
Q

parietal lobe function

A

touch/pressure
taste
body awareness

73
Q

how long are infants nose breathers for?

A

6 months

74
Q

child oxygen consumption vs adult

A

6-8ml/kg

3-4ml/kg

75
Q

best maneuver to overcome upper airway obstruction in children

A

jaw thrust

76
Q

neonate breaths per minute when ventilating

A

30

77
Q

infant breaths per minute when ventilating

A

10-20

78
Q

children breaths per minute when ventilating

A

8-10

79
Q

why is ventilating to fast a bad thing?

A

decreases CPP
decreases rate of ROSC
decreases rate of survival

80
Q

a young child falling from a height is most likely to fall on their…

A

head

81
Q

narrowest part of the child airway

A

cricoid cartilage compare to vocal cords for adults

82
Q

is it easier to hear heart and lung sounds in a child or an adult?

A

child because their skin is thinner / flexible

pneumos are hard to diagnose

83
Q

top causes of serious trauma in children

A

head trauma then abdominal trauma

more vulnerable to blunt trauma because their organs are so big

84
Q

organs caught in handle bar injuires

A

pancreas

SI

85
Q

whats more common sprains or fractures in kids

A

fractures due to weak growth plates

86
Q

t/f the fulcrum gets higher with age

A

F! it gets lower

around C5 - C7 in adults

87
Q

how does the baby use the maternal cardiovascular system

A

uses the foramen ovale

a hole in the septum

88
Q

how do babies receive antibodies

A

through breast feeding

89
Q

muscles in infants account for __% of their body weight

A

25

90
Q

tips when approaching toddlers

A
general appearance
head to toe
smile 
use distractors
show what you'll do on a toy 
save unpleasant things for last
91
Q

tips when approaching pre schoolers

A

gaining trust is important
tell them what you are going to do
find comfort in toys and having a parent nearby

92
Q

when does stranger anxiety start

A

toddler phase

93
Q

poorly developed sense of cause and effect

A

toddler phase

94
Q

school age children

A

6-12

increased sense of independence/self esteem

don’t want to be different

allow them to make minor choices

understand cause and affect

VS gradually come close to adults

95
Q

what can cause acne

A

hormone changes

96
Q

adolescent issues

A

conflict
identity
privacy

97
Q

t/f higher proportion of blunt trauma involves the head

A

T!

98
Q

when are lungs full developed

A

at age 8

99
Q

what abdominal organs are most vulnerable to injury in kids

A

liver/spleen

100
Q

what weaker in kids bones or ligaments

A

bones

101
Q

whats longer inspiration or expiration?

A

inspiration!

102
Q

stridor is usually heard on…

A

inspiration

103
Q

most common cause of bradycardia in kids

A

hypoxia

104
Q

normal cap refill time…

A

under 2 seconds

longer means low CO

105
Q

causes for long cap refill

A

dehydration, shock and hypothermia