Final review Flashcards
3 types of shock
hypovolemic
distributive
cardiogenic
if someone is stroking out and has a broken leg what do you treat first
stroke
chest pain non cardiac causes (more common)
trauma pneumothorax PE asthma sickel sell
early signs of shock
increased HR poor cap refill weak pulses decreased urine dry no tears
late signs of shock
mental status
cyanosis
apnea
low BP
bradyarrhythmias are secondary to…
hypoxia
types of tach HR in kids
narrow and wide
narrow tach
SVT
wack/absent P waves
wide tach
VT
APGAR
appearance pulse grimace activity respirations
min score 0
max score 10
peds vs adult
bigger head to body ratio
head is 2/3 size it will be as an adult
cover it to prevent heat loss
where does towel go to get sniffing position?
under the shoulders
kids necks are…
short and stubby
finding a carotid pulse may be difficult
t/f kids in shock lose their BP faster than adults?
false!
more blood loss before hypotension
kids brains are __% of their body weight
10
kids abdomen
wall is thinner so less protection
multiple organ injuries are common
liver and spleen are larger
kids skin
thinner
stretchier
less fat
thermal burns can be deeper
lose more fluids/heat
t/f newborns can shiver
F!
KEEP THEM BABIES WARM
neonate age
0 - 1 month
infant age
1 month - 1 year
toddler age
1 - 3 years
preschooler age
3 - 6 years
school age
6 - 12 years
adolescent
12 - 18 years
what age can infants hold their head up?
4 months
average neonate weight
6 - 8 lbs / 3 - 3.5 kg
situational crisis phases
protest
despair
withdrawal
SIDS
sudden infant death syndrome
more common in boys, formula fed, premature babies between the ages of 2-4 months
T/F sids is diagnosis of exclusion?
T!
How to prevent SIDS
breast feed
let baby sleep on its back
no blankets for BABY
infant distress signs
retractions (chest movements)
grunting (keeps air in the lungs)
apnea (paused breathing)
jaundice
something in the blood
can cause brain damage if left untreated
croup
upper airway infection
most common!
larynx/trachea/bronchioles are infected
more common in boys
croup findings
stridor
barking cough
hoarse voice
increased breathing
larynx parts
supraglottis
glottis
subglottis
peds larnyx
funnel shaped sub glottis most narrow hyoid/cartilage overlap crics not possible usually sits higher
cardiovascular emergency categories
anatomic
acquired
electrical
peds assessment triangle
appearance
work of breathing
circulation
wolf parkinson white
short PR interval
slurred up stroke on QRS
(delta wave)
prolongation of the QRS interval
an accessory pathway that pre excites the ventricles
T/F cardiac arrest is more common in kids then adults
F! its more common in adults
when it happens its usually connected to a respiratory issue
hypovolemic shock
most common type of shock
loss of volume
distributive shock
leakage of plasma out of vessels into surrounding tissues
vasodilation
caused by anaphylaxis, sepsis, spinal cord injury