Graneto - Peds Resp Distress Flashcards
signs of respiratory distress
- retractions
- grunting
- forced expiration against a closed glottis
unique aspects of pediatric airway
- airway more anterior
- epiglottis is floppier and u-shaped
- trachea is more flexible
first 3 agents used to tx anaphylaxis
- epi
- H1 receptor blocker (diphenhydramine)
- methylprednisolone
MCC causes of acute upper airway obst
- coins
- food
what is the earliest finding in a peds pt in resp dist?
tachypnea ( v rapid breathing)
normal RR in newborn
30-50
normal RR in 1 mo - 12 yo
20-30
normal RR 13 + yrs
12-20
intermediate s/s of resp distress
- grunting
- flairing
- retractions
late s/s of resp distress
- cyanosis
- apnea
compensatory s/s of resp dist
- tachypnea
- grunting
- flaring
- retractions
path s/s of resp dist
- wheezing
- stridor
- rales
- rhonci
steeple sign
subglottis tracheal narrowing
MC FB swallowed and stuck in esophagus
coin
where do things gets stuck in kids esophagus?
cricopharygenous mm
MCC of death in home in kids 1-3 yo
balloon aspiration
MC aspirated foods?
- hot dogs
- grapes
- peanuts
what year do kids get molars?
2 yo
what med do you give kid in anaphylactic shock?
epi! it bronchodilates and vasoconstricts
s/s and complete airway loss
- cyanosis
- loss of cough
- altered mental status
infant BLS
-back blows and chest thrusts
child BLS
heimlich
