Kaplan 8-9-10 Flashcards
1
Q
Prepartion of epi and dose in anaphylaxis
A
-IM epinephrine (1 mg/mL preparation)
-Epinephrine 0.01 mg/kg
-For large children (>50 kg), the maximum is 0.5 mg per dose.
2
Q
Croup 8
A
- inflammation in the larynx and subglottic airway.
- RSV, influenze, parainflu
- Age 6 months to 3 years
- Fall/early winter
-Inspiratory stridor, Barking cough, Hoarseness
- If the patient gets worse:
Inspiratory stridor
↓
Expiratory stridor (biphasic stridor)
↓
Stridor at rest
-Best Initial Test * Clinical Dx
CXR not needed-but shows steeple sign
- Mild (no stridor at rest): humidified air ±
corticosteroids - Moderate/severe (stridor at rest): corticosteroids +
nebulized epinephrine
3
Q
Epiglottitis. 3
A
- Inflammation of epiglottis and supraglottis
-s/s High fever, dyspnea, and rapidly progressing obstruction
Toxic-appearing, difficulty swallowing, drooling, sniffing-position
– Clinical first, laryngoscopy
of cherry-red, swollen epiglottis; x-ray not needed (thumb sign)
4
Q
Larynx stuctures
A
- Supraglottis
- Glottis
- Subglottis
