menti- sick child Flashcards
What age of children do paediatric doctors see?
- up to 16 years
- up to 18 years if you know them well already
normal heart rate of child <1?
110-160
what is the trend in heart rate, RR and blood pressure as the child ages?
The heart rate goes down, the RR goes down and the blood pressure goes up
do kids get more or less dehydrated than adults?
more
-low blood volume and big surface area
what is an adult blood volume?
5 litres
what is an infants blood volume?
80mls per kilo
what is one of the most common causes of cardiac arrest in kids?
hypoxia
what is the commonest reason for acute illness in children?
sepsis
what is treatment for sepsis?
-supportive/antimicrobial
what is bronchiolitis?
-a viral infection causing acute inflammatory injury of the bronchioles
what is the pediatric treatment for sepsis? (pediatric sepsis 6)
- Give high flow oxygen
- Obtain intravenous or intraosseous access and take blood tests
- Give IV or IO antibiotics
If shocked:
- Consider fluid Jesus
- Consider inotropic support early
- Involve senior clinicians/specialists early
how is a kid’s larynx different than an adults?
-more anterior
how may kids breathing be assessed?
what is secondar assesment of circulation?
what is used to assess conscious level?
- AVPU
- GCS
- Pupils
- Posture (decorticate/decerebrate)
- glucose!
if a baby comes in unwell with a temperature and dont know why what should be done?
sepsis is suspected
