paed stuff

Question 1

prior to sedating a pt < 12 y/o under the agitated pt guideline - what must be done first?

Answer 1

call the RCH via the clinician prior too applying.

Question 2

paed ages

Answer 2

Newborn Birth to 24 hours
Small infant Under 3 months
Large infant 3 – 12 months
Small child 1 – 4 years
Medium Child 5 – 11 years

Question 3

paed morphine imi (NB , 3mo, 6mo 1 yr) 0.1mg/kg - from 10mg/1ml.

Answer 3

nb- 0.35mg 0.035ml (3.5kg)
si - 0.6mg 0.06ml (6kg)
li - 0.8mg 0.08ml (8kg)
1yr - 1.0mg 0.1ml (10kg)

IM morphine should not exceed 0.5ml

Question 4

paed naloxone imi (NB, 3mo, 6mo, 1yr) 10mcg/kg - from 400mcg/1ml

Answer 4

10mcg/kg 
400mcg in 1 mL
nb - no
si - 60mcg 0.15ml (6kg)
li - 80mcg 0.2ml (8kg)
1yr - 100mcg 0.25ml (10kg)

Question 5

ped maj # HR’s

Answer 5

SI <100 or >180
LI <100 or >180
SC <90 or >160
MC <80 or >140

Question 6

ped maj # RRs

Answer 6

SI >60
LI >50
SC >40
MC >30

Question 7

ped maj # bp’s

Answer 7

SI <50 mmHg
LI < 60 mmHg
SC <70 mmHg
MC < 80 mmHg

Question 8

an infant with a HR < ?? or a child with a HR < ?? require compressions.

Answer 8

infant < 60

child < 40

Question 9

Face

Answer 9

Face
0 No particular expression
or smile

1. Occasional grimace
   or frown, withdrawn,
   disinterested
2. Frequent to constant
   frown, clenched jaw,
   quivering chin

Question 10

Legs

Answer 10

0. Normal position or relaxed
1. Uneasy, restless, tense
2. Kicking or legs drawn up

Question 11

Activity

Answer 11

0. Lying quietly, normal position, moves easily
1. Squirming, shifting back and forth, tense
2. Arched, rigid or jerking

Question 12

Cry

Answer 12

0. No cry (awake or asleep)
1. Moans or whimpers,
   occasional complaints
2. Crying steadily, screams or
   sobs, frequent complaints

Question 13

Consolability

Answer 13

0. Content, relaxed
1. Reassured by occasional touching, hugging, or being spoken to, distractible
2. Difficult to console or comfort