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Paramedicine > Paediatric > Flashcards

Paediatric Flashcards

1
Q

Paediatric Assessment

Appearance

A 
TICLS
Tone
Interactiveness
Consolabiltiy 
Look/Gaze
Speech/Cry
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2
Q

Paediatric Assessment

Appearance

A 
TICLS
Tone
Interactiveness
Consolability
Look/Gaze
Speech/Cry
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3
Q

Paediatric Assessment

Work Of Breathing

A 
FAAAR
Flarring
Abnormal breath sounds
Abnormal Positioning
Retractions
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4
Q

Paediatric Assessment

Circulation to the skin

A

PMC
Pallor
Mottling
Cyanosis

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5
Q

Paediatric Assessment

A

Appearance
Work of Breathing
Circulation to the skin

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6
Q

Pediatric Age

A 
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
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7
Q

Pediatric Weight Calculation

A 
<24 hours : 3.5kg
3 months: 6 kg
6 months: 8 kg
1 year: 10 kg
1-9: Age x 2 + 8 kg
10-11: Age x 3.3 kg
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8
Q

New Born:

Age Bracket

A

Birth to 24 hours

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9
Q

Small Infant:

Age Bracket

A

Under 3 months

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10
Q

Large Infant :

Age Bracket

A

3-12 months

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11
Q

Small Child:

Age bracket

A

1 - 4 years

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12
Q

Medium Child:

Age Bracket

A

5-11 Years

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13
Q

Cardiac Arrest

PEA : REVERSIBLE CAUSES

A
  • Tension Pneumothorax
  • Upper Airway obstruction
  • Exsanguination
  • Asthma
  • Anaphylaxis
  • Hypoxia
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14
Q

Cardiac Arrest
Paeds
When should it be applied

A
  • Puseless or:
  • HR <60 bpm (infants) OR
  • HR <40 bpm (children).
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15
Q

Cardiac Arrest
Paeds
Defib joules

A

Defibrillate at 4J/kg

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16
Q

Adrenaline

Pead Drug Doses

A

10 mcg/kg

17
Q

Cetriaxone

Pead Drug Doses

A

IM
1 g diluted with 3.5 mL 1% lignocaine
50 mg/kg (Max dose 1000 mg)

18
Q

Morphine

Pead Drug Doses

A

10mg/1mL =1mL = 10mg

0.1mg/kg

19
Q

Naloxone

Pead Drug Doses

A

IM
400mcg/1mL 1mL = 400mcg
10mcg/kg max 400 mcg
repeat 10/60

20
Q

Midazolam

Paed drug doses

A

Midazolam IM

Medium Child (5-11 years): 2.5-5 mg IM

Small Child (1-4 years) Midazolam 2.5 mg IM

Small and large infant (<12 months) : Midazolam 1 mg IM

New born Midazolam 0.5 mg IM

Repeat Midaz IM dose once only
*Consult for further doses.

21
Q

Dexamethasone

Pead Drug Doses:

A

600 mcg/kg max 12mg

22
Q

Salbutamol
Asthma - Mild OR Moderate
Paed Drug Doses

A 
Salbutamol pMDI and spacer
>6 years: Salbutamol 4-12 doses
2-5 Years: Salbutamol 2-6 doses
Pt to take 4 breaths for each dose 
Repeat at 20 minute intervals if required.
23
Q

Salbutamol Asthma - Severe

Paed Drug Doses

A

Nebulise Salbutamol:
Small Children (2-4 years): 2.5mg (1.25 mL)
Medium Child (5-11 years): Salbutamol 2.5- 5mg (1.25-2.5mL) nebulised
Repeat same dose at 20 minute intervals,
Ipratropium Bromide: 250 mcg Nebulised

24
Q

Asthma - Critical

Paed Drug Doses

A

Nebulised Salbutamol:
All Children (2-11 years): Salbutamol 10mg (5mL) Nebulised. Repeat at 5-minute intervals. if required
Ipratropium Bromide: 250 mcg (1ml) Nebulised
IM adrenaline: 10 mcg/kg - repeat at 5-10 minute intervals (max 30mcg/kg IM)
Dexamethasone 600 mcg/kg IV/Oral (max 12g)

25
Q

Fentanyl

Paed Drug doses

A 
Small Child (10-17kg) : 25 mcg IN
Medium Child (18-39kg) : 25-50mcg IN
repeat dose at 5-10 minutes intervals. Consult after three doses.
26
Q

Paracetamol

Paed Drug Doses

A

15mg/kg Orally

27
Q

Ondansetron

Paed Drug Doses

A 
Oral
Small Child (1-4 yrs): 2mg 
Medium Child (5-11 years ): 4mg
28
Q

Glucagon

Paed Drug Doses

A 
BGL < 4 responding to commands:
Glucose 15 g ORAL
BGL <4 not responding to commands.
<25 kg Glucagon 0.5 IU (0.5mL) IM
>25 kg or over Glucagon 1 IU (1mL) IM
29
Q

Ipratropium Bromide

Paed Drug Doses

A

2-5: 250 mcg

6-11: 250 mcg

30
Q

Methoxyflurane

Contraindications

A
  1. Pre-Existing kidney disease

2. Known (or genetic susceptibility) to malignant hyperthermia.

31
Q

Paracetamol

Contraindications

A

1.Children <1 month old

32
Q

Naloxone

Contraindications

A

NONE

Paramedicine (3 decks)

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