Paediatric Flashcards
Paediatric Assessment
Appearance
TICLS Tone Interactiveness Consolabiltiy Look/Gaze Speech/Cry
Paediatric Assessment
Appearance
TICLS Tone Interactiveness Consolability Look/Gaze Speech/Cry
Paediatric Assessment
Work Of Breathing
FAAAR Flarring Abnormal breath sounds Abnormal Positioning Retractions
Paediatric Assessment
Circulation to the skin
PMC
Pallor
Mottling
Cyanosis
Paediatric Assessment
Appearance
Work of Breathing
Circulation to the skin
Pediatric Age
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
Pediatric Weight Calculation
<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
New Born:
Age Bracket
Birth to 24 hours
Small Infant:
Age Bracket
Under 3 months
Large Infant :
Age Bracket
3-12 months
Small Child:
Age bracket
1 - 4 years
Medium Child:
Age Bracket
5-11 Years
Cardiac Arrest
PEA : REVERSIBLE CAUSES
- Tension Pneumothorax
- Upper Airway obstruction
- Exsanguination
- Asthma
- Anaphylaxis
- Hypoxia
Cardiac Arrest
Paeds
When should it be applied
- Puseless or:
- HR <60 bpm (infants) OR
- HR <40 bpm (children).
Cardiac Arrest
Paeds
Defib joules
Defibrillate at 4J/kg
Adrenaline
Pead Drug Doses
10 mcg/kg
Cetriaxone
Pead Drug Doses
IM
1 g diluted with 3.5 mL 1% lignocaine
50 mg/kg (Max dose 1000 mg)
Morphine
Pead Drug Doses
10mg/1mL =1mL = 10mg
0.1mg/kg
Naloxone
Pead Drug Doses
IM
400mcg/1mL 1mL = 400mcg
10mcg/kg max 400 mcg
repeat 10/60
Midazolam
Paed drug doses
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.
Dexamethasone
Pead Drug Doses:
600 mcg/kg max 12mg
Salbutamol
Asthma - Mild OR Moderate
Paed Drug Doses
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.
Salbutamol Asthma - Severe
Paed Drug Doses
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
Asthma - Critical
Paed Drug Doses
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)
