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UL PARAMEDICS > PAEDIATRIC > Flashcards

PAEDIATRIC Flashcards

1
Q

What is the paediatric rate of ventilation?

A

12-20

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2
Q

When do paeds begin to breathe through their mouth

A

4-6mnths

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3
Q

Paediatric breathing rates?

A

0-3mnths : 30-60
4-6 mnths: 30-60
7-12 mnths: 25-45
1-3yrs: 20-30
4-6yrs: 16-24
7yrs: 14-20

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4
Q

What are the components of the paediatric assessment triangle?

A
  • circulation
  • breathing
  • appearance
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5
Q

What is the minimum age for an advanced airway?

A

2yrs or older

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6
Q

What are the paediatric burn percentages

A

FACE: 9%
ARM: 4.5%
LEG: 7%
FRONT: 18%
POSTERIOR: 18%

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7
Q

Wong-Baker faces

A

FACES 0-2-4-6-8-10

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8
Q

What is the age demographic for FLACC

A

<5

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9
Q

What is the age demographic for wong-baker

A

5-7

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10
Q

what is the age demographic for the analogue pain scale

A

≥8

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11
Q

What are the components of FLACC

A

FACE
LEGS
ACTIVITY
CRY
CONSOLABILITY

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12
Q

Estimated weight of a neonate?

A

3.5kg

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13
Q

estimated weight of 6mnth old

A

6kg

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14
Q

estimated weight 1-5yr

A

(age x 2) +8kg

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15
Q

estimated weight 5yr

A

(age x 3) + 7kg

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16
Q

SUCTIONING PAEDIATRIC

A

Less mmHg
- yanker suction

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17
Q

What is the paediatric dose of naloxone?

A

10mcg/kg

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18
Q

What would raised ETCO2 and reduces SPO2 indicate

A

consider assisted ventillation

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19
Q

Infant milestones @ 1mnth

A

Gross motor - move head
Fine motor - eyes may fix on objects, prefer to look at faces. Can grip objects

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20
Q

At what age can a child have an abstract thought?

A

5-11yrs

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21
Q

At what age will an infant show preference for a certain person?

A

6mnths

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22
Q

what is the paediatric dose of ipratropium bromide <12yrs?

A

250mcg NEB

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23
Q

What is the paediatric dose of ipratropium bromide ≥12yrs?

A

500mcg NEB (Adult dose)

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24
Q

What is the paediatric dose of salbutamol <5yrs?

A

2.5mg NEB

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25
Q

What is the paediatric dose of salbutamol ≥5yrs?

A

5mg NEB

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26
Q

What are the characteristics of appearance in the paediatric assessment triangle?

A

TICLS

TONE - do they have good muscle tone? are they moving or resisting examination? are they limp/flaccid?
INTERACTIVENESS - how alert are they?
CONSOLABILITY -
LOOK/GAZE -
SPEECH/CRY - weak/muffled/hoarse?

27
Q

intercostal recession?

A

patient takes breath, muscles in ribs out
“sucking”

28
Q

what causes febrile convulsions?

A

sudden change in temp
- sudden increase/decrease

29
Q

What are complex febrile convulsions?

A
  • lasts longer than 15 mins
  • partial/focal -> happens in one part of the body
  • reocccurs within 24hrs
30
Q

questions to ask parent during SAMPLE?

A
  • any complications during pregnancy/delivery?
  • ## full term baby?
31
Q

What is the management of FBAO in paediatrics

A

1-5 back blows
1-5 (abdominal thrusts - child)
1-5 (chest thrust - infant)

32
Q

What is the additional cooling time for burns in paeds?

A

20 mins

33
Q

What is the paediatric dose of paracetamol PO?

A

15mg/kg

34
Q

What are the sepsis markers in paeds?

A

Red/amber flag +/- risk factor

35
Q

What are the sepsis RED flags?

A
  • altered mental status (P/U on AVPU)
  • Inappropriate tachycardia
  • Prolonged central capillary refill
  • non-blanching rash
  • Hypotension
  • Clinical deterioration
36
Q

What are the sepsis AMBER flags?

A
  • inappropriate tachypnoea
  • altered functional status
  • practitioner concern
  • parental concern
  • vital sign deterioration
37
Q

What are the sepsis RISK factors?

A
  • immunocompromised
  • age ≤ 3mnths
  • chronic disease
  • recent surgery
  • break in skin (including chicken pox)
  • indwelling line/ device
  • signs of infection in wound
  • incomplete vaccination record
38
Q

In Paeds what is SPO2 titrated to?

A

≥94%

39
Q

In paeds <12yrs, what is the CPR ratio with two practitioners?

A

15:2

40
Q

In paeds ≥12yrs, what is the CPR ratio with two practitioners?

A

30:2

41
Q

In paeds, what is the CPR ratio with one practitioner?

A

30:2

42
Q

In paeds what is the CPR compression depth?

A

1/3 of chest depth

43
Q

In paeds, under what age are paediatric defib pads used

A

<8yrs

44
Q

What is 5th percentile SBP

A

70mmHg + (age x 2)

45
Q

Average blood volume Paeds

A

80mls/kg

46
Q

What is the paediatric dose of adrenaline for STRIDOR

A

< 1yr : 2.5mg NEB
≥ 1yr : 5mg NEB

47
Q

What is the paediatric dose of adrenaline for ANAPHYLAXIS

A

< 6mnths : 10mcg/kg IM
6mnths - 6yrs :150mcg (0.15mL) IM
6yrs- <12yrs : 300mcg (0.3mL) IM
≥12yrs (if small prepubital 300mcg) or 500mcg IM

48
Q

What is the paediatric dose of Glucagon?

A

≥1mnth < 25kg : 500mcg IM
≥1mnth >25kg : 1mg IM

49
Q

What paeds contra-indicate glucagon?

A

non diabetic

50
Q

Paediatric dose of activated charcoal?

A

NOT INDICATED

51
Q

Paediatric dose ASPIRIN?

A

NOT INDICATED

52
Q

Paediatric dose CHLORPHENAMINE for MILD age 6-11yrs

A

2mg PO

53
Q

Paediatric dose CHLORPHENAMINE for MILD age ≥12yrs

A

4mg PO

54
Q

Paediatric dosage of hydrocortisone for adrenal insufficiency?

A

6mnths - ≤5yrs : 50mg
> 5yrs : 100mg (same as adult dose)

55
Q

paediatric dosage of hydrocortisone for refractory anaphylaxis?

A

< 6mnths : 25mg IM
≥ 6mnths - < 6yrs : 50mg IM
≥ 6yrs - < 12 yrs : 100mg IM
≥ 12 yrs: 200mg IM (same as adult dose)

56
Q

Dose of salbutamol < 5yrs?

A

2.5mg

57
Q

dose of salbutamol ≥ 5yrs?

A

5mg

58
Q

Most common rhythm for paediatrics?

A

asystole

59
Q

Paediatric PR dosage for paracetamol?

A

> 1 mnth to < 1yr :80mg
1-3 years : 180mg
4-8yrs : 360mg

60
Q

Paediatric dose of dexamethasone

A

300mcg/kg to a max dose of 12mg

61
Q

Paediatric dose of ondansetron

A

100mcg/kg to a max dose of 4mg

62
Q

Paediatric dose glucose gel

A

NEONATE: 2-4ml (BGL <2.6mmol/L)
≤8yrs : 5-10g
>8yrs : 10-20g

63
Q

Paediatric dose ipratropium bromide

A

<12yrs 250mcg NEB (MAX 1mg/24hrs)
≥12yrs 500mcg NEB (MAX 2mg/24hrs)

UL PARAMEDICS (32 decks)

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