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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 IM/IN?

A

10mcg/kg IM
20mcg/kg IN

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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
What is the paediatric dose of salbutamol ≥5yrs?
5mg NEB
26
What are the characteristics of appearance in the paediatric assessment triangle?
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
intercostal recession?
patient takes breath, muscles in ribs out "sucking"
28
what causes febrile convulsions?
sudden change in temp - sudden increase/decrease
29
What are complex febrile convulsions?
- lasts longer than 15 mins - partial/focal -> happens in one part of the body - reocccurs within 24hrs
30
questions to ask parent during SAMPLE?
- any complications during pregnancy/delivery? - full term baby? -
31
What is the management of FBAO in paediatrics
1-5 back blows 1-5 (abdominal thrusts - child) 1-5 (chest thrust - infant)
32
What is the additional cooling time for burns in paeds?
20 mins
33
What is the paediatric dose of paracetamol PO?
15mg/kg
34
What are the sepsis markers in paeds?
Red/amber flag +/- risk factor
35
What are the sepsis RED flags?
- altered mental status (P/U on AVPU) - Inappropriate tachycardia - Prolonged central capillary refill - non-blanching rash - Hypotension - Clinical deterioration
36
What are the sepsis AMBER flags?
- inappropriate tachypnoea - altered functional status - practitioner concern - parental concern - vital sign deterioration
37
What are the sepsis RISK factors?
- 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
In Paeds what is SPO2 titrated to?
≥94%
39
In paeds <12yrs, what is the CPR ratio with two practitioners?
15:2
40
In paeds ≥12yrs, what is the CPR ratio with two practitioners?
30:2
41
In paeds, what is the CPR ratio with one practitioner?
30:2
42
In paeds what is the CPR compression depth?
1/3 of chest depth
43
In paeds, under what age are paediatric defib pads used
<8yrs
44
What is 5th percentile SBP
70mmHg + (age x 2)
45
Average blood volume Paeds
80mls/kg
46
What is the paediatric dose of adrenaline for STRIDOR
< 1yr : 2.5mg NEB ≥ 1yr : 5mg NEB
47
What is the paediatric dose of adrenaline for ANAPHYLAXIS
< 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
What is the paediatric dose of Glucagon?
≥1mnth < 25kg : 500mcg IM ≥1mnth >25kg : 1mg IM
49
What paeds contra-indicate glucagon?
non diabetic
50
Paediatric dose of activated charcoal?
NOT INDICATED
51
Paediatric dose ASPIRIN?
NOT INDICATED
52
Paediatric dose CHLORPHENAMINE for MILD age 6-11yrs
2mg PO
53
Paediatric dose CHLORPHENAMINE for MILD age ≥12yrs
4mg PO
54
Paediatric dosage of hydrocortisone for adrenal insufficiency?
6mnths - ≤5yrs : 50mg > 5yrs : 100mg (same as adult dose)
55
paediatric dosage of hydrocortisone for refractory anaphylaxis?
< 6mnths : 25mg IM ≥ 6mnths - < 6yrs : 50mg IM ≥ 6yrs - < 12 yrs : 100mg IM ≥ 12 yrs: 200mg IM (same as adult dose)
56
Dose of salbutamol < 5yrs?
2.5mg
57
dose of salbutamol ≥ 5yrs?
5mg
58
Most common rhythm for paediatrics?
asystole
59
Paediatric PR dosage for paracetamol?
>1 mnth to < 1yr :80mg 1-3 years : 180mg 4-8yrs : 360mg
60
Paediatric dose of dexamethasone
300mcg/kg to a max dose of 12mg
61
Paediatric dose of ondansetron
100mcg/kg to a max dose of 4mg
62
Paediatric dose glucose gel
NEONATE: 2-4ml (BGL <2.6mmol/L) ≤8yrs : 5-10g >8yrs : 10-20g
63
Paediatric dose ipratropium bromide
<12yrs 250mcg NEB (MAX 1mg/24hrs) ≥12yrs 500mcg NEB (MAX 2mg/24hrs)

UL PARAMEDICS (39 decks)

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