Paediatric Assessment Flashcards
In order to prevent cardiac arrest in the paediatric patient, early diagnosis and treatment is essential. True or False?
True!
Outcomes for children in cardiac arrest are more favourable than in adults. True or false?
False. They are worse.
What are the 3 elements observed in the Paediatric Assessment Triangle? (See / Hear / Feel)
Appearance
Work of Breathing
Circulation
What T stand for in the TICLS mnemonic?
Tone
What I stand for in the TICLS mnemonic?
Interactiveness
What C stand for in the TICLS mnemonic?
Consolability
What L stand for in the TICLS mnemonic?
Look or Gaze
What S stand for in the TICLS mnemonic?
Speech or Cry
Stridor, grunting and wheezing are signs of abnormal what?
Breathing
What 3 signs would demonstrate increased effort of breathing?
- Nasal flaring
- Retractions
- Abnormal positioning
Pallor, cyanosis and mottling are all signs of inadequate what?
Circulation
We all know ABCDE in our primary assessment by now, but what do ENT / TT and DEFG stand for?
ENT = Ears / Nose / Throat TT = Temperature / Tummy DEFG = Don't Ever Forget Glucose!
In regards to breathing, what is a pre-terminal sign?
A silent chest.
O2 sats of <90% on air or <95% on oxygen = ?
Decompensating
Hypoxic cardiac arrests will usually present with what type of heart rhythm?
Asystolic.
In children, what circulation measurement is of limited value?
BP
Does the heart compensate well or poorly in children?
Well.
Sick babies and children will go floppy. What is the medical term for this?
Hypotonic / Hypotonia
Bradycardia in children is usually caused by what?
Hypoxia
If page for age is not available, what formula can be used to calculate BP?
80 + (age x2)
Why are children <2 years more susceptible to bacterial infections?
Immune system is still immature.
With any child that has a decreased GCS, what is an essential thing to check? (Other than the obvious ABC’s)
BM
In summary, the whole assessment of a child should take how long?
Less than 1 minute.
