Paediatric examination Flashcards

1
Q

Normal HR for a child <1 y/o?

A

110-160

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2
Q

Normal HR for a child 1-2 y/o?

A

100-150

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3
Q

Normal HR for a child 2-5 y/o?

A

95-140

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4
Q

Normal HR for a child 5-12 y/o?

A

80-120

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5
Q

Normal HR for a child >12 y/o?

A

60-100

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6
Q

Normal RR for a child <1 y/o?

A

30-40

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7
Q

Normal RR for a child 1-2 y/o?

A

25-35

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8
Q

Normal RR for a child 2-5 y/o?

A

25-30

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9
Q

Normal RR for a child 5-12 y/o?

A

20-25

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10
Q

Normal RR for a child >12 y/o?

A

15-20

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11
Q

Normal RR for an adult?

A

12-16

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12
Q

Normal SBP for a child <1 y/o?

A

80-90

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13
Q

Normal SBP for a child 1-2 y/o?

A

85-95

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14
Q

Normal SBP for a child 2-5 y/o?

A

85-100

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15
Q

Normal SBP for a child 5-12 y/o?

A

90-110

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16
Q

Normal SBP for a child >12 y/o?

A

100-120

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17
Q

Normal SBP for an adult?

A

90-120

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18
Q

What temp is normothermic in a neonate?

A

36.5-37.5

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19
Q

What temp is hypothermic in a neonate?

A

<36.5

20
Q

What temp suggests low-grade fever in a neonate?

A

37.6-37.9

21
Q

What temp is hyperthermic (fever) in a neonate?

A

≥38

22
Q

What temp is normothermic in a child?

A

36-37.5

23
Q

What temp is hypothermic in a child?

A

<36

24
Q

What temp suggests low-grade fever in a child?

A

37.6-37.9

25
Q

What temp is hyperthermic (fever) in a child?

A

≥38

26
Q

State the weight calculation for a child 0-12 months old.

A

(0.5*months) + 4

27
Q

State the weight calculation for a child 1-5 years old.

A

(2*years) + 8

28
Q

State the weight calculation for a child 6-12 years old.

A

(3*years) + 7

29
Q

How much energy (in J/Kg) should be administered when using a defib/AED on a child?

A

4 J/Kg

30
Q

What is the maximum number of joules that can be administered per shock when using a defib/AED on a child?

A

150-200J biphasic for 1st shock

150-360J biphasic for subsequent

31
Q

What tube size should be used when intubating a pre-term neonate?

A

2.5 mm

32
Q

What tube size should be used when intubating a neonate (full-term)?

A

3 or 3.5 mm

33
Q

What tube size should be used when intubating children >1 y/o?

A

(age in years/4) + 4

Units: mm

34
Q

How many mls per kg of fluid should be administered to a child in cases of trauma/DKA/cardiac pathology? What is the max volume of fluid that can be given?

A

10ml/kg of 0.9% saline

Max vol = 500 mL

35
Q

How many mls per kg of fluid should be administered to a child in cases other than trauma/DKA/cardiac pathology? What is the max volume of fluid that can be given?

A

20ml/kg of 0.9% saline

Max vol = 1 L

36
Q

How many micrograms per kg of lorazepam can be given to a child? What is the max dose?

A

100 micrograms/kg

Max dose = 4mg

37
Q

How many micrograms per kg of adrenaline can be given to a child? What is the max dose?

A

10 micrograms/kg

Max dose = 1mg

38
Q

How many mL per kg of glucose (10%) can be given to a child? What is the max that can be given in a single bolus?

A

2-5mL/kg

Max: 150-160mL

39
Q

How are daily fluid requirements calculated for children?

A

100ml/kg for first 10kg of weight
50ml/kg for second 10kg of weight
20ml/kg thereafter

40
Q

What types of fluid should be given to children (>1 y/o)?

A
Normal saline (0.9% NaCl)
5% dextrose
41
Q

What type of fluid should be given to neonates?

A

10% dextrose

42
Q

How many ml/kg of fluid does a 1-day old baby need?

A

60 ml/kg

43
Q

How many ml/kg of fluid does a 2-day old baby need?

A

90 ml/kg

44
Q

How many ml/kg of fluid does a 3-day old baby need?

A

120 ml/kg

45
Q

How many ml/kg of fluid does a 4+ day old baby need?

A

150 ml/kg

46
Q

How should fluid be replaced orally in a dehydrated child?

A

Over a 4-hour period
At a rate of 50ml/kg
Given as volume every 10 mins