Paediatric examination values Flashcards
Normal HR for a child <1 y/o?
110-160
Normal HR for a child 1-2 y/o?
100-150
Normal HR for a child 2-5 y/o?
95-140
Normal HR for a child 5-12 y/o?
80-120
Normal HR for a child >12 y/o?
60-100
Normal RR for a child <1 y/o?
30-40
Normal RR for a child 1-2 y/o?
25-35
Normal RR for a child 2-5 y/o?
25-30
Normal RR for a child 5-12 y/o?
20-25
Normal RR for a child >12 y/o?
15-20
Normal RR for an adult y/o?
12-16
Normal SBP for a child <1 y/o?
80-90
Normal SBP for a child 1-2 y/o?
85-95
Normal SBP for a child 2-5 y/o?
85-100
Normal SBP for a child 5-12 y/o?
90-110
Normal SBP for a child >12 y/o?
100-120
Normal SBP for an adult?
90-120
What temp is normothermic in a neonate?
36.5-37.5
What temp is hypothermic in a neonate?
<36.5
What temp suggests low-grade fever in a neonate?
37.6-37.9
What temp is hyperthermic (fever) in a neonate?
≥38
What temp is normothermic in a child?
36-37.5
What temp is hypothermic in a child?
<36
What temp suggests low-grade fever in a child?
37.6-37.9
What temp is hyperthermic (fever) in a child?
≥38
State the weight calculation for a child 0-12 months old
(0.5*months)+4
State the weight calculation for a child 1-5 years old
(2*years)+8
State the weight calculation for a child 6-12 years old
(3*years)+7
How much energy (in J/Kg) should be administered when using a defib/AED on a child?
4 J/Kg
What is the maximum number of joules that can be administered per shock when using a defib/AED on a child?
150-200J biphasic for 1st shock
150-360J biphasic for subsequent
What tube size should be used when intubating a pre-term neonate?
2.5mm
What tube size should be used when intubating a neonate (full-term)?
3 or 3.5 mm
What tube size should be used when intubating children >1 y/o?
(age in years/4) + 4
mm
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?
10ml/kg of 0.9% saline
Max vol = 500 mL
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?
20ml/kg of 0.9% saline
Max vol = 1 L
How many micrograms per kg of lorazepam can be given to a child? What is the max dose?
100 micrograms/kg
Max dose = 4mg
How many micrograms per kg of adrenaline can be given to a child? What is the max dose?
10 micrograms/kg
Max dose = 1mg
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?
2-5mL/kg
Max: 150-160mL
How are daily fluid requirements calculated for children?
100ml/kg for first 10kg of weight
50ml/kg for second 10kg of weight
20ml/kg thereafter
What types of fluid should be given to children (>1 y/o)?
Normal saline (0.9% NaCl) 5% dextrose
What type of fluid should be given to neonates?
10% dextrose
How many ml/kg of fluid does a 1-day old baby need?
60 ml/kg
How many ml/kg of fluid does a 2-day old baby need?
90 ml/kg
How many ml/kg of fluid does a 3-day old baby need?
120 ml/kg
How many ml/kg of fluid does a 4+ day old baby need?
150 ml/kg
How should fluid be replaced orally in a dehydrated child?
Over a 4-hour period
At a rate of 50ml/kg
Given as volume every 10 mins