Paediatric Illness

Question 1

What shape tool is most commonly known in Paediatric Assessment?

Answer 1

The Paediatric Assessment Triangle.

Question 2

What are the 3 areas of the Paediatric Assessment Tool?

Answer 2

1. Appearance. (What you SEE)
2. Work of Breathing. (What you HEAR)
3. Circulation. (What you FEEL)

Question 3

The Paediatric Assessment Tool reflects the adequacy of ventilation, oxygenation, brain perfusion and what other element?

Answer 3

CNS function.

Question 4

What could a falling respiratory rate combined with exhaustion most likely lead to?

Answer 4

Respiratory arrest.

Question 5

What does a silent chest indicate in a child?

Answer 5

That they are pre-terminal.

Question 6

Saturations of <90% on air or <95% on O2 is a sign of what condition?

Answer 6

Decompensating Hypoxia (which has effects on other organs)

Question 7

Heart rate <80 in an infant indicates what?

Answer 7

Circulatory failure.

Question 8

Heart rate <60 in any infant = ?

Answer 8

Serious sign, indication to start chest compressions.

Question 9

Is BP of limited value pre-hospitably?

Answer 9

Yes.

Question 10

What two reasons contribute towards why BP of limited use pre-hospitably?

Answer 10

1. The heart compensates well for shock for a long time

2. All other signs will be obvious by this time and treatment started to stabilise the condition.

Question 11

What should be rapidly assessed using AVPU?

Answer 11

GCS - Conscious level

Question 12

What structure are assessed for their size / reactivity?

Answer 12

Pupils