Paediatrics Flashcards
What is the average weight of a newborn?
3.5kg
Average weight of 5mo?
7kg
Average weight of 12mo?
10kg
Equation for weight of 1-9yo?
age x2 +8kg
Equation for 10-12yo?
agex3.3kg
Pulse of Newborn
120-160
Pulse for Infant (first few hrs to 1yo)
100-160
Pulse of small child
80-120
Pulse of large child
80-100
BP for infant
SBP >70
BP for small child
SBP >80
BP for large child
SBP >90
Signs of inadequate perfusion
Skin- cool, pale, clammy, peripheral cyanosis
Conscious state- altered, restless
RR for Newborn
40-60
RR for Infant
20-50
RR for small child
20-35
RR for large child
15-25
Respiratory distress signs (8)
- Tachypnoea
- Grunting
- Wheezing
- Chest wall retraction
- Accessory muscle use
- Pallor
- Cyanosis
- Abdominal protrusion
Signs of CO2 retention
sweating, tachycardia, pupil dilation, hypertension, bounding pulse, eventually leads to cardiovascular and CNS depression
QUESTT for pain
Q- question child U- use pain rating E- Evaluate behaviour and physiological changes S- Secure patients involvement T- Take cause of pain into account T- Take action and evaluate results
Indication for IO
Lifesaving IV drugs and/or fluid are required and IV access not possible. Would include where ETT is indicated and sedation/paralysis pre and post ETT is required and timely IV access is not possible.
Medical time critical vital signs (5)
- Severe Respiratory distress
- SpO2 <90% RA, <93% supplemental O2
- Inadequate Perfusion
- GCS <13
- 12 lead indicating STEMI
Time critical medical conditions (6)
- ACS
- Acute stroke
- Severe sepsis, suspected Meningococcal
- Possible AAA
- Acute Asthma/COPD with moderate Resp Distress
- Need for hyperbaric treatment eg. acute decompression illness or cyanide poisoning
- Hypothermia or Hyperthermia
