Paediatrics

Question 1

What is the average weight of a newborn?

Answer 1

3.5kg

Question 2

Average weight of 5mo?

Answer 2

7kg

Question 3

Average weight of 12mo?

Answer 3

10kg

Question 4

Equation for weight of 1-9yo?

Answer 4

age x2 +8kg

Question 5

Equation for 10-12yo?

Answer 5

agex3.3kg

Question 6

Pulse of Newborn

Answer 6

120-160

Question 7

Pulse for Infant (first few hrs to 1yo)

Answer 7

100-160

Question 8

Pulse of small child

Answer 8

80-120

Question 9

Pulse of large child

Answer 9

80-100

Question 10

BP for infant

Answer 10

SBP >70

Question 11

BP for small child

Answer 11

SBP >80

Question 12

BP for large child

Answer 12

SBP >90

Question 13

Signs of inadequate perfusion

Answer 13

Skin- cool, pale, clammy, peripheral cyanosis

Conscious state- altered, restless

Question 14

RR for Newborn

Answer 14

40-60

Question 15

RR for Infant

Answer 15

20-50

Question 16

RR for small child

Answer 16

20-35

Question 17

RR for large child

Answer 17

15-25

Question 18

Respiratory distress signs (8)

Answer 18

• Tachypnoea
• Grunting
• Wheezing
• Chest wall retraction
• Accessory muscle use
• Pallor
• Cyanosis
• Abdominal protrusion

Question 19

Signs of CO2 retention

Answer 19

sweating, tachycardia, pupil dilation, hypertension, bounding pulse, eventually leads to cardiovascular and CNS depression

Question 20

QUESTT for pain

Answer 20

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

Question 21

Indication for IO

Answer 21

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.

Question 22

Medical time critical vital signs (5)

Answer 22

• Severe Respiratory distress
• SpO2 <90% RA, <93% supplemental O2
• Inadequate Perfusion
• GCS <13
• 12 lead indicating STEMI

Question 23

Time critical medical conditions (6)

Answer 23

• 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