Paeds

Question 1

BINDS

Answer 1

birth
immunisations
nutrition
development
social

Question 2

paeds system review

Answer 2

nausea + vomiting
eating / drinking
weeing / pooing
fever + behaviour changes
rask /skin changes

Question 3

HEADSSS

Answer 3

Home,
Education/Employment,
Activities,
Drugs,
Sex and relationships,
Self harm and depression,
Safety and abuse

Question 4

Asthma acute management
O SHIT ME

Answer 4

oxygen driven neb
salbutamol 5mg

Hydrocortisone
Ipratromium bromide 0.5
Theopylline (ICU)

magnesium sulfate (one off dose emergency IV)
escalate care

Question 5

acute asthma severity
moderate

Answer 5

PEFR 50-75 is moderate

Question 6

severe asthma

Answer 6

PEFR 33-50% predicted

RR >25

HR >110

Unable to complete sentences

Question 7

Life threatening

Answer 7

PEFR <33% predicted

Sats <92%

Becoming tired

No wheeze - no air entry at all i.e. “silent chest”

Cyanosis

Haemodynamic instability

Confusion

Question 8

life threatening asthma signs
33, 92 CHEST

Answer 8

Cyanosis, Hypotension, Exhaustion, Silent chest, Tachycardia

Question 9

steroids in severe asthma?

Answer 9

oral pred
IV hydrocortisone

Question 10

counselling asthma ; how much is too much SABA inhaler use?

Answer 10

more than 3 times

Question 11

montelukast

Answer 11

leukotriene receptor antagonist