paeds Flashcards
Normal BP, HR, RR and temp for newborn
BP- 73/55
HR - 80-180
RR- 30-80
Temp - 36.8
Normal BP, HR, RR and temp for 1-3 years
BP - 90/55
HR - 80-140
RR - 20-40
Temp - 37.7
Normal BP, HR, RR and temp for 6-8 years
BP - 95/75
HR- 75-120
RR - 15-25
Temp - 37
Normal BP, HR, RR and temp for 10 year olds
BP - 102/62
HR - 75-110
RR - 15-25
Temp - 37.7
what does HEEADSSS Assessment stand for
H - Home - home situation, family life, relationships and stability:
E - Education/ Employment - sense of belonging at school/work and relationships with teachers/peers/ workmates; changes in performance; identify possible bullying
E- Eating and Exercise - how they look after themselves, eating and sleeping patterns:
What do you usually eat for breakfast/lunch/dinner?
A - Activities and Peer Relationships - social and interpersonal relationships, risk taking behaviour, attitudes about themselves:
D - Drug use/Cigarettes/Vaping and Alcohol - context of substance abuse (if any) and risk taking behaviours:
S - Sexuality - Knowledge, understanding, experience, gender identity, sexual orientation and sexual practices:
S - Suicide/Self-harm/Depression/Mood - Risk of mental health problems, strategies for coping and available support:
S - Safety - Risk taking behaviours and environment:
Peads legislations - Children’s act 2014
- consent to procedures, child’s welfare and best interests, family violence
Peads legislations - children’s and young people commission act 2022
encouraging children’s and young people’s participation and voices by
- promoting them to make decisions about their lives
Peads legislations list some acts -
- Domestic violence act 1995
- Ora Tamariki act 1989 = set out procedures for the removal of abused children from their parent’s care
- children’s act 2014
- children’s and young people commission act 2022
NZ 4 health targets for children
- children should have their needs met
- child health and disability and support services should be available close to them
- Child health and disability and support services should be focussed on the child and family
- Child health and disability and support services should work together to benefit the child
5 types of child abuse
- physical harm
- sexual harm
- neglect or deprivation
- emotional
- preventing illness treatment
4 Infectious diseases in children
- Rotavirus - faecal or oral transmission
- E-coil = foodborne pathogens
- whooping cough - droplets
- croup - droplets
5 Common chronic conditions children
- diabetes
- chrohn’s or UC
- epilepsy
- scoliosis
- Down syndrome
Calculate fluid replacement in children
Jenna is a 7-year-old girl requiring maintenance fluid prior to her appendectomy. Her weight is 22kg.
Weight Fluid (mL/kg/day)
0-10kg (first 10kg) = 100
11-20kg (second 10kg) = 50
>21kg (third 10kg and greater) = 20
Fluids (mL/kg/hour)
0-10kg (first 10kg) = 4
11-20kg (second 10kg) = 2
>21kg (third 10kg and greater) = 1
Fluid maintenance for Jenna may be calculated per day:
(100 x 10) + (50 x 10) + (20 x 2) = 1540 mL/kg/day = 64 mL/hour
Fluid maintenance may also be calculated per hour:
(4 x 10) + (2 x 10) + (1 x 2) = 62 mL/hour
Average urine output for infants, children and adolescents
infants urine volume = 2ml/kg/hr
* child’s urine volume = 1-2/ml/kg/hr
* adolescent’s urine volume = 0.5-1ml/kg/hr
Respiratory distress paeds S+S
- tachypnoea (rapid breathing)
- alertness changes
- decreased oxygen saturation
- nasal flaring
- wheezing
Asthma inhaler device for under 2 years
- pressurised metered dose inhalers (pMDI), small volume spacer
& mask
