Paeds General

Question 1

A-E Differences between Adult and Paediatric

Answer 1

A - smaller, softer, funnel shaped, larger tongue, different alignment
B - nasal breathing as babies (feed so much need to breath simultaneous), diaphragmatic breathing
C - higher HR, mottle when hot
D - verbal or not, mobility changes depending on age

Question 2

What is Bronchiolitis?

Answer 2

• Most common lower respiratory in >2s
• Viral Infection - treat symptoms - respiratory support, feeding support

Question 3

Red Flags and Risks and Risks in Bronchiolitis

Answer 3

• Red Flags - lethargic (not waking for feeds), cyanosis, pale, mottled skin
• Risk - premature, cardiac babies, down syndrome, complex medical hx

Question 4

Signs and Symptoms; Bronchiolitis

Answer 4

• 1-2 (cough/cold), 3-5 (worst period)
• Head bobbing, goat noises/grunting, intercostal recession, reduced feeding, fever, widespread wheeze/crackles

Question 5

What is Stridor?

Answer 5

• Inflammation of upper airway, leads to subglottic narrowing
• Most common upper respiratory infection

Question 6

Signs and Symptoms; Croup

Answer 6

• Viral; usually sudden onset, usually worse at night
• Stridor at rest, barking cough

Question 7

Actions and Red Flags; Croup

Answer 7

• Dexamethasone Treatment, O2 if needed
• Red flags - stridor at rest, increased WOB, cyanosis, breathless

Question 8

Viral Induced Wheeze; Signs and Symptoms, Ages most common

Answer 8

• Most common in 2-4 yrs
• Cold symptoms lead to wheeze/increased WOB