Pedi Emergency and Ment/Health

Question 1

Pedi ABC’s

Answer 1

Appearance, Breathing, Circulation
A: Is child responsive/unresponsive?
A/B: Does child have compromise or airway/breathing?
C: Does child have pulse or pulse less than 60/min?
CPR?

Question 2

Inadequate blood volume and/or O2 carrying capacity; “volume problem”. Hemorrhage, dehydration, burns

Answer 2

Hypovolemic shock

Question 3

Inappropriate distribution of blood volume or flow; “vessel problem”, Sepsis, anaphylaxis, neurogenic

Answer 3

Distributive shock

Question 4

Impaired cardiac contractility; “pump problem”. Arrythmias, cardiomyopathy, valve disease

Answer 4

Cardiogenic shock

Question 5

Blood flow to heart is obstructed; “blockage problem”. Tamponade, tension pneumothorax, PE

Answer 5

Obstructive Shock

Question 6

Altered mental status, altered heart rate (tachycardia), altered temperature, altered perfusion, decreased cap refill, hypotension, bradycardia (late signs)

Answer 6

S/S of Progressing Shock

Question 7

5 H’s

Answer 7

Hypovolemia
Hypoxia
Hydrogen ion (Acidosis)
Hypoglycemia
Hypo/hyperkalemia

Question 8

5 T’s

Answer 8

Trauma
Tension pneumothorax
Tamponade
Toxins
Thrombosis (coronary, pulmonary)