Pedia

Question 1

Normal pediatric vital signs

Answer 1

read

Question 2

lower limits of sbp

Answer 2

0-28 days: 60
1-12 mos: 70
1-10 yrs: 70 + (2 x age in years)

Question 3

airway differences in children

Answer 3

large tongues, smaller airways, large occiputs

Question 4

tachycardia vs bradycardia

Answer 4

tachy: earliest sign of cv compromise!! compensates for hypovolemia
brady: ominous sign, signals impending arrest

Question 5

t/f hypotension is an early finding

Answer 5

false, late finding

Question 6

musculoskeletal differences in pedia

Answer 6

• faster bone remodeling

- ligaments are stronger

Question 7

dose of medication must be computed with weight ___

Answer 7

in kg, not lbs

Question 8

components of pediatric assessment triangle

Answer 8

Appearance, work of Breathing, Circulation to the skin

Question 9

pat interpretation of respiratory distress

Answer 9

appearance: normal
breathing: abnormal
circulation: normal

Question 10

pat interpretation of respiratory failure

Answer 10

appearance: abnormal
breathing: abnormal
circulation: normal-abnormal

Question 11

pat interpretation of compensatory shock

Answer 11

appearance: normal
breathing: normal
circulation: abnormal

Question 12

pat interpretation of decompensated shock

Answer 12

a: abnormal
b: normal-abnormal
c: abnormal

Question 13

pat interpretation of brain injury or dysfunction

Answer 13

a: abnormal
b: normal
c: normal

Question 14

pat interpretation of cardiopulmonary failure

Answer 14

a: abnormal
b: abnormal
c: abnormal

Question 15

primary assessment of airway

Answer 15

• check patency of the airway, foreign bodies that can obstruct and alignment of the axis
• sniffing position

Question 16

in cases where increased effort in breathing response does not occur, this is possibly caused by __

Answer 16

respiratory exhaustion, central respiratory depression, or neuromuscular disease

Question 17

abnormal breathing

Answer 17

• rr <10 or >60

- broselow tape

Question 18

et size estimation

Answer 18

(age in years/4) + 4

Question 19

how to check for proper placement of et

Answer 19

• chest rise
• 5 point auscultation
• mist in tube
• end tidal co turns yellow
• capnography (co2)
• cxr to see placement

et tube should be 2-3 cm above carina

Question 20

primary assessment of circulation

Answer 20

• IV bolus (20 cc/kg)

- do 3 trials, and do io after 3rd trial

Question 21

ideal sites for io

Answer 21

• proximal tibia
• distal tibia above medial malleolus
• distal femur
• anterior superior iliac spine

Question 22

primary assessment of disability

Answer 22

• gcs

- avpu: alert, responsive to verbal commands, responsive to painful stimuli, or unresponsive)

Question 23

modified gcs for infants and children

Answer 23

read

lowest: 3
alert = 15, verbal = 13, painful stimulation = 8, unresponsive = 6

Question 24

mnemonic for secondary assessment

Answer 24

signs and symptoms
allergies
medication
pmh
last meal
events surrounding illness

Question 25

difference in adult vs pedia cpr

Answer 25

read