Pediatric EM Flashcards
bag at the appropriate rate if too fast what are 4 main risks…
Risk of gastric air, regurgitation, aspiration,
barotrauma aka pneumothorax
impair venous return due to high intrathoracic pressure
= low CO, cerebral and coronary perfusion
what is considered an ominous sign when assessing breathing?
grunting
what are 2 unique factors of pediatric arrest?
rarely a sudden event, and rarely just a cardiac event
what are 3 main causes of pediatric respiratory failure?
intrinsic lung disease, airway is obstructed, inadequate effort
T/F for respiratory failure monitoring cant always ___
rely on blood gases
its a clinical diagnosis
def respiratory failure
inadequate oxygenation/ ventilation
how to assess peds circulation
HR, BP Central pulse Distal pulses Skin mottled? cap refill?
central pulse to check for infants is ___ artery
brachial
central pulse to check for older kids is ___artery
femoral
Peds mean systolic BP equation is
90 mmHg + (age in yrs times 2)
what is unique about PEds BP?
they can maintain a normal bp until they lose over 30% of CO volume
lower limit of normal SBP in kids
70mmHg + (2 times age in years)
asthma attack I would expect a ___ stridor
expiratory tx: racemic albuterol
viral illness with swollen vocal cords
racemic mixture of epinephrine
what fluids to give if peds goes into shock..
20ml/kg boluses until tachycardia goes away and you see improved perfusion
what if peds has shock due to hemorrhage?
after 2 boluses (of 20ml/kg) give PRBC 10 ml/kg
PRBC stands for..
packed red blood cells
for quick diability exam ask what 4 questions
- how is patient mentating?
- pupils?
- are they moving all 4 extremities
- symmetric strength and sensation
AMPLE stands for…
allergies, medications, past medical history (pregnancy), last meal, events surrounding visiti
___ is the most common cause of death and disability in childhood
injury
___ is most common cause of death in children
MVC
what should you expect with a peds trauma pt
multisystem injury due to ..
smaller body mass
less fat and CT
organs closer together
3 main head anatomical differences in kids
large head relative to body, less myelin, soft cranium
if there is evidence if increased ICP with herniation what 3 steps should you do?
elevate head 30 degrees
hypertonic saline (3%) 5ml/kg
mannitol 0.5-1mg/kg
