Pediatric Emergencies

Question 1

TICLS

Answer 1

Tone
Interactive
Consolable
Look/Gaze
Speech/Cry

Question 2

Circumoral Cyanosis

Answer 2

Blue around mouth

Question 3

Mottling

Answer 3

Patchy skin coloration

Question 4

What is mottling indicative of?

Answer 4

Babies body attempt in shunting blood flow

Question 5

What is the order of assessment for pediatrics?

Answer 5

Toe to head

Question 6

What is normal urinary output?

Answer 6

1-2 ml/kg/hr

Question 7

Tonic neck reflex

Answer 7

Head turns to one side that arm extends out straight, other arm bends

Question 8

Albuterol dose

Answer 8

Infant: 0.05-0.15 mg/kg
2-5yo: 0.1-0.15 mg/kg
5yo and up: 2.5 mg

Question 9

What is croup?

Answer 9

Laryngotracheobronchitis

Inflammation and narrowing of larynx to cricoid

Question 10

Narrowest portion of pediatric airway?

Answer 10

Cricoid rings

Question 11

Common age for croup?

Answer 11

3 months to 3 years

Question 12

Symptoms of croup?

Answer 12

Hx of multiple upper airway infections
Fever <102.2
Barking cough
Stridor

Question 13

Treatment for croup?

Answer 13

Humidified air
Racemic epi

Question 14

Dose for racemic epi?

Answer 14

0.5 mg in 3ml

Question 15

What is bronchiolitis?

Answer 15

Inflammation of lower airway

Question 16

Signs and symptoms of bronchiolitis?

Answer 16

Wheezing
Tachypnea

Question 17

Most common cause for bronchiolitis?

Answer 17

Otitis media (Middle ear infection)

Question 18

Treatment for bronchiolitis?

Answer 18

Hi flow O2
Suction boogers

Question 19

What is epiglottitis?

Answer 19

Inflammation of epiglottis

Question 20

What kind of infection is epiglottitis?

Answer 20

Bacterial
H-influenza B

Question 21

Common age for epiglottitis?

Answer 21

3-7 years

Question 22

Signs and symptoms of epiglottitis?

Answer 22

Sudden onset
Sore throat
High fever
Drooling
Sniffing or tripod position

Question 23

Treatment for epiglottitis?

Answer 23

Hi flow O2 (humidified)
Do not disturb the beast

Question 24

What is tracheitis?

Answer 24

Upper respiratory infection that progresses
Inflammation of trachea

Question 25

What kind of infection is tracheitis?

Answer 25

Bacterial
Staphylococcus aureus

Question 26

Symptoms of tracheitis?

Answer 26

Inspiration stridor
Hoarseness
Moderate to high fever
No drooling
Will not respond to racemic epi

Question 27

Treatment for tracheitis

Answer 27

Oxygen as needed
Prep for advanced airway

Question 28

Pediatric dextrose dose

Answer 28

0.5-1 g/kg

Question 29

What is probable cause of seizure in newborn?

Answer 29

Abuse

Question 30

Partial seizure (focal)

Answer 30

Limited to one hemisphere

Question 31

Simple partical

Answer 31

Awareness not impacted (able to respond normally)

Question 32

Complex partial

Answer 32

Awareness impacted

Question 33

Generalized seizure

Answer 33

Begin one hemisphere and rapidly spread bilaterally

Question 34

What causes febrile seizure?

Answer 34

Rapid increase in body tempature

Question 35

What causes seizures with meningitis?

Answer 35

Increased intercranial pressure (can’t be broken)

Question 36

Seizure versed dose?

Answer 36

IV: 0.01 mg/kg
IN: 0.02 mg/kg

Question 37

Fluid resuscitation for pediatrics

Answer 37

20 ml/kg