Pediatric Emergencies Flashcards
Why are children at higher risk from airway compromise?
Signs of airway compromise?
Airway Interventions?
Signs of Respiratory Distress
Breathing Interventions?
Indications for emergency intubation?
Signs of circulatory compromise?
Circulation Interventions?
Asses disability?
Treatment of Acute Severe Asthma
What is Status epilepticus?
Complications of Status Epilepticus?
Assessment of Status Epilecticus
Acute management of Anaphylaxiis?
Signs of Sepsis/ Management?
Recognition of DKA?
- Glucose?
- Ketones?
- Acidosis?
Excessive thirst/drinking, increased urination (Polydipsia/polyuria)
Weight loss
Abdominal pain
Headaches, confusion, altered behaviour, mental state
Glucose in urine
Fast breathing
Management of DKA?
Complications of DKA?
Red flags of DKA?
young age (less than 2 years old)
pH <7.1
Severe hypernatraemia, persistent vomiting
Excessive fluids given/long Hx of sugary fluids
Worsening despite following the guideline
How much should a baby feed/gain weight?
Average weight gain 150-200g/week
General Minimum fluid requirement 150ml/kg/day
Jack is 3 months of age and weighs 6kg. He has been brough to ED with three days of cough, coryza and reduced feeding. You think he has bronchiolitis. He is maintaining his O2 saturations but you are concerned he is at risk of dehydration. If his feeding is less than 50% of normal, Jack will meet criteria for inpatient admission.
When well Jack takes 5 oz of SMA every 4 hours.
For the last 24 hours Jack has taken 1oz of SMA every 2 hours.
Assessment of dehydration
Behaviour/activity
Vitals – tachycardia or bradycardia
Hypotension – very late sign
Eyes – sunken, no tears
Skin – peripheries perfusion, warmth, turgor
Mucus membranes – dry
Fontanelle – normal or sunken
How much IV fluid does a child need?
Typical maintenance fluid is 0.9% NaCl + 5% Dextrose
