Pediatric Emergencies Flashcards

1
Q

Treatment of kids

A

85% BLS skills

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2
Q

Proper way to deal with kids

A

Tell them procedures right before you start

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3
Q
Adenosine
MS
Epinephrine
Atropine
Narcan
Versed
Lidocaine
A
epi .01mg/kg
Adenosine .1mg-.2mg/kg
Versed 1mg/min
Atropine .02mg/kg (.1mg min dose)
Lidocaine 1mg/kg per dose
MS
Narcan
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4
Q

Neonates

A

birth to 1 month

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5
Q

Ductus venosis

A

Oxygenated blood from mom directly to the inferior vena cava bypassing the liver. Becomes ligamentum venosus

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6
Q

Ductus arteriosis

A

Shunts blood from the pulmonary artery bypassing the lungs into the descending aorta. Stays open because the Pao2(partial pressure of O2 in arterial blood) is low.
after birth, 2-3 weeks, becomes ligamentum arteriosum.

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7
Q

Foramen Ovale

A

1/3 of blood shunted from the inferior vena cava to the left ventricle through a flap valve between the atria. Closes when pressure in the left atrium exceeds the pressure in the right atrium

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8
Q

Moro reflex

A

Hands spread out

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9
Q

Rooting refles

A

baby turns its head toward anything that strokes its cheek or mouth.

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10
Q

sucking reflex

A

roof of the mouth is touched, baby will begin to suck

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11
Q

Palmar reflex

A

when an object touches their palm the fingers will close. persists to 5 or 6 months

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12
Q

1month

A

eat sleep poop

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13
Q

6months

A

Sit up

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14
Q

9months

A

crawl

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15
Q

12 months

A

walk

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16
Q

1min apgar

A

score during birthing process

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17
Q

5min apgar

A

score how theyre doing outside of uterus

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18
Q

acrocyanosis

A

cyanotic extremities

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19
Q

7 8 9 apgar

A

normal

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20
Q

10 apgar

A

rare

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21
Q

Pepp handshake

A

Brachial and femoral pulses

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22
Q

Check for shock by?

A

Capillary refill

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23
Q

Pediatric assessment triangle

A

Appearance, circulation, Work of breathing

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24
Q

EMSC (EMS for Children)

A

Data collection
quality improvement
Rehab
Prehospital care

25
Q

Compromised breathing respiratory rate

A

Slow respiratory rate is an ominous sign

26
Q

Fontanels close up at what age

A

9-18 months

27
Q

Kids GCS Mild, moderate, severe

A

13-15mild

9-12 severe

28
Q

Calculate peds weight in KG

A

Age x 2 + 8 = kg

29
Q

SCIWORA

A

Spinal cord injury without radiological abnormalities

30
Q

Protocols 161, 167, 172

A

?

31
Q

S/S of status asmaticus

A

Does not respond to usual use of inhaled bronchodilators, respiratory failure.

32
Q

PEEP

A

Positive End Expiratory Pressure

33
Q

Leading cause of ped poisoning

A

Chelated iron

34
Q

Bronchiolitis S/S

A

Swelling and mucus buildup in bronchioles
Viral infection
effects children up to 2yrs old, usually
3-6months
can be caused by RSV (Respiratory Syncytial Virus)

35
Q

Common blunt trauma to chest in PED

A

Pulmonary contusion

36
Q

Common dysrhythmias in peds

A

bradycardia

37
Q

SIDS facts

A

?

38
Q

ALTE

A

Apparent Life Threatening Event

39
Q

4 months

A

flip over, rolling

40
Q

Neonate

A

birth to 1month

41
Q

language developement age

A

1-3yrs toddler

42
Q

When to expect shock in peds?

A

Tachycardia present

43
Q

cap refill is reliable sign of perfusion of what ages?

A
44
Q

PEPP handshake

A

Brachial and femoral pulses

45
Q

max age to give back blows

A

1yr old

46
Q

Suction pressure for infants

A
47
Q

Weight estimate formula (KG)

A

Age x 2 + 8 = kg

48
Q

Defib dose

Sync dose

A

2 then 4joules/kg

1 then 2joules/kg

49
Q

Stages of respiratory compromise

A

Respiratory distress/ failure/ arrest

50
Q

Croup/Laryngeal Tracheal Bronchitis

A

Viral, slow onset, low fever

51
Q

Epiglottitis

A

Bacterial, Very sudden, higher fever

52
Q

Bronchiolitis

A
common in infants
Resps 50ish
Grunting
Nasal flaring
Intercostal resp.
Pale
wheezing (can be confused w/Asthma but typically younger)
53
Q

Epiglottitis Rx

A

humidified O2

54
Q

Shock rx

A

20cc/kg, may require 80-100cc/kg

55
Q

Meningitis

A

Bacterial(worse) or Viral
Caused by strep
Infection of meninges

56
Q

2 bigger organs in peds

A

Spleen and liver. Frequent abdominal trauma

57
Q

Most likely people to abuse children

A

Stepfather/boyfriend and stay at home mom

58
Q

most prominent age for choking

A

6 months