Pediatric Emergencies Flashcards
Treatment of kids
85% BLS skills
Proper way to deal with kids
Tell them procedures right before you start
Adenosine MS Epinephrine Atropine Narcan Versed Lidocaine
epi .01mg/kg Adenosine .1mg-.2mg/kg Versed 1mg/min Atropine .02mg/kg (.1mg min dose) Lidocaine 1mg/kg per dose MS Narcan
Neonates
birth to 1 month
Ductus venosis
Oxygenated blood from mom directly to the inferior vena cava bypassing the liver. Becomes ligamentum venosus
Ductus arteriosis
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.
Foramen Ovale
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
Moro reflex
Hands spread out
Rooting refles
baby turns its head toward anything that strokes its cheek or mouth.
sucking reflex
roof of the mouth is touched, baby will begin to suck
Palmar reflex
when an object touches their palm the fingers will close. persists to 5 or 6 months
1month
eat sleep poop
6months
Sit up
9months
crawl
12 months
walk
1min apgar
score during birthing process
5min apgar
score how theyre doing outside of uterus
acrocyanosis
cyanotic extremities
7 8 9 apgar
normal
10 apgar
rare
Pepp handshake
Brachial and femoral pulses
Check for shock by?
Capillary refill
Pediatric assessment triangle
Appearance, circulation, Work of breathing