Pediatric Emergencies Flashcards
What temp designates a neonatal fever?
100.4 or 38
For a neonatal fever, start with what?
ABCs
What labs do you order when dealing with a neonatal fever?
CBC BC UA UC LP
When do you admit for a neonatal fever?
If 28 days of age or younger
When deciding on antibiotics for a neonatal fever, what bugs do you want to cover and what drugs should you use?
E. coli
Listeria
GBS
Amp and Cef
What labs do you order for a fever when the child is over 28 days but less than 2 months
CBC BC UA UC Possibly LP
If PMH is neg, labs are normal, and close follow up is attained, then how do you proceeed when deeling with a fever in a patient that is over 28 days and less than 2 months
Discharge to home
When do you use AVPU?
Pediatric seizure emergency
What do you give to a pediatric patient with a seizure and you’re unsure what to do?
OXYGEN
What labs do you obtain IV for a seizure?
CBC BC Na BUN and Cr Ca Mg Phos Glucose
Seizure tx
Benzo
What do you do after any intervention or change in patient status?
REASSESS
What is given as needed to a patient with asthma?
Oxygen
Asthma tx for bronchospasm?
Albuterol
Asthma tx for inflammation
Steroids
What else do you need to ensure for asthma?
Proper hydration
Explain croup clinically
Follows a few days of viral cold symptoms.
Abrupt daytime onset of stridor.
Treatment for significant stridor
Nebulized racemic epinephrine
Dexamethasone
If Croup is not responding to treatment then consider what 3 things?
Foreign body
Bacterial Tracheitis
Epiglottitis
How to treat a patient that is STABLE with dehydration?
Rehydrate orally
When to consider IV bolus for pediatric dehydration?
Tachycardia
Prolonged CFT
Decreased BP
IV bolus
20 ml/kg NS or LR
What is indicated for moderate to severe dehydration?
Electrolytes
-note that it does not change the initial bolus fluid
When would you give a second bolus to a pediatric dehydration patient?
After you’ve given a bolus and reassessed and there is still CV instability
