Pediatric Emergencies

Question 1

What temp designates a neonatal fever?

Answer 1

100.4 or 38

Question 2

For a neonatal fever, start with what?

Answer 2

ABCs

Question 3

What labs do you order when dealing with a neonatal fever?

Answer 3

CBC
BC
UA
UC
LP

Question 4

When do you admit for a neonatal fever?

Answer 4

If 28 days of age or younger

Question 5

When deciding on antibiotics for a neonatal fever, what bugs do you want to cover and what drugs should you use?

Answer 5

E. coli
Listeria
GBS

Amp and Cef

Question 6

What labs do you order for a fever when the child is over 28 days but less than 2 months

Answer 6

CBC
BC
UA
UC
Possibly LP

Question 7

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

Answer 7

Discharge to home

Question 8

When do you use AVPU?

Answer 8

Pediatric seizure emergency

Question 9

What do you give to a pediatric patient with a seizure and you’re unsure what to do?

Answer 9

OXYGEN

Question 10

What labs do you obtain IV for a seizure?

Answer 10

CBC
BC
Na
BUN and Cr
Ca
Mg 
Phos
Glucose

Question 11

Seizure tx

Answer 11

Benzo

Question 12

What do you do after any intervention or change in patient status?

Answer 12

REASSESS

Question 13

What is given as needed to a patient with asthma?

Answer 13

Oxygen

Question 14

Asthma tx for bronchospasm?

Answer 14

Albuterol

Question 15

Asthma tx for inflammation

Answer 15

Steroids

Question 16

What else do you need to ensure for asthma?

Answer 16

Proper hydration

Question 17

Explain croup clinically

Answer 17

Follows a few days of viral cold symptoms.

Abrupt daytime onset of stridor.

Question 18

Treatment for significant stridor

Answer 18

Nebulized racemic epinephrine

Dexamethasone

Question 19

If Croup is not responding to treatment then consider what 3 things?

Answer 19

Foreign body
Bacterial Tracheitis
Epiglottitis

Question 20

How to treat a patient that is STABLE with dehydration?

Answer 20

Rehydrate orally

Question 21

When to consider IV bolus for pediatric dehydration?

Answer 21

Tachycardia
Prolonged CFT
Decreased BP

Question 22

IV bolus

Answer 22

20 ml/kg NS or LR

Question 23

What is indicated for moderate to severe dehydration?

Answer 23

Electrolytes

-note that it does not change the initial bolus fluid

Question 24

When would you give a second bolus to a pediatric dehydration patient?

Answer 24

After you’ve given a bolus and reassessed and there is still CV instability