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Neonatal > pediatric resuscitation and assessment > Flashcards

pediatric resuscitation and assessment Flashcards

1
Q

Vital ranges for Infant

A

HR 100-180
RR 30-53
BP 72-104/37-56

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2
Q

Vital ranges for toddler

A

HR 98-140
RR 22-37
BP 86-106/42-63

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3
Q

Vital ranges for Preschooler

A

HR 80-120
RR 20-28
BP 89-112/46-72

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4
Q

school age child vital ranges

A

HR 75-118
RR 18-25
BP 97-115/57-76

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5
Q

Vital ranges for an adolescent

A

HR 60-100
RR 12-20
BP 110/131/ 64-83

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6
Q

Key SPO2 sat

A

> 94%

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7
Q

What are the areas to look at during inspection

A

Vital signs
Respiratory Distress
Skin color
Chest wall

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8
Q

What are examples of presentation of respiratory distress

A

Head bobbing
Seasaw breathing

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9
Q

what muscle contracts during inspiration

A

Sternoclado mastoid

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10
Q

What happens during seesaw breathing

A

Chest retracts and abdomen expands in inspiration on expiration expands abdomen retracts

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11
Q

what type of disorders are seesaw breathing seen in

A

neuro muscular disorders

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12
Q

What does seesaw breathing indicate?

A

Airway obstruction

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13
Q

Where is Pallor located

A

skin or mucus membranes

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14
Q

where is mottling located

A

skin

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15
Q

What causes pallor

A

decreased blood supply to skin
Poor profusion

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16
Q

What causes mottling

A

vasoconstriction from hypoxemia, hypovolemia, or shock

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17
Q

what type of cyanosis is normal in a new born

A

Acrocyanosis

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18
Q

what causes peripheral cyanosis

A

shock, chf

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19
Q

what causes central cyanosis

A

V/Q mismatch
Alveolar hypoventilation
diffusion defect

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20
Q

What do you look for when examining the chest wall

A

Shape
Muscle mass and strength
Adipose tissue
Expansion

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21
Q

What shapes are there in chest wall assessment

A

Barrel chest
Pectus carinatum
Pectus excavatum
Kyphosis
Scoliosis

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22
Q

what do we look for in chest expansion

A

Symmetrical
Visible

23
Q

what are poor indicators of Muscle Mass and strength of the chest wall

A

decreases muscle mass
poor head control
weakness of trunk and/or extremities

24
Q

What causes barrel chest in an infant

A

Respiratory issues from airtrapping

25
What is the gioal for pulmonary palpitation
Palpitate for any masses
26
what does hyperresonance indicate
focal or generalized air trapping, or pneumothorax
27
What does Dullness indicate
Atelectasis, consolidation, or pleural effusion
28
what are we looking for in motion with deep breathing
breath is symmetrical
29
What are we looking for in fremitus
sub q emphys
30
what does grunting indicate
small airway collapse, and/or alveolar collapse
31
what causes grunting
pneumonia pulmonary contusion RDS CHF
32
what causes stridor
foreign body croup cong airway abnormalities Upper airway edema
33
What does stridor indicate
upper airway instruction
34
what does stertor indicate
NG or OG obstruction
35
What causes stertor
enlarged tonsils enlarged adenoids
36
What does Adventitious mean
Not normal, listen for intensity of insp and exp Prolonged esp phase indicates resp
37
what does clubbing indicate
ILD CF CHD Edema
38
what do you assess during appearance
degree of activity muscle tone verbal response or cry
39
What do you assess during work of breathing
tripod or sniffing position retractions audible breathing sounds
40
What do you assess during circulation
Pale Mottled cyanotic
41
what is the secondary assessment composed of
diagnostic testing, H's and T's detailed physical examination
42
what does abcde stand for in primary assessment
Airway Breathing circulation disability exposure has to be treated one at a time
43
how do we determine airway patency
breath sounds chest movement air movement
44
what is gasping a sign of
impending cardiac arrest
45
what indicates inhibited airway patency ?
signs of no bs despite effort OSA but no movement
46
what are ways we can help maintain airway
sniffing position head tilt chin life jaw thrust suction
47
what are two ways to alleviate uao
under 1 5 back slaps over 1 abdominal thrusts
48
what do you look for during initial assessment
ABC airway breathing circulation
49
what is TICLS
Tone Interactiveness Consolbility look/gaze speech/cry
50
what are signs of resp distress
Tripoding retractions nasal flaring grunting head bobbing
51
what is the dose for porcant alfa ( curosurf)
2.5ml/BW
52
What is the dose for Beractant (survanta)
4ml/BW
53
what is the dose for calfacant (infasurf)
3ml/BW
54

Neonatal (4 decks)

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