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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
Q

What is the gioal for pulmonary palpitation

A

Palpitate for any masses

26
Q

what does hyperresonance indicate

A

focal or generalized air trapping, or pneumothorax

27
Q

What does Dullness indicate

A

Atelectasis, consolidation, or pleural effusion

28
Q

what are we looking for in motion with deep breathing

A

breath is symmetrical

29
Q

What are we looking for in fremitus

A

sub q emphys

30
Q

what does grunting indicate

A

small airway collapse, and/or alveolar collapse

31
Q

what causes grunting

A

pneumonia
pulmonary contusion
RDS
CHF

32
Q

what causes stridor

A

foreign body
croup
cong airway abnormalities
Upper airway edema

33
Q

What does stridor indicate

A

upper airway instruction

34
Q

what does stertor indicate

A

NG or OG obstruction

35
Q

What causes stertor

A

enlarged tonsils
enlarged adenoids

36
Q

What does Adventitious mean

A

Not normal, listen for intensity of insp and exp
Prolonged esp phase indicates resp

37
Q

what does clubbing indicate

A

ILD
CF
CHD
Edema

38
Q

what do you assess during appearance

A

degree of activity
muscle tone
verbal response or cry

39
Q

What do you assess during work of breathing

A

tripod or sniffing position
retractions
audible breathing sounds

40
Q

What do you assess during circulation

A

Pale
Mottled
cyanotic

41
Q

what is the secondary assessment composed of

A

diagnostic testing, H’s and T’s detailed physical examination

42
Q

what does abcde stand for in primary assessment

A

Airway
Breathing
circulation
disability
exposure

has to be treated one at a time

43
Q

how do we determine airway patency

A

breath sounds
chest movement
air movement

44
Q

what is gasping a sign of

A

impending cardiac arrest

45
Q

what indicates inhibited airway patency ?

A

signs of no bs despite effort
OSA but no movement

46
Q

what are ways we can help maintain airway

A

sniffing position
head tilt chin life
jaw thrust
suction

47
Q

what are two ways to alleviate uao

A

under 1 5 back slaps
over 1 abdominal thrusts

48
Q

what do you look for during initial assessment

A

ABC airway breathing circulation

49
Q

what is TICLS

A

Tone
Interactiveness
Consolbility
look/gaze
speech/cry

50
Q

what are signs of resp distress

A

Tripoding

retractions
nasal flaring
grunting
head bobbing

51
Q

what is the dose for porcant alfa ( curosurf)

A

2.5ml/BW

52
Q

What is the dose for Beractant (survanta)

A

4ml/BW

53
Q

what is the dose for calfacant (infasurf)

A

3ml/BW

54
Q
A

Neonatal (4 decks)

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