Pediatrics Flashcards
What is the age range for BCEHS to consider a pediatric?
Less than 12 years old
What are the anatomical and physiological differences from paediatrics to adults?
Paediatrics have:
Larger heads
Smaller, narrow airways
Larger tongues
Increase metabolic rate
Increased fluid requirements, however be careful of how much you give
Under developed nervous system
What is the paediatric assessment triangle consist of?
Appearance
Work of breathing
Circulation
Tachycardia arrhythmias in children and neo needs are considered to be above what heart rate per minute?
Greater than 180 in children
Greater than 220 in infants
What is considered a wide complex tachycardia in paediatrics?
Greater than .08 seconds
What is BRUE?
Brief resolved, unexplained event
Involved sudden appearance of respiratory symptoms, such as apnoea changing color, and/or muscle tone which causes for concern for the parents. There are numerous causes, convenience to hospital is warranted
What are the main causes for cardiac emergencies in pediatrics?
Respiratory issues cause cardiac emergencies primarily.
Congenital heart issues are the other main source
What primarily causes bradycardia in pediatrics?
Hypoxia
What is the jules used for synchronized cardioversion for pediatrics in a unstable narrow tachycardia?
1j/kg for intial
repeat at 2j/kg if needed to cardiovert again
Do you have to call CLINICALL if there is a unstable wide complex tachycardia that is refractory to 2 synchronized cardioversion?
yes, after your second delivery cardioversion and the arrhythmia is not terminated, you must call clinicall.
Do you have to call CLINICALL to administer atropine or transcutaneous pace a pediatrics?
YES
Subsequent doses of atropine you must call CLINICALL
Before you transcutaneous pace you must call CLINICALL
What is the leader cause of pediatric shock?
hypovolemia resulting from gastroenteritis
Can you pre-treat pediatrics (12018 years old) with zofran before using ketamine?
Yes, and it is encourged to decrease the risk of vomiting
Should C-spine stabilization delay ABC’s or conveyance to the hospital when a pediatric pt. has a head injury or in profound shock?
No, do not delay ABC’s or conveyance in these circumstances to apply a c-collar
What are the primary causes of neonatal seizures?
Hypoglycemia
