Pediatrics

Question 1

The three components of the pediatric assessment triangle are:

Answer 1

1. General Appearance
2. Work of Breathing
3. Circulation to the Skin

Question 2

You can estimate mean systolic BP for a pediatric patient using the formula:

Answer 2

80 + (2 x Age) in years

Question 3

You are called to a 7 year old patient with significant trauma. En route you estimate their mean systolic BP to be _____ mm Hg

Answer 3

~94 mm Hg

Mean systolic BP can be estimated by:

80 + (2 x Age) in years.

Question 4

You can estimate the weight of a pediatric patient in kilograms using the formula:

Answer 4

(Age (yr) x 2) + 8 = Wt (kg)

Question 5

You are called to a 7-year-old anaphylaxis patient. In order to correctly dose Epi, you estimate their weight using their age to be:

Answer 5

22kg or 48 lbs.

(Age (yr) x 2) + 8 = Wt (kg)​

Question 6

The ratio of compressions to breaths in CPR for a pediatric patient with 2 rescuers is:

Answer 6

15:2

Question 7

The ratio of compressions to breaths in CPR for a neonatal patient with 2 rescuers is:

Answer 7

3:1

Question 8

The most common etiology of non-traumatic cardiac arrest in children is:

Answer 8

Respiratory failure

Question 9

Because cardiac arrest in children is most often of a respiratory etiology, resuscitation should focus on:

Answer 9

Adequate ventilation and oxygenation

Question 10

Early transport of pediatric patients in cardiac arrest is ________ (rarely / often) indicated.

Answer 10

often

Prompt and rapid transport of pediatric patients with cardiac arrest is important. Cardiopulmonary arrest in infants and children is rarely a sudden event. When it does occur, pediatric cardiac arrest frequently represents the terminal event of progressive respiratory failure or shock. Determining the actual time of arrest can be difficult and these circumstances are always emotionally charged so in most circumstance you should treat and transport.

Question 11

Defibrillation with AED _____ (is / is not) indicated for neonatal patients in cardiac arrest

Answer 11

is

Question 12

Salbutamol dosing in pediatric patients is based on age. The dosing for children less than ___ years of age is ___ and is ___ for all other children and adults.

Answer 12

The dosing for children less than 1 year of age is 2.5mg and is 5.0mg for all other children and adults.

Question 13

Pediatric dosing of epinephrine in anaphylaxis is __________ to a maximum of _____

Answer 13

0.01mg/kg to a maximum of 0.5mg

Question 14

You are called to a 6-year-old respiratory arrest. Parents state that the child accidentally ingested the parents’ prescribed opioids. Suspecting opioid overdose, correct initial dosage of IM naloxone for this patient is _____ mg

Answer 14

0.4mg

Question 15

Pediatric patients are _____ (more/less) at risk of developing hypothermia than adults

Answer 15

more

Question 16

Pediatric dosing of glucagon in hypoglycemia is: (state dosages and age ranges)

Answer 16

0.5 mg if < 25 kg, 1 mg if ≥ 25 kg

(max dose 1 mg)

Question 17

Correct dosage of IV D10W for a hypoglycemic 14-year-old patient weighing 40kg is ____mL

Answer 17

200mL

5 ml/kg D10W IV

Question 18

Entonox ____ (is / is not) indicated for pain management in patients <12 years old.

Answer 18

Entonox is indicated