Pediatrics

Question 1

What does sunken frontanelles indicate?

Answer 1

Dehydration

Question 2

What three things make of the pediatric assessment triangle?

Answer 2

Appearance
Breathing
Circulation

Question 3

What is acrocyanosis?

Answer 3

Cyanosis of hands and feet

Normal finding younger than 2 months when cold

Question 4

What does weak central pulses indicate?

Answer 4

Significant hypotension and de compensated shock

Question 5

What is the formula for selecting ET tube size for peds?

Answer 5

(Age ➗ 4) ➕ 4

Or

(Age ➕ 16) ➗ 4

Question 6

What is the energy setting for synchronized cardioversion for peds?

Answer 6

.5-1 joules/kg

Repeat at 2 joules/kg as needed

Question 7

PEDS

Adenosine dose

Answer 7

.1mg/kg
Second dose .2mg/kg
Up to 6mg

Question 8

PEDS

amiodarone dose

Answer 8

5mg/kg

Max 15mg/kg

Question 9

PEDS

Atropine dose

Answer 9

.02mg/kg

Max 1mg for child 2mg for adolescent

Question 10

PEDS

Dopamine dose

Answer 10

2-20 mcg/kg/min tiltrated to effect

Question 11

PEDS

Epinephrine 1:10,000 dose

Answer 11

.01 mg/kg

Question 12

PEDS

Glucose dose

Answer 12

.5-1 g/kg

5%: 10-20 ml/kg
10%: 5-10 ml/kg
25%: 2-4 ml/kg

Question 13

PEDS

Lidocaine dose

Answer 13

1 mg/kg

Max of 100mg

Question 14

PEDS

Naloxone dose

Answer 14

.1 mg/kg

Max of 2mg

Question 15

What is the formula for normal systolic BP for peds?

Answer 15

(Age X 2) +90

Question 16

What is the formula for low systolic BP for peds?

Answer 16

(Age X 2) + 70

Question 17

What are the eye opening ratings for pediatric glasgow coma score?

Answer 17

4: eyes respond spontaneously
3: eyes respond to speech
2: eyes respond to to pain
1: no response

Question 18

What are the verbal ratings for the pediatric glasgow coma score?

Answer 18

5: smiles, orients to sound, interactive
4: cries but consolable, inappropriate interaction
3: inconsistently inconsolable, moaning
2: inconsolable, agitated
1: no response

Question 19

What are the motor ratings of the pediatric glasgow coma score?

Answer 19

6: infant moves spontaneously
5: infant withdraws from touch
4: infant withdraws from pain
3: abnormal flexion to pain (decorticate)
2: abnormal extension to pain (decerebrate)
1: no motor response

Question 20

What is the formula for normal systolic BP for pediatrics?

Answer 20

(Age ✖️ 2) ➕ 90

Question 21

What is the formula for low systolic BP for pediatrics?

Answer 21

(Age ✖️ 2) ➕ 70

Question 22

What are four signs of meningitis?

Answer 22

Fever
AMS
Irritability
Neck pain

Question 23

What is Neisseria meningitidis?

Answer 23

Highly contagious and infectious meningitis

Question 24

What are signs of Neisseria meningitidis?

Answer 24

Tiny red spots (petechiae)

Large purple rash

Question 25

What does bulging frontanelles indicate?

Answer 25

Increased intracranial pressure