Practical skills for osce Flashcards
calculating PEWS
- make sure you have age specific PEWS chart
- mark 1 point for each parameter if outside normal range (in the darker colours)
- practice this lots since will come up
Key parameters
- nurse/ family concern
- respiratory rate
- respiratory distress
- oxygen administration
- heart rate
- conscious level
types of inahlers
- steroid
- Selective beta2 agonists (SABA)- reliver
- long acting beta (LABA)- preventor
- anticholiongerics
- combination (recommened that a LABA is always co prescribed with a steroid)
name 3 steroid inhalers
- beclometasone
- fluticasone
- budesonide
name a LABA
Salmetrerol
formeterol
name a combination inalted
Seretide - Fluticasone and salmeterol
**
LABAs should always be co-prescribed with a steroid**
name 2 SABAs
salbutamol
turbutaline
growth chart basics
- The growth chart used to plot the measurements of weight, height/length and head circumference should correspond to the child’s sex and age e.g. 0-4, 2-20, neonatal
- use a small dot to mark
dont do invasive tests if
child is haemodynamically unstable
e.g. you wont do a lumbar puncture if you suspect meningococcal septicaemia
what sort of diseases can meningococcal infections cause
- sepsis (blood culture)
- meningitis (lumbar)
- meningiits + sepsis (will show up in both)
cushings triad
raised ICP
- bradycardia (also known as a low heart rate)
- irregular respirations
- and a widened pulse pressure.
normal haemoglobin
remember when prescribing
- dont forget to date
- dont me scared by mg/m2 (look on BNF- tells you the conversion from kg to m2) -> look at the app now to practice
- practice calculating doses
remember when prescribing
- dont forget to date
- dont me scared by mg/m2 (look on BNF- tells you the conversion from kg to m2) -> look at the app now to practice
- practice calculating doses
