Recognition Of Seriously Ill Child

Question 1

Observation of I’ll child

Answer 1

CNS: consicous
REsp: RR, UAO
Cardio: hydration, HR, CRT

Question 2

What signs are not age-dependent?

Answer 2

Cyanosis

Strider

Question 3

all normal newborns should?

Answer 3

Wake for feeds
Suck strongly
Rousable activity
Normal cry 
Flexed posture with some tone(prev. Cold, like womb)

Question 4

What babies don’t have flexed tone?

Answer 4

Preterm babies

Question 5

Respiratory normal for newborns?

Answer 5

Periodic respiration

Some chest in drawing (premature)

Question 6

What is paeds apnoea?

Answer 6

Longer than 10seconds
Cyanosis
Bradycardia

Question 7

What causes apnoea?

Answer 7

Pertussis
Epiglottitis
Croup (parainfluenza virus)
OSA
RSV(bronchiolitis)
Sepsis
Premature babies

Question 8

Normal newborn RR

Term-3 months

Answer 8

30-50

Question 9

Normal newborn RR 4-12 mo?

Answer 9

30-40

Question 10

1-4 years Normal newborn RR

Answer 10

20

Question 11

5-12 Normal newborn RR ?

Answer 11

16

Question 12

12+ Normal newborn RR

Answer 12

16

Question 13

Normal HR for 0-3?

Answer 13

100-180

Question 14

Normal HR for 4-12 mo?

Answer 14

100-180

Question 15

Normal HR for 1-4 ye

Answer 15

90-160

Question 16

Widened pulse pressure DDx?

Answer 16

Sepsis
Anaphylaxis
Patent Ductus Arteriosus
Aortic regurg
Anaemia

Question 17

What can give you narrow pulse pressure?

Answer 17

Coarctation of aorta
Aortic stenosis
Hypovolaemia
Peripheral vasoconstriction (cold extremities)

Question 18

Hypovolaemia in paeds causes?

Answer 18

Haemorrhagic shock

Dehydration

Question 19

Pump failure causing narrow pulse pressure?

Answer 19

Tachyarrythmia
Myocarditis
Tamponade

Question 20

Important signs in Paeds?

Answer 20

Purpura

Neck stiffness

Question 21

23 hours of fever, vomiting, very unwell. DDx?

Answer 21

Sepsis
Meningitis/encephalitis
DKA

Question 22

Kussmaul’s breathing is? When

Answer 22

Tachypnoea in shallow breaths
Metabolic acidosis
Or DKA

Question 23

Wheeze in paeds?

Answer 23

Bronchiolitis

Asthma

Question 24

Non blanching rashes? Petechiae

Answer 24

Meningicoccal

Other gram -ve sepsis

Question 25

Initial bolus for fluid in dehydrated/shocked kid?

Answer 25

20ml/kg

Question 26

If you get to 40ml/kg or 2x20ml/kg for fluid resus and it’s STILL not working then?

Answer 26

Vasopressors/ionotropes

CALL FOR HELP. ICU or RCH.

Question 27

Fluids for kids?

Answer 27

Plasma lyte
140Na
100Cl
5% glucose