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Jason's MD3 Paeds > Recognition Of Seriously Ill Child > Flashcards

Recognition Of Seriously Ill Child Flashcards

1
Q

Observation of I’ll child

A

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

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2
Q

What signs are not age-dependent?

A

Cyanosis

Strider

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3
Q

all normal newborns should?

A 
Wake for feeds
Suck strongly
Rousable activity
Normal cry 
Flexed posture with some tone(prev. Cold, like womb)
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4
Q

What babies don’t have flexed tone?

A

Preterm babies

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5
Q

Respiratory normal for newborns?

A

Periodic respiration

Some chest in drawing (premature)

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6
Q

What is paeds apnoea?

A

Longer than 10seconds
Cyanosis
Bradycardia

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7
Q

What causes apnoea?

A 
Pertussis
Epiglottitis
Croup (parainfluenza virus)
OSA
RSV(bronchiolitis)
Sepsis
Premature babies
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8
Q

Normal newborn RR

Term-3 months

A

30-50

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9
Q

Normal newborn RR 4-12 mo?

A

30-40

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10
Q

1-4 years Normal newborn RR

A

20

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11
Q

5-12 Normal newborn RR ?

A

16

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12
Q

12+ Normal newborn RR

A

16

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13
Q

Normal HR for 0-3?

A

100-180

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14
Q

Normal HR for 4-12 mo?

A

100-180

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15
Q

Normal HR for 1-4 ye

A

90-160

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16
Q

Widened pulse pressure DDx?

A 
Sepsis
Anaphylaxis
Patent Ductus Arteriosus
Aortic regurg
Anaemia
17
Q

What can give you narrow pulse pressure?

A

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

18
Q

Hypovolaemia in paeds causes?

A

Haemorrhagic shock

Dehydration

19
Q

Pump failure causing narrow pulse pressure?

A

Tachyarrythmia
Myocarditis
Tamponade

20
Q

Important signs in Paeds?

A

Purpura

Neck stiffness

21
Q

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

A

Sepsis
Meningitis/encephalitis
DKA

22
Q

Kussmaul’s breathing is? When

A

Tachypnoea in shallow breaths
Metabolic acidosis
Or DKA

23
Q

Wheeze in paeds?

A

Bronchiolitis

Asthma

24
Q

Non blanching rashes? Petechiae

A

Meningicoccal

Other gram -ve sepsis

25
Q

Initial bolus for fluid in dehydrated/shocked kid?

A

20ml/kg

26
Q

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

A

Vasopressors/ionotropes

CALL FOR HELP. ICU or RCH.

27
Q

Fluids for kids?

A

Plasma lyte
140Na
100Cl
5% glucose

Jason's MD3 Paeds (28 decks)

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