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Paramedicine > SBI 301 Paeds > Flashcards

SBI 301 Paeds Flashcards

1
Q

Infant Diameter of airways vs Adult

A

4mm for infants Vs 16 for adults

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2
Q

An infant age is waht?

A

1 month to 1 year

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3
Q

Small child age is?

A

1-5 years

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4
Q

Child age is?

A

6-12 years

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5
Q

Adolescent age is?

A

13-18

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6
Q

1mm of swelling to an infant airway increases airway resistnace by?

A

16 times

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7
Q

Whats the narrowest part of the upper airway

A

Cricoid ring

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8
Q

Larync is higher in Children, this means what for forgien body

A
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9
Q

SCIWORA is what

A

Spinal cord injury withou radiographic abnormality

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10
Q

Explain SCIWORA

A
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11
Q

What indicates resp failure

A

Infants become bradycardic when hypoxic therfore manage with O2 not atropine

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12
Q

when do you commence resus for kids

A

HR > 60bpm and unresponsive and not breathing

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13
Q

Paeds weight Calculation is?

A

(Age+4) * 2 = weight in KG

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14
Q

Joules in cardiac arrest calculations

A

4jouls/kg

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15
Q

Steps of a Paed resus

A

Danger
Response
Send
Airway
Breathing - No - 2 Breaths
CPR - 15-2
Defib 4J/KG

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16
Q

Rhythm analysis/drugs for a paed in shockble rhythm

A

Shock @ 4j/kg
Adrenaline 10mcg/kg after 2nd shock than every 2nd
Amiodarone 5mg/kg after 3 shocks

17
Q

Rhythm analysis/drugs for a paed in Non-shockble rhythm

A

Dont Shock
Adrenaline 10mcg/kg immediatley then every 2nd shock

18
Q

What are the steps for the paediatric assessment

A
  1. Scene safety
  2. PAT
  3. Primary Survey DRABCDE
    Any critical interventions
  4. Secondary Survey
    History and Vital signs
  5. Management and treatments
  6. Differential and provisional diagnosis
  7. Transport decision
19
Q

What are the three sides to the PAT

A
  1. Appearance
  2. Work of breathing
  3. Circulation
20
Q

Describe TICLS

A
  1. Tone- floppy lethargic or moving spontaneous.
  2. Interactions- do they interact normally interested in objects and sounds or uninterested.
  3. Consolabilty- can they be consoled or are they agitated
  4. Look- make eye contact or vacant glazed stare.
  5. Speech- sound strong and spontaneous or weak and muffled.
21
Q

Four things to look for in Work of Breathing

A
  1. Listen for sounds, strider, wheeze grunt.
  2. Patients position
  3. Accessory muscle use.
  4. Nasal flaring
22
Q

Three things to look for in circulation

A
  1. Pale
  2. Mottling
  3. Cyanosis
23
Q

5 signs of respiratory distress

A
  1. Intercostal retraction
  2. Nasal flaring
  3. Sternal retraction
  4. Pallor
  5. Tracheal tug
24
Q

Why do kids grunt to breath

A

Trying to generate PEEP to splint the alveolar.

Typically seen in pneumonia

25
Q

What is the ratio for CPR and what age does it change?

A

15:2

Changes to 30-2 at 9 years

26
Q

Drug protocols for cardiac arrest in shockable rhythms

A
  1. Adrenaline after second shock. Then every second shock
    - 10mcg/kg 1:10,000
  2. Amiodarone after three shocks
    - 5mg/kg
27
Q

How do you calculate the Joules for peads

A

Joules = weight x 4

28
Q

Paediatric treatment of anaphylaxis is?

A

Position pt
Adrenaline (1:100) 10mcg/kg every 5 minutes whilst indicated
Oxygen target 94%
Salbutamol Neb over 5= 5mg under 5= 2.5mg whilst indicated
Fluids IV 20ml/kg
Hydrocortisone IV 4mg/kg once

29
Q

Clinical manifestations of epiglottis

A

Fever 4-8 hours prior
Acute onset of upper airway obstruction
Lethargy
Drooling
Dysphagia

30
Q

What is the asthma treatment?

Both life threatening and non life threatening

A

O2- 94-98%
Salbutamol- under 5= 2.5 mg over 5= 5mg whilst indicated
Ipatropium Bromide- 2-6years 250mcg, max dose = 500mcg

Life threatening start with
Adrenaline- 10mcg/kg every five minutes
Then as above

31
Q

Croup Manifestations

A

1 history of common cold

  1. Low grade fever
  2. Seel bark
  3. Strider on inspiration
32
Q

What is treatment for severe croup

A
  1. O2 94-98
  2. Adrenaline
    - Neb
    - 500mcg/kg
    - every 30 minutes
33
Q

Seizure treatment whilst actively fitting

A
  1. Protect Pt by removing objects
  2. Consider backup
  3. Consider cause. Eclampsia etc.
  4. Midazolam
    - IM 0.15mg/kg
    - every 5 minutes
    - 0.45mg/kg max dose

No contra indications.

34
Q

What things to find out with History taking of a seizure patient

A

1- Time of onset
2- Mechanism of injury
3- fever, aloc
4- past Med Hx
5-meds
6- Allergies

35
Q

Treatment of Hypoglycaemia

A

1- glucose get if able to swallow
-entire tube 15grams

If unable to swallow
2- glucose 10%
-IV
0.2g/kg (2ml/kg)
Repeat onec at 10 minutes. COnsult if not at 4mmol after 2nd bolus

Glucagon

36
Q

Treatment for hyperglycaemia

A

1-administer compound sodium lactate

  • 10ml/kg
  • max dose 10ml/kg

Paramedicine (11 decks)

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