Special considerations in young children Flashcards
name the three categories in PEads assessment
activity, breathing, circulation
outline normal activity
Active, normal cry or speech, interacts with people and objects, good muscle tone.
outline abnormal activity
Inactive, lethargic, abnormal or absent cry or speech, failure to interact with people or objects, floppy.
outline abnormal breathing
tachypnoea, nasal flaring, indrawing, use of accessory muscles, grunting
outline abnormal circulation
Tachycardia, mottled skin, pale, cold, slow capillary refill time.
Signs of reduced activity include
Lethargy.
Abnormal cry.
Failure to interact with people or objects. Reduced tone or floppiness.
The signs of shock in children are
ū Tachycardia.
ū Tachypnoea.
ū Vasoconstriction with prolonged capillary refill time. This will also often
produce mottled skin.
ū Reduced activity and interaction.
estimate weight for 1 year old and under
5kg
1-10 weight calculation
(age+4)x2
11-14 years weight calculation
age x 3
dilution and draw up of pead adrenaline
Adrenaline IV 1:10,000 (0.1 mg/ml)
* Draw up 1 ml of adrenaline from a 1 mg/ml ampoule.
* Dilute to a total volume of 10 ml using 0.9% sodium chloride.
* Administer the volume from the tables as an IV bolus.
Ceftriaxone dilution and draw up
Ceftriaxone IV 200 mg/ml
* Add approximately 4ml of 0.9% sodium chloride to a 2 g ampoule of ceftriaxone powder and shake until dissolved.
* Draw up the contents of the ampoule.
* Dilute to a total volume of 10 ml using 0.9% sodium chloride.
* Discard unrequired drug and administer the volume from the tables as a slow IV push over 1-2 minutes, preferably into a running line.
fent for kid greater than 30kg
Fentanyl IV 10 mcg/ml (weight rounded up to 30 kg or more)
* Draw up 2 ml of fentanyl from a 100 mcg/2 ml ampoule.
* Dilute to a total volume of 10 ml using 0.9% sodium chloride.
* Administer the volume from the tables as an IV bolus.
fent for kids under 20kg
Fentanyl IV 1 mcg/ml (weight rounded up to 20 kg or less)
* Use a 100 ml bag of 5% glucose.
* Add 2 ml of fentanyl from a 100 mcg/2 ml ampoule.
* Shake well and label.
* Administer the volume from the tables as an IV bolus.
newborn normal HR
120-180
