Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ACCP > Unwell Child > Flashcards

Unwell Child Flashcards

1
Q

What are the anatomical and physiological differences between pediatric and adults?

A

Large prominent occiput
And big tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three things in the paediatric triangle

A

Appearance
Work of breathing
Circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What could it mean if a paediatric appearance is low

A

CNS,metabolic - provide oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What could it mean if a paediatric is having work of breathing issues

A

Respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What could it mean if a paediatric is having work of breathing issues and is low on appearance

A

Respiratory failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What could it mean if a paediatric appearance is low and is having circulation problem

A

Shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What could it mean if a paediatric appearance is low and is having work of breathing and circulation issues

A

Cardiovascular failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the signs of deterioration

A

Increased work of breathing
Cyanosis
Bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is asthma

A

It’s an acute inflammation of the airway leads to a wheeze.can be caused by a trigger e.g pollen,dust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is moderate exacerbation asthma

A

able to talk in full sentences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Moderate exacerbation heart rate and resp rate

A

less than 140 min age 2-5 HR
Less than 125 ages 5 over HR
Less than 40 min age 2-5 RR
Less than 30 min over 5 RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is acute severe

A

The inability to complete sentence in one breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Acute severe heart rate and resp rate

A

more than 140 age 2-5 HR
more than 125 over 5 HR
more then 40 min 2-5 RR
morw then 30 min 5 over RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is life threatening

A

Silent chest and cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Life threatening heart rate and resp rate

A

Hypotension,poor respiratory effect and exhaustion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Bronchiolitis

A

Is the inflammation of the bronchioles,acute and self limiting infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the symptoms of bronchiolitis

A

reduced SPO2,increased RR,Recession
Irregular breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When will you need to transport a pediatric to hospital with Bronchiolitis

A

High-risk baby,less than 2 months Tachypnoeic and tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Upper Respiratory Tract Infections

A

are common in pediatric includes Tonsillitis/sore throat
Otitis media
Common cold

20
Q

What are the signs and symptoms of URTI

A

Sore throat
Cough
Fever
Headache

21
Q

What is the physical exam of URTI

A

Breath odour
Inflamed tonsils
Respiratory distress or stridor
‘Muffled’ voice – quinsy

22
Q

What is lower respiratory tract infection

A

This includes infections such as pneumonia

23
Q

What are the signs and symptoms of LRTI

A

Fever
Cough
Tachypnoea
Nasal Flaring
Chest recession

24
Q

why would you transfer to hospital for URTI/LRTI

A

less than 2 years, Unable to take medicine orally
Dehydrated
Severe DIB
Concerns of meningococcal disease
Diminished fluid intake

25
Q

What is Croup

A

Inflammation around the larynx

26
Q

what are the symptoms of croup

A

sounds like a bark when coughing Use of accessory muscles
Can present with respiratory distress, respiratory failure and respiratory arrest
Hoarse voice

27
Q

What is the management of croup

A

Modified TAUSSIG croup score for severity- Consider Dexamethasone
oxygen,calm approach

27
Q

What is the Modified TAUSSIG Croup Score

A

stridor - Only on Crying, exertion (1)
- At rest (2)
- Severe (3)

Recession - - Only on Crying, exertion (1)
- At rest (2)
- Severe (3)

28
Q

What is Epiglottis

A

This is an acute inflammation of the epiglottis which left untreated can be potentially fatal

29
Q

What are the causes of Epiglottis

A

Bacterial infection or injury
Very rare now due to HIB vaccine

30
Q

What are the symptoms of epiglottis

A

Fever
Unwell/ distressed
Stridor
Difficult and painful to swallow

31
Q

How do manage epiglottis

A

oxygen
priority call to hospital

32
Q

What is Febrile illness

A

Most common medical problem in childhood.Suggests an underlying infection.Temperature >38oC is likely to be significant

33
Q

What is the NICE traffic tool

A

the presence or absence of symptoms and signs

Green - low risk
Amber - intermediate risk
Red - High risk

34
Q

What are the dehydration red flags

A

Appears unwell or deteriorating
Altered responsiveness
Sunken eyes
Tachycardia
Tachypnoea
Reduced skin turgor

35
Q
A
36
Q
A
37
Q
A
38
Q

What are causes of convulsions

A

Febrile - occurs from a sudden rise in temperature
Brain insults
Epilepsy
Convulsive Status Epilepticus

39
Q

How to deal with a Convulsion

A

OP and NP tubes
100% oxygen as per JRCALC in an active seizure
Oxygen titrated to 94-98% for post-ictal phase
And being prepared with the bag valve mask

40
Q

What is childhood gastroenteritis

A

Sudden onset of diarrhoea.At risk of dehydration

41
Q

What is Encephalitis

A

Swelling (inflammation) of the brain, most often due to infections.

42
Q

What is Hydrocephalus

A

A buildup of fluid inside the skull.

43
Q

What is Meningitis

A

Infection of the membranes covering the brain meninges

44
Q

How to deal with overdoes/ poisoniong management

A

Oxygen,NEVER induce vomiting
Consider 12 lead ECG
Convey to hospital with sample and containers

45
Q

What is septicaemia

A

bacteria invade the bloodstream

46
Q

Treatment of Meningococcal Meningitis and Septicaemia

A

High flow O2
Full set of observations + BM on the way to hospital
Paramedics can give benzylpenicillin

ACCP (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions