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Sydney Child Health Program > 1.1 Paeds Emergencies > Flashcards

1.1 Paeds Emergencies Flashcards

1
Q

How common is febrile convulsion?

A

3%

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2
Q

Febrile convulsions Family Hx link %?

A

20%

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3
Q

Chance of recurrence in febrile convulsion?

A

35%

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4
Q

Links with febrile convulsions?

A

Sodium channel proteins
Iron deficiency
Atopy

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5
Q

Age range for febrile convulsion?

A

6mo - 6years

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6
Q

Simple febrile convulsions lasts how long?

A

Less than 4min usually

No longer than 15 minutes

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7
Q

In febrile child we are looking for?

A
  • Bacteraemia

- shock, sepsis

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8
Q

Approach to evaluation of sepsis?

A

A B C D

Alertness (AVPU)
Breathing
Colour
Dehydration

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9
Q

How to assess Alertness in septic child?

A

AVPU

Alert
Voice
Pain
Unresponsive

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10
Q

How to assess Breathing in septic child?

A

Rate
Effort
Noises

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11
Q

How to assess colour in septic child?

A

Cyanosis
Pallor
Mottling
CRT <2

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12
Q

How to assess dehydration in septic child?

A 
Fluids in
Fluids out (com, diarrhoea
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13
Q

Dose of BenPen in suspected meningitis if child is under 1?

A

300mg

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14
Q

Dose of BenPen in suspected meningitis if child is age 1-9?

A

600mg

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15
Q

Dose of BenPen in suspected meningitis if child is over 10?

A

1200mg

Ceftriaxone 50mg/kg up to 2G

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16
Q

Vomiting child DDx?

A

Gastro

O I M I

17
Q

Vomiting DDx what is OIMI?

A

Obstruction

Infection

Metabolic

Injury

18
Q

Vomiting child what kinds of obstruction?

A

Intussesception
Appendicitis
Hernia

19
Q

Vomiting child what is in infection?

A

UTI

Meningitis

20
Q

Vomiting child what kind of metabolic conditions?

A

Diabetic Ketoacidosis

HUS

21
Q

Vomiting child, what is in injury?

A

Raised intracranial Pressure

22
Q

Dehydrated child, ask about what 3 things?

A

Intake
Wet nappies
Losses

23
Q

Dehydrated child, intake, when to worry?

A

Less than 50%

24
Q

Dehydrated child, wet nappies when to worry?

A

> 8h

25
Q

Dehydrated child, losses, when to worry?

A

> 5 vomiting and

>5 diarrhoea

26
Q

Describe mild dehydration

A

Thirsty
Reduced wet nappies
Dry mucosa
Mild tachy

27
Q

Describe moderate dehydration

A

Lethargy
Sunken Fontaine lies/eyes
Reduced skin turner

28
Q

Describe severe dehydration

A
  • Decrease level of consciousness

- shock: perfusion, hypotension

29
Q

In mild dehydration, how to treat?

A

Frequent breast feeds
Oral rehydration
1/5 juice

If not tolerated
NGT fluids
IV fluids

30
Q

Treatment of dystonic reaction to prochlorperazine in <1?

A

Anticholinergic antihistmine, diazepam

31
Q

Treatment of dystonic reaction to prochlorperazine in >1?

A

Benztropine (Cogentin)

32
Q

Near drowning child. PRevention?

A

Watch child
Fence around pool
Education
Swimming programs

Sydney Child Health Program (113 decks)

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