Acute Paeds Flashcards
(27 cards)
What % of paediatric arrests are respiratory in nature?
85%
Give causes of respiratory arrest in children.
Asthma, choking, seizures, raised ICP
Give causes of cardiac arrest in children.
Shock, blood loss, sepsis, arhythmia
Is BP a good measure of acute sickness in children?
No - need to lose around 25% of circulating volume before BP affected
What is the Paediatric BLS algorithm?
5 rescue breaths then alternating 15:2 compressions: rescue breaths
What is the ideal airway position in children?
Neutral
Give signs of sepsis in children.
Hypo/hyperthermic
Inappropriate tachycardia
Altered mental state
Increased cap refill/cool peripheries
The non-blanching rash in sepsis represents…
Meningococcaemia
How should a sick child be assessed?
3-minute toolkit - head-to-toe assessment
How does RR vary by age?
Decreases as children age
What is the target O2 sats in children?
> 96%
Wet crepitations in children suggests…
Bronchiolitis
Should BP be taken in all paediatric patients?
Only necessary in drowsy/v unwell children
When may sluggish pupils occur in children?
Post-seizure
What can you try if a child is drowsy?
Give paracetamol to see if it persists - if it does, this is worrying
Which elements are important when assessing the sick child, other than ABCDE?
ENT, Temp, Tummy & Glucose
Where should temperature be taken in children?
Axilla
Within the tummy assessment, what else should you look for?
Testes in boys and masses in the groin
When may a glucose reading be needed in children?
Reduced GCS/drowsy
What is the normal blood glucose range in children?
3-5 mmol/L
What is the recommended fluid resuscitation in children?
20mls/kg
What is the treatment for children with ITP and no bleeding?
None
Which organism causes croup?
Parainfluenza virus
Which organism causes acute epiglottitis?
Haemophilus influenzae B
