Flashcards in Acutely Unwell Child Deck (20):
How do you assess circulation?
- HR - sats probe
- Central capillary refill
How do you assess disability?
- Conscious state
How do you assess breathing?
- Chest rise and fall
- Listen for breathing noises
- Auscultate chest
How do you get IV assess?
What do you check on initial bloods?
FBE, UEC, CRP
Lactate, pH - from blood gas
What other initial investigations can be performed?
Urine - SPA, catheter, clean catch
How much fluids do you give in acute resuscitation?
10-20ml/kg bolus then maintenance
What broad spectrum Abx are given in acute rescus
What do you give in a seizing patient?
Midazolam IM or IV - 0.15mg/kg
What do you support the airway in resuscitation? What is the trigger?
HR less than 60bpm
CPAP or intermittent breathing
What is the adrenaline dose in resuscitation?
0.1-0.3ml/kg in 1:10,000
How do you assess for meningitis on exam?
What do you ask for in an LP?
What are some causes of septic presentation in a neonate?
Group B strep
Other viral infections
What is the formula for high flow O2?
2L/kg to a maximum of 35L
What is the cut off for abnormal ketones?
0.6mmol/L on capillary blood
What are the biochemical criteria for DKA?
1. Venous pH less than 7.3 or bicarb less than 15
2. Presence of blood or urinary ketones
How are fluids given in DKA?
Bolus is considered though with a higher threshold
Maintenance fluids are given
How is the sugar corrected?
Insulin with fluids