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Pinellas County Protocol 2023 > EPC > Flashcards

EPC Flashcards

(65 cards)

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1
Q

Pts 1-3 years old are called…

A

Toddlers

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2
Q

Kids between 3-6 are called…

A

Preschoolers

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3
Q

At what age can you stop doing toe-to-heads and just do head to toe assessments.

A

Preschoolers

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4
Q

Kids between 6-12 are called

A

School aged

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5
Q

Kid has poor appearance but normal work of breathing and circulation. What’s wrong?

A

CNS dysfunction

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6
Q

Toddlers and preschoolers (some infants) are susceptible to what disease?

A

Croup

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7
Q

Croup treatment

A

Nebulized epi (for strider)
Corticosteroids

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8
Q

Kid has dyspnea, gradual onset that worsens at night. Seal-bark cough. What is it?

A

Croup

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9
Q

What does croup do to the body?

A

Viral
Infection of upper and partial lower airway

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10
Q

What are common bacterial upper airway infections in kids?

A

Epiglottis, tracheitis, retropharyngeal abscess, peritonsilar abscess

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11
Q

Kid (4-6) with hx recent sickness and sudden onset stridor with drooling. What’s wrong?

A

Epiglotitis

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12
Q

Kid (4-6) with hx long sickness, high fever, lots of thick mucous, barking cough. What’s wrong?

A

Tracheitis

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13
Q

Kid (up to 6) has hx of penetrating trauma or upper infection, slowly starts drooling with stridor. What’s wrong?

A

Retropharyngeal abscess

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14
Q

Best way to manage an airway in odds with upper airway infections?

A

BVM. They will have difficult intubations

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15
Q

Bronchiolotis vs asthma?

A

Bronchiolotis = 0 to 2years with wheezing

Asthma = older than 2

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16
Q

Kid has fever vomiting cough, abnormal a lungs… what’s wrong?

A

Pneumonia

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17
Q

Treatment for pneumonia in kids?

A

Supportive

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18
Q

Three main drugs for anaphylaxis

A

ABCs

Adrenaline
Benadryl
Corticosteroids

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19
Q

Albuterol vs ipratropium effects

A

Albuterol = B2 - relax bronchial smooth muscle

Ipratropium = anticholinergic = same plus decrease secretions

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20
Q

Infant vs child ventilation rate

A

Infant 30/min

Child 20/min

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21
Q

compared to adults, how do kids’ hearts compensate for shock?

A

increase HR more than stroke volume

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22
Q

kid has pale and mottled skin. what does this mean?

A

shock

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23
Q

a weak central pulse in kids is compensated or decompensated shock?

A

decompensated

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24
Q

quick way to tell BP for kids >1

A

70 + 2xage

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25
3 types of shock
cardiogenic, hypovolemic, distributive (pipe issue)
26
most common type of shock in peds? give examples
hypovolemic from bleed or dehydration
27
a kid in shock, assume its ... until proven otherwise
hypovolemia
28
ways to recognize hypovolemia in kids?
no tears/urine dry mucous membranes sunken fontanelles / eyes poor skin turgor hx
29
examples of cardiogenic shock
PE, tension pneumo, tamponade (obstructive) dysrhythmia, trauma, myocarditis
30
number one drug choice for cardiogenic kid shock
epi
31
what SS triad to assess cardiac tamponade?
becks triad JVD Hypotension muffled heart tones
32
how would a PE show on the monitor?
decreased end tidal
33
what are the types of distributive shock
neurogenic anaphylactic septic
34
fluid dose for neurogenic shock vs cardiogenic shock?
neuro = 20ml/kg cardio = 10ml/kg
35
max dose of fluids in peds for neuro and septic shock?
60ml/kg (20ml/kg x3 doses)
36
what height fall is fatal to a kid
twice their height
37
would bicarb help with respiratory acidosis?
NO. will make it worse.
38
how can hypothermia worsen a trauma kid?
SPO2, Glucose, anaerobic metabolism
39
is BP a good indicator of shock in kids?
not at all. can be normotensive but still in shock due to strong vasoconstriction in peds
40
good questions to ask a pregnant mom
prenatal care complications? med hx drug use / high risk behaviors? pregnancy problems?
41
newborn suddenly tanks after you start bagging. whats wrong?
pneumothorax
42
main cause of CNS dysfunction in newborns
hypoglycemia
43
bag rate for a neonate
40/min (every 1.5sec)
44
when to start CPR on a newborn?
<60bpm or >30s of bagging with no improvement
45
when to stop CPR on a newborn?
they can keep >60HR on their own
46
compression to vent ratio for newborns
3:1
47
how often to reassess pt during newborn CPR
every 30s
48
newborn fluid dose
10ml/kg bolus over LONGER times (10-20min)
49
what counts as fever
>100.4 F
50
can fevers cause braindamage in kids?
no
51
are febrile seizures fatal?
no
52
kid with a CSF shunt is seizing. what could this mean?
possible clog or block
53
how to tell if a neonatal is seizing
chewing, eye twitch, horizontal fixed gaze, lip smaking, bicycle legs
54
a new born is kicking its legs, smacking its lips, and has a fixed gaze with eye twitching. whats wrong?
its seizing
55
whats status epilepticus?
5+ min no return to baseline LOC
56
when is a seizure a serious issue?
after trauma <12mo first ever seizure prolonged posticaal or status
57
treatment for DKA
fluids (20ml/kg x3 ) over 30-60min if not in shock
58
what temp = heat stroke?
>104 F
59
heat stroke rx?
cooling, fluids, monitor cardiac
60
most common arrhythmias in kids
sinus brady, sinus tach, or SVT
61
brady rate for kids, infants, newborns?
kids <60 infants <80 newborns <100
62
brady rx
underlying cause (hypoxia, hypoglycemia) Epi every 3-5min atropine (if indicated) pace
63
SVT rate for kids vs infants?
kid >180 infant >220
64
rosc fluids for kids
20ml/kg
65
how to assess ICP
brady hypertension agonal respirations

Pinellas County Protocol 2023 (9 decks)

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