Brainscape's Knowledge GenomeTM

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


See full index

Section 3 (Pediatric Protocols) > Other Pediatric Emergencies > Flashcards

Other Pediatric Emergencies Flashcards

1
Q

What is considered a mild allergic reaction:

A

Redness/itching but normal perfusion w/o dypsnea

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

ALS level 1 for mild allergic reaction:

A

Benadryl - 1 mg/kg (max. 50 mg) IM/IV (dilute in 9mL NS for IV)

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

ALS level 2 for mild allergic reaction:

A

Epinephrine - (1:1,000) 0.01 mg/kg IM lateral thigh (max. 0.3 mg)

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

What is considered a moderate allergic reaction:

A

Edema, hives, dyspnea, wheezing and normal perfusion

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

ALS level 1 for moderate allergic reaction

A

Epi (1:1000) 0.01 mg/kg IM lateral thigh (max. 0.3 mg)
Benadryl - 1 mg/kg IM (max. 50 mg) (IV- dilute w/ 9mL NS)
Albuterol - (less than 1 year/10kg) 1.25 mg/1.5 mL
(greater than 1 year/10kg) 2.5 mg/3 mL

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

What is considered a severe allergic reaction

A

Edema, hives, severe dyspnea, wheezing, poor perfusion and possible cyanosis and laryngeal edema

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

ALS level 1 for severe allergic reaction

A

a. EPI (1:1000) x1
b. Benadryl
c. Albuterol/Atrovent (0.5mg/2.5mL)

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

How many times can EPI be given in severe allergic reaction

A

2 times

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

ALS level 2 for severe allergic reaction

A

consult medical direction for further orders

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

If no other means of Epinephrine admins. is available what can be used (allergic reaction)

A 
EpiPen (greater than 8 y/o)
EpiPen Jr (1-8 y/o)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is considered hypoglycemia

A

glucose less than 60 mg/dL (neonates- 40 mg/dL)

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

Hypoglycemic patient less than 1 year old what is admins.

A

D10 - 5 mL/kg IV/IO

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

Hypoglycemic patient 1-8 years old what is admins

A

D25 - 2 mL/kg IV/IO

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

Hypoglycemic patient greater than 8 y/o what is admins.

A

D50 - 1 mL/kg IV/IO

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

If a child is above 3 y/o who is conscious w/ intact gag reflex what is given

A

Oral glucose - 15 g (1 tube)

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

If unable to obtain IV/IO access what can be admins. (hypoglycemic)

A

Glucagon (IM)

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

Glucagon dose

A

a. Less than or equal to 20 kg : 0.5 mg IM

b. Greater than 20 kg: 1 unit IM

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

When a person intentionally inflicts, or allows to be inflicted, physical or psychological injury to a child which causes or results in risk of death, disfigurement, or disress

A

Child abuse

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

When a child’s physical, mental, or emotional condition is impaired or endangered because of failure of the legal guardian to supply basic necessities, including adequate food, clothing, shelter, education, or medical care

A

Child neglect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Where should child abuse be reported to

A

Florida Child Abuse Hotline (1800-96 ABUSE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Is reporting child abuse required by law

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are concerns for abuse

A

Multiple bruises or injuries that are in different stages of healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the proper term for drowning victims

A

Drowning, fatal or drowning, non-fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Are drowning Trauma Alerts

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Should all non-fatal drowning patients be transported

A

Yes, regardless of how well they may seem to have recovered

26
Q

What is the most devastating injury in drowning patients

A

Asphyxia

27
Q

Is the routine use of chest thrusts for drowning, non-fatal patient recommended

A

No, only used for FBAO

28
Q

Tympanic thermometers should not be used in patients of what age group

A

Less than 1 year old

29
Q

Signs and symptoms of Heat cramps

A

Muscle cramps, hot/sweaty skin, W/D, Tachycardia, Normal BP & Temp

30
Q

Signs and symptoms of Heat exhaustion

A

Cold/clammy skin, profuse sweating, N/V, Diarrhea, Tachycardia, W/D, Syncope, Muscle cramps, Headache, Positive ortho vital signs, Normal/slightly elevated temp

31
Q

Signs and symptoms of Heat stroke

A

Hot dry skin, confusion/disorient, Rapid/bounding pulse followed by slow/weak pulse, Hypotension , Rapid/shallow breathing, Seizures, Coma, Elevated Temp (greater than 105*F)

32
Q

What temp is considered heat stroke

A

above 105*F

33
Q

Patient’s should be cooled to what temp

A

102*F

34
Q

ALS level 1 for Heat cramps, exhaustion, stroke

A

Cramps are severe or LOC is diminished, hypotensive:

Fluid challenge - 20 mL/kg (neonate - 10mL/kg) IV/IO

35
Q

Temp for mild hypothermia

A

94-97*F

36
Q

Temp for moderate hypothermia

A

86-94*F

37
Q

Temp for severe hypothermia

A

below 86*F

38
Q

Most oral thermometers will not register below

A

96*F

39
Q

Severe hypothermia will frequently produce what wave on the ECG

A

Osborn wave or J wave

40
Q

Warm saline admins should only be done if temp is above

A

86*F

41
Q

Dysrhythmias should not be treated if temp is below

A

86*F (continue CPR and rewarming)

42
Q

How should frostbites be treated

A

bandaged with dry sterile dressings

43
Q

Should patients with frostbite be rewarmed in the field

A

No, Transported w/o rewarming in the prehospital setting

44
Q

What is considered as high voltage

A

500 volts or more

45
Q

Fluid challenge dose for pediatric trauma patient

A

20 mL/kg (neonate - 10mL/kg) repeat at 20 mL/kg to a max of 60 mL/kg

46
Q

If signs of brain stem herniation exist, ventilation is done at

A

Child - 20 bpm

Infant - 30 bpm

47
Q

ALS level 2 for head/spine injuries for pediatric

A

Avoid admins. of glucose-containing solutions/meds

48
Q

If patient is impaled, object should be cut to no less than

A

6 inches

49
Q

If the flail chest does not cause severe respiratory compromise how should the chest be stabilized

A

Placing the ipsilateral arm in a sling and swath

50
Q

ALS level 1 for crush injury/compartment syndrome

A

Establish IV 1L NS
Admins. Morphine
Release compression and extricate patient

51
Q

Crush syndrome is stated as

A

a. Entrapment w/ compression lasting longer than 4 hours or on the thorax for 20 mins
b. Suspicion of hyperkalemia

52
Q

Hyperkalmeia is noted as

A

a. Peaked T-waves
b. Absent P-waves
c. Widened QRS

53
Q

ALS level 1 for crush syndrome

A

a. Morphine
b. Calcium Chloride
c. Sodium Bicarbonate
d. IV fluids
e. Albuterol

54
Q

Calcium chloride dose for crush syndrome

A

20 mg/kg in 50 mL NS slow IV over 10 mins (follow w/ 20 mL flush)

55
Q

Sodium Bicarbonate dose for crush syndrome

A

50 mEq to 1 L NS (25 mEq to 500 mL NS) infuse just prior to extrication. May repeat x1 for prolonged extrication

56
Q

In crush syndrome: IV fluids are admins at a rate of

A

500 mL/hour

57
Q

Albuterol dose for crush syndrome

A

2.5 mg/2.5 mL NS

58
Q

Ventilator Alarms:

A

a. Low Pressure/Apnea: loose, disconnect, or air leak
b. Low Power: depleted battery
c. High Pressure: plugged or obstructed airway
d. Setting Error: Vent setting exceeds capacity of equipment

59
Q

If unable to clear a tracheostomy tube what should be done

A

Remove and insert new tube (same size or one smaller)

60
Q

If an air embolism is suspected with a Central Line what should be done

A

Clamp line and place patient on left side

61
Q

If a feeding tube is completely out, cover the site with

A

Vaseline gauze and apply direct pressure

Section 3 (Pediatric Protocols) (5 decks)

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