Paediatric assessment Flashcards
(20 cards)
When is the paediatric triangle used?
During the end of bed assessment
What does the paediatric triangle involve:
Work of breathing, appearence, circulation of the skin
In the paed triangle what are we looking at for WOB?
- Oxugenation and ventilation status
position (tripoding?) - Any abnormal airway sounds (grunting, wheeze, snoring, stridor, hoarse speech)
- Any visible recession (head bobbing (respiratory distress), tracheal tug and visible intercostal recession
- Nasal flaring?
In the paed triangle, with appearence what are we looking for?
Tone - moves spontaneously, sits or stands
Interactivenes - appears alert and enaged with crew or caregiver, interacts with people and environment
Consolubilty - stops crying when being comforted by caregiver
Look/ gaze - Makes eye contact with provider
Speech/ cry - has strong cry, uses age approproate speech
When looking at circulation in the paed triangle, what are we looking for?
Any Pallor - white or pale skin
Any mottling - patchy skin discorloration of skin due to vascontriction or vasodilation
Any cyanosis
What is a tracheal tug?
a visible sign of respiratory distress where the trachea (windpipe) is pulled downwards and inwards towards the chest during inspiration.
When administrating drug, what are the doages?
Weight based
In paeds why is the absorbtion of oral medications slower?
incomplete development of the GI tract.
Why is the absorbtion of IM drugs in newborns erratic and unpredictable?
They have reduced muscle and fat present
What is bronchiolitis?
Inflammation of the small airways in the LRT due to a viral infection
What are the symptoms for bronchiolitis?
Coughing, wheezing, temperature, periods of apnea, hypoxic, hyperventilation, crackles
For bronchiolitis when is it considered severe?
Sats reading less than 95 on aid classed as severe
Who is more prone to bronchiolitis?
Premature babies, underlying lung disease, congenital heart disease, immunodeficient
What are the red flags with suspected bronchiolitis?
RR over 60
Intermittent apnoea
Grunting
Moderate or severe chest indrawing
Pale mottled or blue
No response to social cues
Reduced skin turgour
Termperaure
Unable to be roused
Difficulty breathing with no recession is BAD
What is the management for bronchiolitis?
Oxygen is Sats are below 94
Comfortable position
Rehydration
What is croup?
Viral infection of the upper airway. Viral transmitted through the respiratory secretions
What are the symptoms of croup?
Stridor
Cold symptoms for 1-3 days
Nasal congestion and hoarsenessBarkij got seal cough
Txhypnoea
What are some differentials for croup?
Foreign bodies in airways, epiglottiitis (barking cough and dribbling, blunt trauma, inhalation of hot gases and anaphylaxis
What score scale can be used to check croup?
Westley croup score
What could mean that the pt with croup has to go to ED
Hx of serious respiratory failure, RR over 4, no wet nappies, inadequate fluid intake, hypoxia, decreased LOC
