Paeds

Question 1

Severe Asthma (paediatric)

Answer 1

Nebuliser salbutamol
Small child 2-4y/ 2.5mg
Med child 5-11y / 2.5mg-5mg
Ado 5mg
Ipratroprium bromide
2-11y 250mcg
>11y 500mcg

Question 2

Mild/ moderate asthma
Paediatric

Answer 2

Salbutamol Pmdi& spacer
2-5y
2-6 doses 4 breaths per dose
>6y
4-12 doses 4 breaths per dose
Repeat 20min intervals

Question 3

Critical asthma paediatric

Answer 3

Each dose Adrenaline IM 10mcg/kg
Repeat @ 5-10min

(max dose 30mcg /kg )

Question 4

GCS Paed > 4 years

Answer 4

EYES
VERBAL
MOTOR
all the same as adults

Question 5

GCS Paed <4 years
Eyes

Answer 5

Spontaneous 4
Reaches to voice 3
Reaches to pain 2
None 1

Question 6

GCS Paed <4 years
VERBAL

Answer 6

Appropriate word/smile 5
Cry’s / consolable 4
Persistently irritable 3
Moans to pain 2
None 1

Question 7

GCS Paed <4 years
MOTOR

Answer 7

Same as adult