PEADS Flashcards
List anatomical differences between children and adult resp
Children have a high larynx (nose breathers until 8 months)
The tongue is disproportionately large
Ribs are horizontal with weak intercostals
Diaphragm fatigues easily
Premature babies do not have a cough reflex
Small diameter of airways
Airways are soft and pliable
Fewer B2 receptors (do not respond well to B2 agonist)
Collateral ventilation not established until 6 years old
Children ventilate using uppermost lung segments
Signs of respiratory distress
Tachypnea
Nasal flaring
Grunting
Recessions
Expiratory wheezing
Cyanosis
Head bobbing
List problems associated with prematurity
Temperature regulation (poor skin integrity)
Infection (immature WBC)
Jaundice (Liver unable to breakdown RBC)
hypoglycemia
Feeding (immature GIT)
List complications of prematurity
Necrotising entercolitis
Retinopathy of prematurity
Damage dt immature CNS
List the Principals of integrated peadiatric palliative care
Respect for the dignity of patients and family
Access to comprehensive and compassionate palliative care
Use of interdisciplinary resources
Acknowledging and supporting caregivers
Commitment of quality improvement of palliative care through research and education
List reasons why children have better healing and remodeling potential after fractures
Active growth plate
Bone has more collagen to bone ratio making the bone porous and less likely to shatter and increased resistence
Periosteum is metabolically active which helps with callus formation and rapid fracture healing
Factors to consider when choosing à screening tool
Time it takes to conduct the test
Training of assessor
Equipment needed to take test
Sensitivity and specificity
Ahe and characteristics of the child
Reliability and validity
Why chest physio should be done with caution in children
To avoid shaking baby syndrome
Increase in BP causes pulmonary and cerebrum hypertension
Cerebrum hypertension can increase intercranial pressure increasibg risk of cerebrum haemorrhage
