Recognition Of Seriously Ill Child Flashcards Preview

Jason's MD3 Paeds > Recognition Of Seriously Ill Child > Flashcards

Flashcards in Recognition Of Seriously Ill Child Deck (27)
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1

Observation of I'll child

CNS: consicous
REsp: RR, UAO
Cardio: hydration, HR, CRT

2

What signs are not age-dependent?

Cyanosis
Strider

3

all normal newborns should?

Wake for feeds
Suck strongly
Rousable activity
Normal cry
Flexed posture with some tone(prev. Cold, like womb)

4

What babies don't have flexed tone?

Preterm babies

5

Respiratory normal for newborns?

Periodic respiration
Some chest in drawing (premature)

6

What is paeds apnoea?

Longer than 10seconds
Cyanosis
Bradycardia

7

What causes apnoea?

Pertussis
Epiglottitis
Croup (parainfluenza virus)
OSA
RSV(bronchiolitis)
Sepsis
Premature babies

8

Normal newborn RR
Term-3 months

30-50

9

Normal newborn RR 4-12 mo?

30-40

10

1-4 years Normal newborn RR

20

11

5-12 Normal newborn RR ?

16

12

12+ Normal newborn RR

16

13

Normal HR for 0-3?

100-180

14

Normal HR for 4-12 mo?

100-180

15

Normal HR for 1-4 ye

90-160

16

Widened pulse pressure DDx?

Sepsis
Anaphylaxis
Patent Ductus Arteriosus
Aortic regurg
Anaemia

17

What can give you narrow pulse pressure?

Coarctation of aorta
Aortic stenosis
Hypovolaemia
Peripheral vasoconstriction (cold extremities)

18

Hypovolaemia in paeds causes?

Haemorrhagic shock
Dehydration

19

Pump failure causing narrow pulse pressure?

Tachyarrythmia
Myocarditis
Tamponade

20

Important signs in Paeds?

Purpura
Neck stiffness

21

23 hours of fever, vomiting, very unwell. DDx?

Sepsis
Meningitis/encephalitis
DKA

22

Kussmaul's breathing is? When

Tachypnoea in shallow breaths
Metabolic acidosis
Or DKA

23

Wheeze in paeds?

Bronchiolitis
Asthma

24

Non blanching rashes? Petechiae

Meningicoccal
Other gram -ve sepsis

25

Initial bolus for fluid in dehydrated/shocked kid?

20ml/kg

26

If you get to 40ml/kg or 2x20ml/kg for fluid resus and it's STILL not working then?

Vasopressors/ionotropes
CALL FOR HELP. ICU or RCH.

27

Fluids for kids?

Plasma lyte
140Na
100Cl
5% glucose