Icu Paeds

Front 1

Paeds Neuro Exam

Back 1

TICLS
Tone
Interactiveness
Consolability
Look/gaze
Speech/cry

Front 2

Pyloric stenosis Biochem

Back 2

1. Vomit – lose H2O, Cl, H+ and Na+
2. Aldosterone – reabsorption of Na+ + H2O, loss of K+ and H+
3. Hypokalaemia -> H+ in urine
4. Give Cl- and it all reverses

Front 3

septic children rx

Back 3

ACLS
Early antibiotics – cefotaxime 50mg/kg IV (child), gentamicin and ampicillin (neonates)

Front 4

Paeds SVT

Back 4

DCV sync 0.5J up to then 2J/KG

Adenosine 0.05 mg/kg neonates eg 150 mcg for 3kg

Older kids 0.1 mg.kg eg 1 mg for 10kg at 1y

Front 5

Paeds induction doses STP, ketamine, midaz, diaz

Back 5

STP 2-5 mg/kg 500mg in 20 ml = 25 mg/ml

Ketamine 2mg/kg

Midaz 0.1 mg/kg IV up to 0.5 Nasal

Diaz 0.1mg/kg

Front 6

Epiglottitis Rx

Back 6

Gas ind,

IV then fluid bolus then ABx

ENT for direct ventilating bronch or cric/trach

Front 7

Bronchiolitis causatives

Back 7

up to 70% are RSV - 98% spread through day care

also rhinovirus

parainfluenza

adenovirus

influenza

mumps

M. pneumonia

Front 8

Bronchiolitis CXR

Back 8

peribronchial thickening

Front 9

Newborn Sepsis

Back 9

first 5 days - GBS and ecoli / HSV. Amoxy, gent, aciclovir

After this fluclox / amikacin

Ceftriaxone and vanc if meningitis - good penetrence

Front 10

Paeds Asthma

Back 10

steroid 4mg/kg

salb 10mcg/kg then 1-10 mcg/kg/min

aminoph 10mg/kg over 1h

MgSO4 0.1ml/kg of 50%