Pediatrics

Front 1

Give the normal respiratory rate for the following ages:

Newborn:

1 Year:

18 year:

Back 1

Newborn: <40

1 Year: 24

18 year: 18

Front 2

Respiratory rate > __ is abnormal in any kid

Back 2

60

Front 3

Give the normal heart rate for the following ages:

1-3mo:

3mo-2 year:

2-10 year:

>10 years:

Back 3

1-3mo: 85-200

3mo-2 year: 100-190

2-10 year: 60-120

>10 years: 75

Front 4

anything > than what HR = SVT?

Back 4

>220

Front 5

normal BP for the following ages

Newborn:

1 year:

>1 year:

Back 5

Newborn: >60

1 year: >70

>1 year: 70 +(2x age)

Front 6

what is normal cap refil in a kid

Back 6

< 2 seconds

Front 7

Bottom line vitals question

Pulse > __?___ = SVT

Cap refill > __?___ = abnormal (poor perfusion)

BP in kids > 1 year = ?? (note: less than this is shock)

Back 7

220

>2 seconds

70 + (2 x age)

Front 8

at what age should a child be performing the following milestones:

Smile

Back 8

2 months

Front 9

at what age should a child be performing the following milestones:

roll over

Back 9

4 mo

Front 10

at what age should a child be performing the following milestones:

sit

Back 10

6 mo

Front 11

at what age should a child be performing the following milestones:

cruise

Back 11

9 months

Front 12

at what age should a child be performing the following milestones:

walk

Back 12

12 months

Front 13

fevers + headache + diffuse macular papular rash on palms and soles. It is non-blanching

Back 13

rocky mountain spotted fever

Front 14

non-blanching vs blanching rash... which is more serious

Back 14

non-Blanching

Front 15

macular blanching rash with satilite lesions on the edges. Limited to the diaper area

Back 15

diaper dermatitis

Front 16

Fever for a few days followed by a rash on the face. Lacy blanching rash on arms

Back 16

Slap cheek

Erythema infectiousum (5th dz)

Front 17

child with abdominal pain, swelling on ankles. Rash started on wrists and ankles and has spread to arms and buttocks. Non-blanching

Back 17

HSP

small vessel vasculitis

also effects gut, kidneys, (look for hematuria)

Front 18

child w fever for 5 days. Lips fissured and red. Erythematous rash around diaper area.

Back 18

Kawasaki's dz

Front 19

child develops raised rash, feels like sand paper. has desquamation of finger tips

Back 19

Scarlet fever

strep

make sure to rule out kawasaki

Front 20

3 days of fever. Rash on chest, fever gone. Erythematous, blanching, macular papular

Back 20

roseola

Front 21

child presents in summer with a few days of fever followed by rash. Erythematous. Blanching. Diffuse. Kid has URI sx.

Back 21

viral exanthem

cant do much about it

Front 22

kid back from summer camp. small crusted lesion around nose. spread all over body.

Back 22

Impetigo

note: kids not toxic

Front 23

nasal congestion, cough, fever, rash started on head and neck, now diffuse. Feels lousy

Back 23

Measles

Front 24

What are we really worried about when looking at a non-blanching rash?

***

Back 24

Meningococcemia

always look at wrists and elbows. most serious one start here

Front 25

kid on sulfa drug. Erythematous with central clearing (target lesion). kid not febrile

Back 25

erythema multiforme

autoimmune

can progress to SJS

Front 26

Take home bottom line for rash

Check for blanching
Toxic vs nontoxic
check for oral lesions (more serious)
check palms and soles (most benign dont affect here)

Back 26

MOST RASHES ARE BENIGN

Front 27

What is the mnemonic CATNITS in peds?

Back 27

Congenital problems - inborn errors of metabolism, congenital heart dz, chromosomal abnormalities

Allergy - anaphylaxis, hx of respiratory distress

Trauma - LOC >2 min, altered level of consciousness, limb threatening injury, bleeding not controlled

Neoplasm - recent chemo (fever/neutropenia), anemia

Infections - shock/menintitis, immune deficiency

Toxins - ingestion

Social/psych

Front 28

standard pediatric bolus?

Back 28

10-20 cc/kg of 0.9 NORMAL SALINE

Front 29

what is the maintenance fluid for kids

Back 29

4-2-1 rule

First 10 kilos gets 4 ccs per hour
Second 10 kilos 2 ccs per hour
Every kilo after that gets 1cc/kilo/hr

example: 33 kilo kid
10 x 4 = 40 cc
10 x 2= 20 cc
13 x 1 = 13 cc

Total =73 kil

use D5 .2 NS for neonates

Front 30

6 mo old comes in with 24 hrs of n/v/d. Not urinated for 12 hrs. Weight= 8 Kg

would you bolus? How much? What fluid?

What is maintenance?

Back 30

Yes: 20 cc x 8 kg = 160 cc Normal saline

maintenance:
D5 half normal saline
4 cc x 8= 32 cc / hr

Front 31

Defib a kid. What energy do you use?

Back 31

2J/kg

then 4J/kg

Front 32

How much epinephrine do you use in a kid for resuscitation?

Back 32

0.01mg/kg (1: 10,000)

Front 33

How much atropine do you use in a kid for resuscitation?

Back 33

0.01mg/kg

Front 34

How much glucose do you use in a kid for resuscitation? (and what kind)

Back 34

D10

2-4ml/kg

Front 35

what drugs for resuscitation can you give through an ET tube?

Back 35

NAVEL

Narcan
Atropine
Valium
Epi
Lidocaine

Front 36

Pediatric fever =?

**

Back 36

38 C rectally (100.5 F)

Front 37

kid under 6 mo gets what dose of Tylenol?

>6 mo?

Back 37

<6 mo 15mg/kg

>6 mo 10mg/kg (can use motrin too)

Front 38

what should be done in a kid with a temp above 38 who is 0-4 weeks old?

Back 38

ADMIT for IV abx and apnea monitoring

CBC, BMP, U/A, UCX, BCX, CXR, LP

Amp and cefotaxime (or gent)

this is fever