Pima - Pediatrics

Front 1

Normal Pediatric Vital Signs

Newborn

Back 1

HR - 90-180

RR 30-50

Front 2

Normal Pediatric Vital Signs

1-5 months

Back 2

HR 100-180

RR 30-40

Front 3

Normal Pediatric Vital Signs

6-11 months

Back 3

HR 100-150

RR 25-35

Front 4

Normal Pediatric Vital Signs

1 year

Back 4

HR 100-150

RR 20-30

Front 5

Normal Pediatric Vital Signs

2-3 years

Back 5

HR 65-150

RR 15-25

Front 6

Normal Pediatric Vital Signs

4-5 years

Back 6

HR 65-140

RR 15-25

Front 7

Normal Pediatric Vital Signs

6-9 years

Back 7

HR 65-120

RR 12-20

Front 8

how would you define the pediatric triangle?

Back 8

fast assessment of pt to gauge severity of illness. Rapid way to determine a patient's physiological stability

Front 9

Is BP helpful tool to help diagnose a child's illness?

Back 9

Not that much. limited value. Compensatory points may be misleading. one attempt.

Front 10

Kids are easier to gather signs and symptoms from than an adult. Yes or no?

Back 10

No. They can't communicate

Front 11

Which of the three sides of the PAT is most important?

Back 11

Appearance

Front 12

What's pulsus paradoxus?

What is this a sign of?

Back 12

When there is no systolic pressure, or pressure is dropping when inhaling.

Sign of hemodynamic instability

Front 13

How do you know they have pulsus paradoxus?

Back 13

You will feel it palpating upon inspiration.

Front 14

What is the quickest, most reliable way to assess circulation?

Why?

Back 14

skin color

vital organs steal circulation

Front 15

how does the body recruit the blood from the skin?

Back 15

vasoconstriction

Front 16

What are some other ways you can assess perfusion?

Back 16

CRT, kneecap cold?

Front 17

what factors might contribute to poor skin perfusion?

Back 17

cardiac insufficiency, hypovolemia, hypothermia, medications, fever, shock

Front 18

What is the definition of the primary survey?

Back 18

step by step assessment of vital signs

Front 19

what is a good RR for a newborn infant?

Back 19

30-50

Front 20

RR for a newborn that is alarming?

Back 20

<20

Front 21

other than circulation and breathing problems, what other issues can be assessed?

Back 21

neurological deficiencies

Front 22

what does APVU stand for?

Back 22

Alert, Voice, Pain, Unresponsive

Front 23

What is more useful in diagnosing altered level of conscious?

Back 23

Disability - glasgow scale

Front 24

what are the 3 sides to the pediatric assessment triangle?

Back 24

Appearance, Circulation to skin, work of breathing

Front 25

what observations fall under the category of appearance?

Back 25

alertness, distractibility, consolability, eye contact, speech, crying, motor activity

Front 26

Common signs and symptoms of Asthma?

Back 26

Coughing. Coughing from asthma often is worse at night or early in the morning, making it hard to sleep.

Wheezing. Wheezing is a whistling or squeaky sound that occurs when you breathe.

Chest tightness. This may feel like something is squeezing or sitting on your chest.

Shortness of breath. Some people who have asthma say they can't catch their breath or they feel out of breath. You may feel like you can't get air out of your lungs.

secretions

Front 27

What are the 2 things that are thought to be the causes of pulmonary dysplasia?

Back 27

High concentrations of O2 & Mechanical ventilation

Front 28

What are the typical signs in infants with Bronchiolitis?

Back 28

Fever, tachypnea, wheezing, dyspnea, < 1 year old, cyanotic skin

Front 29

What types of treatments would you use for a status asthmaticus?

Back 29

continue nebulized B2, cool mist, CPAP, BIPAP, On vent: longer E times

Front 30

What things might you avoid giving to a child that is having an asthma attack?

Back 30

antihistamines, sedation, avoid anxiety

Front 31

what's the first thing you would give to an asthma patient?

Back 31

Albuterol - B2 adrenergic

Front 32

give me some examples of treatments you would recommend for CF patients

Back 32

DNA - Dornase alpha, antibiotics, CPT, HFCWO - high frequency chest wall oscillations

Front 33

What causes bronchiolitis, a bacteria or a virus?

Back 33

RSV virus

Front 34

Of the childhood diseases that we studied, which would you consider, acute, life-threatening ones?

Back 34

Bronchiolitis, FBAO, Epiglottitis, RDS

Front 35

What treatment is almost always required for Epiglottitis?

Back 35

Intubation

Front 36

What is the normal dosage range for racemic epinephrine?

Back 36

0.25 to 0.5ml

Front 37

What would you do if the dosage of racemic epinephrine needed to be modified?

Back 37

Call physician to confirm dosage.

Front 38

What would you describe as a high pitched sound on inspiration over the larynx with the patient having clear breath sounds?

Back 38

Stridor

Front 39

What's another name for croup?

Back 39

laryngotracheobronchitis

Front 40

What type of drugs would you give for the inflammatory stage of Asthma?

Which one?

Back 40

Corticosteroids

Fluticasone, Beclomethasone

Front 41

What disease is indicated on an Xray that presents with a steeple sign?

Back 41

Croup - Laryngotracheobronchitis

Front 42

symptoms: sudden onset, difficulty breathing, sore throat, dysphagia, hoarse voice

Back 42

epiglottitis

Front 43

symptoms: hx of upper resp infections, barking cough, mild retractions

Back 43

stridor - croup

Front 44

symptoms: abnormally thick secretions, weight loss, pancreatic insufficiency, chloride and saline in the sweat glands

Back 44

CF

Front 45

what test would you recommend to diagnose CF?

Back 45

Chloride sweat test

Front 46

what virus is likely to cause epiglottitis?

Back 46

Haemophilus Influenza

Front 47

what do you think of when I say night time, non-productive dry cough with expiratory wheezes

Back 47

Asthma

Front 48

what medication is the spag II aerosol generator used to deliver?

Back 48

ribavirin or virosol

Front 49

symptoms: occurs most often in spring and fall, causes sub-glottic swelling and possible obstruction, most common in 6 month to 6 year old pts, and most often caused by a virus

Back 49

Croup

Front 50

what drug would you use to treat croup?

Back 50

Racemic epinephrine

Front 51

What test would you order to help confirm or diagnose epiglottitis?

Back 51

lateral neck xray

Front 52

symptoms: young child sudden choking, coughing, resp distress, afebrile

Back 52

FBAO

Front 53

symptoms: cyanosis, recent resp infection, febrile, tachypneic

Back 53

bronchiolitis

Front 54

symptoms: rapid onset, drooling, under 1 year, tripoding, stridor, difficulty swallowing

Back 54

epiglottitis

Front 55

wheezing is not always asthma. What else can cause asthma like sounds?

Back 55

FBAO, pulmonary edema, pneumonia, allergic reactions, retained secretions