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38 Cards in this Set

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Give the normal respiratory rate for the following ages:

Newborn:

1 Year:

18 year:
Newborn: <40

1 Year: 24

18 year: 18
Respiratory rate > __ is abnormal in any kid
60
Give the normal heart rate for the following ages:

1-3mo:

3mo-2 year:

2-10 year:

>10 years:
1-3mo: 85-200

3mo-2 year: 100-190

2-10 year: 60-120

>10 years: 75
anything > than what HR = SVT?
>220
normal BP for the following ages

Newborn:

1 year:

>1 year:
Newborn: >60

1 year: >70

>1 year: 70 +(2x age)
what is normal cap refil in a kid
< 2 seconds
Bottom line vitals question

Pulse > __?___ = SVT

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

BP in kids > 1 year = ?? (note: less than this is shock)
220

>2 seconds

70 + (2 x age)
at what age should a child be performing the following milestones:

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

roll over
4 mo
at what age should a child be performing the following milestones:

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

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

walk
12 months
fevers + headache + diffuse macular papular rash on palms and soles. It is non-blanching
rocky mountain spotted fever
non-blanching vs blanching rash... which is more serious
non-Blanching
macular blanching rash with satilite lesions on the edges. Limited to the diaper area
diaper dermatitis
Fever for a few days followed by a rash on the face. Lacy blanching rash on arms
Slap cheek

Erythema infectiousum (5th dz)
child with abdominal pain, swelling on ankles. Rash started on wrists and ankles and has spread to arms and buttocks. Non-blanching
HSP

small vessel vasculitis

also effects gut, kidneys, (look for hematuria)
child w fever for 5 days. Lips fissured and red. Erythematous rash around diaper area.
Kawasaki's dz
child develops raised rash, feels like sand paper. has desquamation of finger tips
Scarlet fever

strep

make sure to rule out kawasaki
3 days of fever. Rash on chest, fever gone. Erythematous, blanching, macular papular
roseola
child presents in summer with a few days of fever followed by rash. Erythematous. Blanching. Diffuse. Kid has URI sx.
viral exanthem

cant do much about it
kid back from summer camp. small crusted lesion around nose. spread all over body.
Impetigo

note: kids not toxic
nasal congestion, cough, fever, rash started on head and neck, now diffuse. Feels lousy
Measles
What are we really worried about when looking at a non-blanching rash?

***
Meningococcemia

always look at wrists and elbows. most serious one start here
kid on sulfa drug. Erythematous with central clearing (target lesion). kid not febrile
erythema multiforme

autoimmune

can progress to SJS
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)
MOST RASHES ARE BENIGN
What is the mnemonic CATNITS in peds?
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
standard pediatric bolus?
10-20 cc/kg of 0.9 NORMAL SALINE
what is the maintenance fluid for kids
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
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?
Yes: 20 cc x 8 kg = 160 cc Normal saline

maintenance:
D5 half normal saline
4 cc x 8= 32 cc / hr
Defib a kid. What energy do you use?
2J/kg

then 4J/kg
How much epinephrine do you use in a kid for resuscitation?
0.01mg/kg (1: 10,000)
How much atropine do you use in a kid for resuscitation?
0.01mg/kg
How much glucose do you use in a kid for resuscitation? (and what kind)
D10

2-4ml/kg
what drugs for resuscitation can you give through an ET tube?
NAVEL

Narcan
Atropine
Valium
Epi
Lidocaine
Pediatric fever =?

**
38 C rectally (100.5 F)
kid under 6 mo gets what dose of Tylenol?

>6 mo?
<6 mo 15mg/kg

>6 mo 10mg/kg (can use motrin too)
what should be done in a kid with a temp above 38 who is 0-4 weeks old?
ADMIT for IV abx and apnea monitoring

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

Amp and cefotaxime (or gent)

this is fever