Term
| What is the Initial Assessment to perform on a patient? |
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Definition
C-B-C
1. Consciousness
2. Breathing
3. Color |
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Term
| What is the Primary Assessment to perform on a patient? |
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Definition
A-B-C-D-E
A- Airway (chest rise, auscultation)
B- Breathing (resp. rate, effort, WOB)
C- Circulation (HR, pulses, rhythm, BP, color, temp.)
D- Disability (neuro. function, LOC, seizures, pupils)
E- Exposure (uncover child to observe body) |
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Term
| What is the Secondary Assessment to perform on a patient? |
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Definition
S-A-M-P-L-E
S. Signs & Symptoms at start of illness
A. Allergies
M. Medications
P. Past Medical History
L. Last Meal
E. Events |
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Term
| Why must you always check blood glucose in children? |
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Definition
| Children in crisis burn their glucose stores rapidly; watch for hypoglycemia. |
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Term
| What are the four main upper airway obstructions? |
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Definition
1. Croup
2. Anaphylaxis
3. FBAO
4. Epiglottitis |
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Term
| What is the main symptom to look for involving an upper airway obstruction? |
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Definition
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Term
| What are the best treatments for Croup? |
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Definition
1. O2
2. Racemic Epi.
3. Dexamethasone
4. ETT |
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Term
| What are the best treatments for Anaphylaxis? |
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Definition
1. IM Epi
2. Nebulizers
3. IVF
4. Epi drip
5. Benadryl
6. H2 blocker
7. Corticosteroids |
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Term
| What are the best treatments for FBAO? |
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Definition
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Term
| What are the two main lower airway obstructions? |
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Definition
1. Bronchiolitis (RSV)
2. Acute Asthma |
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Term
| What are the main treatments for a child with RSV? |
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Definition
1. Suction
2. Nebulized Epi.
3. Albuterol |
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Term
| What are the main treatments for a child with Acute Asthma? |
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Definition
1. O2
2. Nebulized Epi.
3. Albuterol
4. Corticosteroids
5. Magnesium Sulfate
6. ETT
7. Terbutaline
8. ABG |
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Term
| What kind of airway obstruction is most common with wheezing? |
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Definition
Lower Airway Obstructions
(RSV and Asthma) |
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Term
| What color is considered bad when reviewing capnography? |
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Definition
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Term
| What color is considered good when reviewing capnography? |
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Definition
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Term
| Which medications can be given via the ETT? |
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Definition
L-E-A-N
L. Lidocaine
E. Epinephrine
A. Atropine
N. Naloxone and Vasopressin |
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Term
| When do you start an I.O.? |
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Definition
| When you have failed to establish Rapid I.V. access after 90 seconds. |
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Term
| What should you administer to a child in hypovolemic shock? |
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Definition
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Term
| What are the most common fluids to give a child in hypovolemic shock? |
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Definition
1. Isotonic Crystalloids
2. L.R's
3. Normal Saline |
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Term
| How much Isotonic Crystalloid can you give a child at one time? |
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Definition
| 20 mL/kg over 5-10 minutes |
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Term
| When treating bradycardia, how much Epi can you give via IV/IO? |
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Definition
| 0.01 mg/kg every 3-5 minutes |
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Term
| What rate is considered sinus tachycardia in an infant under the age of 1? |
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Definition
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Term
| What rate is considered sinus tachycardia in an infant age 1 to 12? |
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Definition
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Term
| What rate is considered an SVT in an infant under the age of 1? |
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Definition
| HR greater than or equal to 220 |
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Term
| What rate is considered an SVT in a child ages 1 to 12? |
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Definition
| HR greater than or equal to 180 |
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Term
| When a child is in SVT, what do you do if the child is stable? |
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Definition
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Term
| When a child is in SVT, what do you do if the child is unstable? |
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Definition
| Perform an immediate synchronized cardioversion |
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Term
| What joule is used on a child who is in SVT and is determined as being unstable? |
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Definition
1st synch.dose-- 0.5-1 joule/kg
2 or more synch. doses-- 2 joules/kg |
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Term
| What are the two shockable rhythms? |
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Definition
1. VT (ventricular tachy.)
2. VF (ventricular fib.) |
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Term
| What are the steps to take when a child is in pulseless VT or VF? |
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Definition
1. Start CPR
2. Assess cardiac rhythm
3. Shock immediately IF VT or VF (2 j/kg)
4. Establish IV access
5. Shock (4j/kg)
6. Epi. (0.1 mL/kg every 3-5 minutes)
7. Amiodarone (5 mg/kg) |
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Term
| If a child is in a shockable rhythm, how do you deliver a shock? |
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Definition
1st shock-- 2 j/kg
2nd+ shock-- 4 j/kg |
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Term
| How often can you shock a child with a shockable rhythm? |
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Definition
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Term
| How far apart can you give Epi/Amio in a child with a shockable rhythm? |
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Definition
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Term
| What are the two non-shockable rhythms? |
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Definition
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Term
| What are the steps to take for a child with a non-shockable rhythm? |
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Definition
1. Start CPR
2. Assess cardiac rhythm
3. Epi (0.1mL every 3-5 minutes)
4. Identify and treat reversible causes |
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Term
| What are the 'H's in H&Ts? |
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Definition
1. Hypovolemia
2. Hypoxia
3. Hypoglycemia
4. Hydrogen ion (acidosis)
5. Hyper-hypokalemia
6. Hypothermia |
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Term
| What are the 'T's in the H&Ts? |
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Definition
1. Tension pneumothorax
2. Tamponade
3. Toxins
4. Thrombosis |
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Term
| If a patient is intubated, how can you confirm ETT placement? |
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Definition
D-O-P-E
D. Displacement
O. Obstruction
P. Pneumothorax
E. Equipment |
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Term
| How can you determine a child's lowest systolic blood pressure? |
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Definition
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Term
| What is the main thing to check if a child is lethargic and unresponsive? |
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Definition
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Term
| How many doses of Amiodarone can be given to a child? |
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Definition
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Term
| When a child is in shock and all saline bolus' have been given, what medication should you give and why? |
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Definition
Dopamine;
Epi can be too tachycardic for the patient. |
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Term
| What should you do when in doubt? |
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Definition
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Term
| What medication should you give to a child with an SVT and a rate lower than 220? |
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Definition
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Term
| What is the main thing to check with children and infants with bradycardia? |
|
Definition
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