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38 Cards in this Set
- Front
- Back
Give the normal respiratory rate for the following ages:
Newborn: 1 Year: 18 year: |
Newborn: <40
1 Year: 24 18 year: 18 |
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Respiratory rate > __ is abnormal in any kid
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60
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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 |
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anything > than what HR = SVT?
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>220
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normal BP for the following ages
Newborn: 1 year: >1 year: |
Newborn: >60
1 year: >70 >1 year: 70 +(2x age) |
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what is normal cap refil in a kid
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< 2 seconds
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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) |
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at what age should a child be performing the following milestones:
Smile |
2 months
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at what age should a child be performing the following milestones:
roll over |
4 mo
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at what age should a child be performing the following milestones:
sit |
6 mo
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at what age should a child be performing the following milestones:
cruise |
9 months
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at what age should a child be performing the following milestones:
walk |
12 months
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fevers + headache + diffuse macular papular rash on palms and soles. It is non-blanching
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rocky mountain spotted fever
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non-blanching vs blanching rash... which is more serious
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non-Blanching
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macular blanching rash with satilite lesions on the edges. Limited to the diaper area
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diaper dermatitis
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Fever for a few days followed by a rash on the face. Lacy blanching rash on arms
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Slap cheek
Erythema infectiousum (5th dz) |
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child with abdominal pain, swelling on ankles. Rash started on wrists and ankles and has spread to arms and buttocks. Non-blanching
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HSP
small vessel vasculitis also effects gut, kidneys, (look for hematuria) |
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child w fever for 5 days. Lips fissured and red. Erythematous rash around diaper area.
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Kawasaki's dz
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child develops raised rash, feels like sand paper. has desquamation of finger tips
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Scarlet fever
strep make sure to rule out kawasaki |
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3 days of fever. Rash on chest, fever gone. Erythematous, blanching, macular papular
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roseola
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child presents in summer with a few days of fever followed by rash. Erythematous. Blanching. Diffuse. Kid has URI sx.
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viral exanthem
cant do much about it |
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kid back from summer camp. small crusted lesion around nose. spread all over body.
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Impetigo
note: kids not toxic |
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nasal congestion, cough, fever, rash started on head and neck, now diffuse. Feels lousy
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Measles
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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 |
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kid on sulfa drug. Erythematous with central clearing (target lesion). kid not febrile
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erythema multiforme
autoimmune can progress to SJS |
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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
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What is the mnemonic CATNITS in peds?
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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 |
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standard pediatric bolus?
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10-20 cc/kg of 0.9 NORMAL SALINE
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what is the maintenance fluid for kids
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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 |
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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 |
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Defib a kid. What energy do you use?
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2J/kg
then 4J/kg |
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How much epinephrine do you use in a kid for resuscitation?
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0.01mg/kg (1: 10,000)
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How much atropine do you use in a kid for resuscitation?
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0.01mg/kg
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How much glucose do you use in a kid for resuscitation? (and what kind)
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D10
2-4ml/kg |
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what drugs for resuscitation can you give through an ET tube?
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NAVEL
Narcan Atropine Valium Epi Lidocaine |
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Pediatric fever =?
** |
38 C rectally (100.5 F)
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kid under 6 mo gets what dose of Tylenol?
>6 mo? |
<6 mo 15mg/kg
>6 mo 10mg/kg (can use motrin too) |
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what should be done in a kid with a temp above 38 who is 0-4 weeks old?
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ADMIT for IV abx and apnea monitoring
CBC, BMP, U/A, UCX, BCX, CXR, LP Amp and cefotaxime (or gent) this is fever |