chapter 34 pediatric emergency

  1. how old is an infant?
    birth to 1year
  2. how old is a toddler?
    1 year to 3 years
  3. preschool age is how old?
    3-6years old
  4. how old is a school age pediatric
    6-12yrs old
  5. how old is an adolescent?
    12-18yrs old
  6. for infants instead of a head to toe what should you do?
    toe to head
  7. infants sleep up to how many hours a day?
    16 hrs
  8. infants respond usually to what kind of stimuli?
  9. infants 6-12months old will begin to babble
  10. what should care giver do while youre assessing the infant?
    hold the infant
  11. what age group is this?
    -start walking
    -increase injury due to curiosity
    -speak 4-6 words
    -start talking
    -feet to head assessment
  12. what age group is this?
    -able to use simple language
    -walk,run, catch, kick
    -toilet trained
    preschool aged3-6 years
  13. what age group is this?
    -begin to act like adults
    -begin to understand death
    -head to toe assessment
    school aged 6-12
  14. what age is this?
    -think abstractly
    -knows right from wrong
    -physically similarly to adults
    -puberty begins
    -risk takers
    -can be pregnant
  15. the glottic opening is higher and positioned more anteriorly
  16. diameter of the trachea is about the size of a __
    drinking straw
  17. infants mainly breath thru what?
    • nose
    • -nose breather
  18. new born respiratory rate is what?
  19. what is the respiratory rate of a teen?
  20. pediatric are increased risk for what?
    • hypoxia
    • -weak lungs 
    • -weak diaphram
    • -fagile
  21. pediatric gastric disstension can interfer with respiratory rate
    • true
    • -push up against diaphram
    • -interferes with ventilation
  22. what is shaken baby syndrome
    • -bleeding in subarachnoid
    • -burst blood vessels in eyes
    • -bulge in the fontanellas
  23. infants heart rate is what?
  24. pediatrics compensate for decreased perfusion by constricting the vessels in the skin
    • true
    • -signs of vasoconstriction
    • -palor(early sign)
    • -weak pulse
    • -delayed cap refill
    • -cool extremities
  25. pediatric are more prone to GI trauma
    • true
    • -bones are less developed
    • -provide less protection
  26. pediatric bones are more stiff than adults
    • false
    • -bones are softer due to open growth plates in bones
  27. bulge in fontanellas is an indication of what?
    increased intracranial pressure(increased BP)
  28. sunken fontanellas is an indication of what?
    dehydration(low BP)
  29. pediatric skin is thinner 
  30. for pediatrics instead of airway,breathing,circulation what would you use
    • apearance
    • breathing
    • circulation
  31. what nmemonic do you use to determine if the patient is sick

    • Tone
    • Interactiveness
    • Consolability
    • Look or gaze
    • speech or cry
  32. pediatric signs for increased work of breathing
    • -use of abdominal muscles
    • -nasal flare
    • -head bobbing(bobbing like if youre tired)
    • -tripod position
  33. belly breathing in infants is considered adequate
  34. for history taking, somthing you should ask is what?
    • recent eat, drinking and urination changes
    • -not eating or drinking
    • -urinating more/less
  35. what are the hallmark signs for meningitis
    • -stiff neck
    • -fever
    • (buldge fontanella in pediatrics)
    • -altered mental status(mainly tiredness)
  36. racoon eyes and battles signs mean you broke what?
    base of skull broken
  37. how do you figure out a pediatric age appropriate systolic
    • 70+(2x pediatric age)
    • EX:3yr= 70(2 x 3)= 76
  38. for pediatrics start CPR at respirations if below what?
  39. what is the CPR ratio for infants?
  40. what does FBAO stand for?
    forgein body airway obstruction
  41. what are the hall mark for croup?
    • sea like barking cough
    • stridor
  42. what are the hall mark signs of epiglotitis?
    • drooling
    • fever
  43. to hear lung sounds on a child you should place the stethiscope where?
    under armpit or back
  44. what should you only use if you can see the FBAO and are sure you can remove it
    finger sweep
  45. hallmark signs of asthma are what?
    • wheezing
    • cyanosis
    • tripod position
    • -treatment
    • o2
    • bronchodialator meds
  46. vocab:status means
  47. patients with good ventilation have a high/low CO2?
  48. patients with bad ventilation have a high/low CO2
  49. emphasema hallmark symptoms are
    • barrel chest
    • pink puffer
  50. pneumonia hallmark symptoms pediatric
    • grunting(pink puffer)
    • wheezing
    • nasal flare
    • tachypnea
    • dismisnished lung sounds
  51. treatment at EMT level for croup is what?
    humidified O2
  52. croup is what kind of infection?
  53. epiglottitis is what kid of infection
  54. bronchiolitis is what?
    inflammation in the bronchioles
  55. treatment for bronchiolitis are
    • position of comfort
    • humidified O2
    • transport
  56. vagus nerve stimilates what areas of the body?
    • heart 
    • lungs
    • diaphram
    • turns GI on
    • cough
    • gag reflex
  57. what is the blow by method
    • place O2 tube thru a cup, used for pediatrics(kids)
    • less effective than face mask or nasal cannula
    • -do not provide high flow O2
    • -flow at 6Lm
  58. common causes of shock in pediatrics are what?
    • trauma
    • dehydration(diarrhea or vomiting)
    • severe infection
    • allergic reaction
    • collapse lung
  59. late sign of shock in pediatrics is what?
    fall in blood pressure
  60. absence seizure are often misdiagnosed as what?
    ADHD(learning disorder, cant focus)
  61. meningitis when a rash(pepure/petichiae) is a emergency 
  62. what is torticollis?
    stiff neck
  63. when you push down on the abdomen and the pain subsides, move your hand quickly and the pain comes back.
    this is called what?
    rebound tenderness
  64. what is turgor?
  65. what drug do you not give pediatrics?
  66. what is the most accurate way to get a patients temp?
  67. what is a febrile seizure?
    • seizure due to rapid temp change, common in ages 6mons-6years old
    • -caused by fevers
    • -tonic- clonic activity
    • -last 15mins with little to no postictal state
    • -non emergency
  68. you should perform CPR on a person whos body is still warm
    • false
    • Warm and dead- person is dead
  69. what is a greentick fracture
    • -in pediatrics
    • -when the bone breaks on one side, but doesnt break on the other
    • (picture a stick and it bends and bends and bends, evetually snaps on one end but other is bends and doesnt break)
  70. child abuse is considered as what?
    multiple bruises in different stages of healing
  71. what can be mistaken a bruise?
    mongolian spots
  72. what age group does sudden infant death syndrome often happen in?
    under one year old
  73. ALTE stand for what
    apparent life threats
  74. how do you treat for ALTE
    • nothing
    • -supportive care
Card Set
chapter 34 pediatric emergency
chapter 34 pediatric emergency emergency care and treatment of the sick and injured