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Management of a seriously unwell infant and child

  1. what are the airway deficiencies?
    • large prominent occiput 
    • small face 
    • narrow nostrils 
    • large tongue 
    • loose teeth 
    • easily compressible floor of mouth 
    • horseshoe- shaped epiglottis 
    • high glottic opening 
    • funnel shaped larynx 
    • <6 months obligate nasal breathers
  2. what are the breathing deficiencies?
    • hugher RR
    • small resting lung volumes 
    • lower oxygen reserve 
    • ribs are cartilaginous 
    • weak intercostal muscles
  3. what are the cardiovascular deficiencies?
    • generally healthy hearts 
    • increased HR 
    • blood volume is higher (80mls/kg)
    • stoke volume is relativley small 
    • BP lower (BP= 80 + (age in years x 2))
  4. what are the neurological status deficiencies?
    • differing levels of interaction and abilities in varying ages of children 
    • altered AVPU and GCS responses
  5. what are the parts to the paed assessment triangle?
    • appearance 
    • work of breathing 
    • circulation to skin
  6. how do you assess appearance?
    • TICLS 
    • Tone 
    • interactivity 
    • consolability 
    • look/gaze
    • speech/cry
  7. what two things do you assess under work of breathing?
    • effort
    • efficiency & effect
  8. what do you assess for effort under work of breathing?
    • RR
    • recession 
    • accessory muscle 
    • nasal flare 
    • stridor & wheeze 
    • expiratory grunting
  9. what do you assess for efficiency and effort under work of breathing?
    • chest expansion 
    • air entry 
    • pulse oximetry 
    • pulse rate 
    • colour mental status
  10. what are the normal RR for children?
    • <1- 30-40
    • 1-2- 25-35
    • 2-5- 25-30 
    • 5-11- 20-25
    • 12 + - 15- 20
  11. how do you assess circulation to skin?
    • colour 
    • cap re fill 
    • warmth of skin
  12. under circulation to skin, what do you look for for colour?
    • pallor (blood shunted away from skin)
    • cyanosis (inadequate oxygenation) 
    • mottling (abnormal vessel tone in capillary bed)
  13. what may be normal for children under 2 months?
    cyanosis in hands and feet
  14. what are the normal HR for children?
    • <1- 110-160
    • 1-2- 100-150
    • 2-5-  95-140
    • 5-11- 80-120
    • 12 + -  60-100
  15. what is the paed primary survey?
    • airways 
    • breathing 
    • circulation 
    • disability- AVPU, pupils, BLOOD SUGAR 
    • expose 
    • frequent reassess
  16. what are the signs of deterioration?
    • increasing work of breathing- recession,RR
    • cyanosis 
    • bradycardia (pre terminal sign) 
    • altered mental status/ drowsiness 
    • hypo/ hypertonia 
    • dehydration- signs of shock 
    • hypoglycaemia
Author
davidgoddard93
ID
346976
Card Set
Management of a seriously unwell infant and child
Description
Management of a seriously unwell infant and child
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