pedsflashcards.txt


What does ALTE stand for?


apparent life threatening event


What does CSHCN stand for?


children with special health care needs


What does DUMBELS stand for?


Diarrhea/DiaphoresisUrinationMiosisBradycardia/BronchoconstrictionEmesisLacrimationSalivation/Swelling


What does LANE stand for?


LidocaineAtropineNarcanEpinephrine


What does PHAILS stand for?


PesticidesHydrocarbonsAcid/Alkali/AlcoholIronLithiumSolvents


What does RSV stand for?


Respiratory Syncytial Virusvirus that usually causes bronchiolitis


What does TICLS stand for?


ToneInteractivityConsolabilityLook (gaze)Speech (cry)


What is the Wong Baker faces scale?


Pediatric pain scale


What is the STARR program?


developed by the NHTSASee the problems with safetyTalk to the familyAssess adverse home environmentRemedy situationReview and monitor over time


What is the EMSC program?


Emergency Medical Services for Childrennational program designed to ensure that all children and adolescents, no matter where they live, attend school, or travel, receive appropriate care in a health emergency


What is respiratory distress?


abnormal physiologic condition identified by increased work of breathing


What is respiratory failure?


the infant or child exhausts energy reserves or can no longer maintain oxygenation and ventilationmay occur when chest wall muscles get tired or when there is a failure of central respiratory drive from injury or toxicityidentified by abnormal appearance or cyanosis in a child with an increased work of breathingalso identified by an abnormally low respiratory rate and decreased respiratory effort usually with bradycardia


What is respiratory arrest?


absence of effective breathing


What is a unique sign/symptom of bacterial tracheitis?


A cough with pus


What is a unique sign/symptom of croup?


Barking cough


What are some unique signs/symptoms of epiglottitis?


Drooling and dysphagiaSudden onsetMuffled voice


What disease is RSV often associated with?


Bronchiolitis


What is Bronchopulmonary Dysplasia?


Chronic lung disease associated with premature birth


How do we treat exascerbated BPD?


PPVHigh flow O2Consider nebulized epinephrine


What is the VS that differentiates between compensated and decompensated shock in children?


BP


What percentage of TBW fluid loss compromises cardiac output and perfusion in a child?


>5% TBW


What percentage of TBW fluid loss compromises cardiac output and perfusion in an adolescent?


5-7%


What is cardiomyopathy?


Any disease of the heart muscle that causes a reduction in the force of heart contractionsDecreases the amount of blood circulated to the lungs and to the rest of the body


What does cardiomyopathy usually result from?


Congenital abnormalities that affect both ventriclesViral infection


What are the symptoms of cardiomyopathy?


FatigueChest painDysrhythmiasSXS of heart failure and cardiogenic shock(Crackles, JVD, Hypotension, Peripheral Edema)


How do we manage cardiomyopathy?


ABCsIf decompensated, IV with antidysrhythmics, diuretics, or vasopressorsAvoid fluid resuscitation to avoid volume overload


What are the four major causes of pediatric dysrhythmias?


HypoxiaAcidosisHypotensionStructural heart disease


What is the first cause you should think of when observing bradycardia in a child?


Hypoxia


What are some causes of bradycardia besides hypoxia?


HypoxemiaAcidosisHypotensionHypoglycemiaCNS injuryExcess vagal stimulationToxic ingestion


What is the most common nonarrest rhythm in kids?


SVT


What is the heart rate that can distinguish SVT from sinus tach in infants?


210 bpm


What is the heart rate that can distinguish SVT from sinus tach in kids?


180 bpm


What are some causes of VTach with a pulse in kids?


Congenital heart diseaseCardiomyopathiesMyocarditisReversible causesMetabolic causesHypothermia


What does "DOPE" stand for?


DislodgedObstructionPneumothoraxEquipment


What is the normal tidal volume in a pediatric patient?


8cc/kg


What are some signs of impending cerebral herniation?


Unequal or dilated unresponsive pupilsHypertensionBradycardiaRespiratory irregularities or apneaReduced response to stimulation


What are some things we can consider doing if suspecting impending cerebral herniation?


Elevate head of bed to 30 degrees if BP is adequateKeep head midlineShort periods of hyperventilation


Under what age is a positive Babinski's reflex considered normal?


6 months


What is the Monroe-Kellie doctrine?


Basic principle that there is limited space in the cranium allocated to CSF/blood and brain matterIf the brain begins to swell, it forces CSF/blood outIf excessive CSF/blood is present, it forces the brain out


What are some characteristics of febrile seizures?


No evidence of other causesUsually between 6 mos and 5 yearsOccur with rapid rise in feverMay be tonic-clonic or more subtleDuration usually <5 mins


How is epilepsy defined?


Seizure disorder involving >2 afebrile seizures


What is considered hypoglycemia in infants and children?


<60


What is considered hypoglycemia in newborns?


<40


What is the level at which we consider a fever dangerous and may cause brain damage?


105 degrees


How do we manage hyperglycemia in a child?


ABCsIV fluid therapy if signs of dehydration are present


What is a common complication of alcohol ingestion in young children?


Hypoglycemia


What are the "One-Pill Killers"?


CamphorChloroquineClonidineGlyburideImipramine (Tricyclics)LIndaneDisphenoxylate/atropinePropranololTheophyllineVerapamil


What is "QUEST" and what does it stand for?


Outlines the steps to take to evaluate pain in young childrenQuestionUse pain scaleEvaluate behavior and physiological signsSeek parents' inputTake action and assess results


What are some known risk factors for SIDS?


Maternal smoking or drugsMother <20 y/oNo prenatal careSocial deprivationPremature births


What are the hours during which SIDS usually occurs?


Midnight to 6 am


Most SIDS deaths occur within what age group?


Most (85%) under 6 monthsTypical age range is up to 1 year


What complications can be seen with tracheostomy tubes?


ObstructionBleedingAir leakageDislodgementInfection


How do we manage a tracheostomy tube that has become blocked and cannot be cleared?


Replace with another tubeSuction firstReplace temporarily with ET tube if necessary


What is a VAD?


Vascular access deviceSeen in patients who need prolonged access to venous circulation for drug or fluid therapy


What are some complications of VADs?


Cracked lineAir embolismBleedingObstructionLocal infection


How do we manage local infection of a VAD?


Sterile techniqueRemove old bandagesCleanse the sightReplace clean bandagesTransport


How do we manage hemorrhage at the site of a VAD?


Gentle, direct pressure with aseptic techniqueTransportFluid replacement if hypovolemic


How do we manage a suspected air embolus from a VAD?


Stop the infusionLeft side head down positionHigh flow O2MCEPRapid transport


How do we manage obstruction of a VAD?


IrrigationAnticoagulants