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Is child's head larger or smaller in proportion to the body than an adults head?
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Do children have smaller, narrower airways?
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Paramedic Prep - 3
Paramedic Prep - Peds
| Question | Answer |
|---|---|
| Is child's head larger or smaller in proportion to the body than an adults head? | larger |
| Do children have smaller, narrower airways? | yes |
| Children have faster or slower resp rate compared to adult? | faster |
| Do children dehydrate easily? | yes |
| Do children have faster or slower HR than adults? | faster |
| What may be done to position a child into a neutral position to maintain an open airway for c-spine? | place a folded towel under shoulder blades |
| Infants & children require ____ the metabolic O2 as adults. | double |
| Infants & children increase their cardiac output by increasing their? | HR |
| Peds have a very limited capacity to ____ their stroke volume. | increase |
| Children compensate for long periods & then? | crash |
| A child may be in shock despite a norm BP, suspect shock if? | tachycardia is present |
| Hypotension is an ominous sign of? | imminent cardiopulmonary arrest |
| What is the age range of a neonate? | 0-28 days |
| Infants & children have a limited store of? | glycogen & glucose |
| Peds pts are prone to ____ b/c of their greater BSA-to-weight ratio. | hypothermia |
| Significant vol. loss can result from ____ & ____ in peds pt. | vomiting, diarrhea |
| Newborns & neonates lack the ability to? | shiver |
| Common ilnesses in neonates include: | -jaundice -vomiting -resp distress |
| Neonates do not develop a fever with minor illnesses b/c? | they have an immature hypothalmus |
| If a pt has all the other signs, to include a resp rate >60/min, they are said to be in? | resp distress |
| What qs need to be asked for hx of a peds pt? | 1)nature of illness/injury 2)length of time ill or injured 3)presence of fever 4)effects of illness/injury on behavior 5)bowel/urine habits 6)presence of vomiting/diarrhea 7)frequency of urination |
| What should be monitored on peds pt? | noninvasive monitoring, pulse ox, temp |
| How long do you suction? | no longer than 15 sec |
| What 2 probs lead to cardiopulmonary arrest in children? | 1)shock 2)resp failure |
| What accounts for the majority of peds illnesses? | infectious diseases |
| What are the 3 stages of resp emergencies? | 1)resp distress 2)resp failure 3)resp arrest |
| Resp distress in peds: | starts @ their stomach & moves up to head & gets worse as it moves to top (head/neck) |
| Croup usually occurs: | 6 mo. - 4 y/o (been sick for a while) |
| Epiglotitis occurs: | 4 - 7 y/o; sudden; DO NOT AGITATE pt |
| Whate are 3 upper airway ditresses? | 1)croup 2)epiglotitis 3)foreign body aspiration |
| What are 4 lower airway distresses? | 1)asthma 2)bronchitis 3)pneumonia 4)foreign body lower airway obstruction |
| S/S of croup: | -slow onset -gen. wants to sit up -barking cough -no drooling -fever approx 100-101 deg |
| S/S of epiglotitis: | -rapid onset -prefers to sit up -no barking cough -drooling, painful to swallow -fever 102-104 deg. -occasional stridor |
| What is a febrile seizure? | sudden spike in fever & then drops back down after the body re-sets itself |
| In the field, can we dx between febrile & subtle seizures? | No, but admin same tx |
| What is the leading cause of preventable death in children? | poisoning & toxic exposure |
| What toxic exposure is typically seen @ feeding time, b/c the peds pt is hungry? | poisoning |
| What is the most common cause of injury in young children? | falls |
| What is the most common cause of death in peds trauma victims? | injuries to head |
| What is the 2nd most commong cause of death in peds trauma victims? | chest injuries |
| Rule of Nines for Peds: | -Head (18%) -Anterior trunk (18%) -Posterior trunk (18%) -Each arm (9%) -Each leg (14%) |
| Contact Base Hospital if: | infant is <12 mo. old & experiences one or more of the following: -apnea -color change (cyanosis or pallor) -marked changes in muscle tone (limpness or stiffness) -unresponsiveness -is consid. to be ill or injured or is suspected to be ill or injured |
| Do you trans all cases that meet ALTE criteria? | yes |
| Tx during trans of ALTE: | -monitor O2 sat -monitor EKG - monitor blood sugar |
Created by:
Wisniewski
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