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Peds Review
| Question | Answer |
|---|---|
| Epiglottitis priority | Airway obstruction due to swollen epiglottis |
| Intervention for epiglottitis | Do NOT inspect throat; keep child calm; prepare for intubation |
| Croup sounds like | Barky cough with inspiratory stridor |
| Croup treatment | Cool mist, racemic epinephrine, corticosteroids |
| RSV primary concern | Airway clearance from mucus |
| RSV interventions | Suctioning, humidified oxygen, hydration, cluster care |
| Asthma attack priority | Oxygenation and bronchodilation |
| Asthma treatment | Albuterol, corticosteroids, monitor O₂ |
| Pertussis concern | Airway and thick mucus from coughing fits |
| Pertussis interventions | Droplet precautions, suction, hydration, antibiotics |
| Cystic Fibrosis concerns | Airway clearance and poor GI absorption |
| CF interventions | Chest physiotherapy, pancreatic enzymes, high-calorie high-protein diet |
| Foreign body aspiration signs | Sudden cough, stridor, or silence |
| FBA intervention | Back blows <1 yr, Heimlich >1 yr, prepare for bronchoscopy |
| Pyloric stenosis signs | Projectile vomiting, palpable olive mass |
| Pyloric stenosis intervention | NPO, IV fluids, correct electrolytes, prepare for surgery |
| Intussusception signs | Intermittent pain, red currant jelly stool |
| Intussusception intervention | Air enema, monitor for recurrence |
| Hirschsprung disease cause | Absence of ganglion cells = no peristalsis |
| Hirschsprung signs | Ribbon-like stool, abdominal distension |
| Appendicitis signs | RLQ pain, rebound tenderness, fever |
| Appendicitis action | NPO, prepare for surgery, pain management |
| Cleft palate concern | Aspiration and feeding difficulty |
| Cleft palate intervention | Upright feeding, special bottles, surgical repair |
| TEF signs | Frothy saliva, choking, cyanosis |
| TEF action | NPO, elevate HOB, prepare for surgery |
| Meningitis in infant signs | Bulging fontanel, high-pitched cry |
| Meningitis action | Droplet precautions, lumbar puncture, antibiotics |
| Febrile seizure concern | Safety during benign seizure |
| Febrile seizure treatment | Seizure precautions, treat fever |
| Hydrocephalus signs | Bulging fontanel, sunset eyes |
| Hydrocephalus intervention | VP shunt care, monitor for increased ICP |
| Reye's syndrome cause | Aspirin use after viral illness |
| Reye's intervention | Monitor LOC, manage ICP, no aspirin |
| TOF cyanotic spells treatment | Knee-to-chest, oxygen, morphine |
| VSD concern | Heart failure due to left-to-right shunt |
| VSD intervention | Diuretics, monitor weight, surgery if needed |
| Coarctation of aorta sign | High BP in arms, low BP in legs |
| Transposition of great vessels concern | Poor oxygenation; cyanosis at birth |
| Transposition treatment | Prostaglandin to keep ductus open, surgery |
| Kawasaki signs | Fever >5 days, rash, strawberry tongue |
| Kawasaki treatment | IVIG, aspirin, monitor for aneurysms |
| T1DM main risk in kids | Hypoglycemia or DKA |
| DKA signs | Fruity breath, Kussmaul respirations, low LOC |
| DKA intervention | IV fluids, insulin, monitor potassium |
| Hypospadias intervention | Delay circumcision; surgery needed |
| Nephrotic syndrome signs | Edema, frothy urine, protein loss |
| Nephrotic intervention | Steroids, low-salt diet, monitor weight |
| Glomerulonephritis signs | Cola urine, HTN, post-strep |
| Glomerulonephritis treatment | Low salt, fluid restriction, monitor BP |
| UTI in infant signs | Fever, irritability, poor feeding |
| UTI treatment | Antibiotics, fluids, hygiene education |
| Clubfoot treatment | Serial casting, possible surgery |
| Hip dysplasia signs | Uneven glute folds, hip click |
| Hip dysplasia treatment | Pavlik harness, early detection |
| Scoliosis risk | Respiratory compromise if severe |
| Scoliosis treatment | Bracing for moderate, surgery for severe |
| OI signs | Blue sclera, frequent fractures |
| OI intervention | Gentle handling, fracture prevention |
| Juvenile arthritis concern | Joint pain and stiffness |
| JIA treatment | NSAIDs, PT/OT, maintain mobility |
| Newborn hypoglycemia concern | Brain needs glucose; jittery, lethargic, poor feeding |
| Newborn hypoglycemia treatment | Early feedings, monitor glucose, IV dextrose if needed |
| Neonatal abstinence syndrome signs | High-pitched cry, tremors, poor feeding, irritability |
| NAS care | Reduce stimulation, swaddle, pacifier, possible morphine |
| Hyperbilirubinemia concern | Risk of kernicterus (brain damage) |
| Jaundice treatment | Phototherapy, frequent feeds, monitor levels |
| Cold stress signs | Low temp, lethargy, hypoglycemia |
| Cold stress intervention | Warm slowly, skin-to-skin, radiant warmer |
| Respiratory distress in newborn | Grunting, nasal flaring, retractions |
| Newborn respiratory support | O₂, CPAP, suction if needed, monitor closely |
| Meconium aspiration concern | Obstructed airway and inflammation |
| Meconium aspiration treatment | Suction if non-vigorous, supportive care |
| Preterm infant risks | Immature lungs, thermoregulation, feeding |
| Preterm care | Warmth, oxygen, gavage feeds, monitor glucose |
| Post-term risks | Meconium aspiration, aging placenta, macrosomia |
| Post-term care | Monitor glucose, respiratory status, birth trauma |
| Birth trauma signs | Brachial palsy, clavicle fracture, facial nerve injury |
| Birth trauma care | Gentle handling, support arm, monitor healing |
| SGA infant risks | Hypoglycemia, temp instability |
| LGA infant risks | Birth injury, hypoglycemia, polycythemia |
| IM injection site for infants | Vastus lateralis (thigh muscle) |
| Preferred site for vaccines under 3 | Vastus lateralis |
| Peds med dosing based on | Weight in kg |
| Digoxin hold parameters (infants) | Hold if HR < 90–110 bpm |
| Otic med for child under 3 | Pull ear down and back |
| Lumbar puncture position | Side-lying with knees to chest |
| Best IV site for infant | Scalp, foot, or hand veins |
| Pain scale for infants | FLACC scale |
| Pain scale for older children | FACES or Numeric |
| Peds fluid resuscitation | 20 mL/kg isotonic fluids (NS/LR) |
| Safe crib setup | Firm mattress, no pillows or toys |
| Car seat rules | Rear-facing until 2 years or height/weight limits |
| Lead poisoning symptoms | Developmental delay, anemia, GI upset |
| Lead poisoning treatment | Chelation therapy, remove source |
| Drooling, tripod position, no cough | Epiglottitis → emergency |
| Sudden silence after choking | Complete obstruction |
| Barking cough + stridor | Croup |
| Projectile vomiting + olive mass | Pyloric stenosis |
| Red currant jelly stool | Intussusception |
| Frothy secretions + choking | Tracheoesophageal fistula (TEF) |
| Bulging fontanel + irritability | Increased ICP |
| Fever + purpura | Possible meningococcemia → emergency |
| High-pitched cry in newborn | Neurologic distress or withdrawal |
| Seizure + fever in child | Febrile seizure (common but monitor) |
| Blue sclera | Osteogenesis imperfecta |
| Uneven thigh/glute folds | Hip dysplasia |
| Strawberry tongue + desquamation | Kawasaki disease |
| Irritability + head lag + poor suck | Possible cerebral palsy or neuro issue |
Created by:
smith.slm2007
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