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Paramedic Prep - 3

Paramedic Prep - Peds

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