pediatric critical care
higher heart and respiratory rate -
-tachycardia nonspecific
-bradycardia produces significant changes
-tachypnea first sign of respiratory distress
blood pressure is lower -
-unlike adult, last parameter to fall in shock
-compensate up to 25% blood loss before SBP falls
Pulse pressure -
difference between systolic and diastolic pressure aka fore heart generates each time it contracts
-more reliable to assess perfusion
fontanels close when and are used to assess what? -
-close 18 to 24 months
-assess hydration status or presence of an increased ICP
how do new born reflexes differ? -
-babinski reflex is normal until a certain point
assessment of LOC -
-age appropriate
-interaction with environment
-paradoxical irritability
paradoxical irritability -
an increase in the fussiness of a sick child when comforted by a parent. it is considered to be a
physical sign of meningitis or of recent child abuse
ineffective themoregulation -
closely monitor body temperature
esp in new borns
cardiovascular system -
-decreased perfusion skin early and reliable sign of shock
-estimated blood volume varies with age: small amount of blood loss may be significant
perfusion to skin -
-note room temperature
-coolness or progression of coolness toward trunk
-peripheral cyanosis: only normal in first 24 hours of life
-central cyanosis is always bad
Airways in infants -
higher heart and respiratory rate -
-tachycardia nonspecific
-bradycardia produces significant changes
-tachypnea first sign of respiratory distress
blood pressure is lower -
-unlike adult, last parameter to fall in shock
-compensate up to 25% blood loss before SBP falls
Pulse pressure -
difference between systolic and diastolic pressure aka fore heart generates each time it contracts
-more reliable to assess perfusion
fontanels close when and are used to assess what? -
-close 18 to 24 months
-assess hydration status or presence of an increased ICP
how do new born reflexes differ? -
-babinski reflex is normal until a certain point
assessment of LOC -
-age appropriate
-interaction with environment
-paradoxical irritability
paradoxical irritability -
an increase in the fussiness of a sick child when comforted by a parent. it is considered to be a
physical sign of meningitis or of recent child abuse
ineffective themoregulation -
closely monitor body temperature
esp in new borns
cardiovascular system -
-decreased perfusion skin early and reliable sign of shock
-estimated blood volume varies with age: small amount of blood loss may be significant
perfusion to skin -
-note room temperature
-coolness or progression of coolness toward trunk
-peripheral cyanosis: only normal in first 24 hours of life
-central cyanosis is always bad
Airways in infants -
