State the 6 significant red flags that indicate serious illness and high risk for adverse
effects, in pediatric patients
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Early signs of compensated shock (Pallor, Tachy. effortless tachypnea)
Resp distress (and/or positional resp distress) that may lead to failure
Subtle change in consciousness (less playful, diaphoresis during feeding)
A potential for serious infection (Stiff neck, fever) - Could indicate
meningitis, retropharyngeal abscess, deep neck infection.
Signs of increased ICP (vomiting and increased headache when lying flat)
Vomiting without diarrhea - Could be intussusception, volvulus or
appendicitis = Surgical emergency
Signs of physical abuse
Explain how the metabolic rate varies in pediatric patients and the general approach
to treatment
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Higher baseline oxygen and glucose demands. Which is further increased
in injury or illness
Maintain adequate oxygenation and early initiation of glucose containing
fluids
Describe the tubing in an Art Line
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Regular IV tubing from the bag to the transducer
High pressure tubing from transducer to patient
Facilitates the continuous flush of 3mL/hour to keep line patent
Stop cocks and a reservoir that can facilitate the return of the "discard"
blood after sampling
Outline the pathophysiology of drowning injury
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, Airway falls below water
Hold breath until breaking point = Hypoventilation, resp acidosis,
hypoxemia
Passive airway flooding = Cardiopulmonary arrest
Rapid drop in core temp = causes sudden gasp, tachypnea,
vasoconstriction, tachycardia, May also cause arrhythmia, muscle
weakness/incoordination and LOC
What are the two major risks/complications during an CVC insertion
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Pneumothorax and Dysrhythmias
Describe afterdrop in hypothermic treatment. And when is it most clinically important
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Caused by: Conductive heat loss from the warmer core to the cooler
periphery. Occurs via blood passing through cooler tissue and returning to
central circ.
Any action that increases blood flow to the cool periphery can precipitate
afterdrop
Most important when patient is borderline of moderate and severe
hypothermia. When severely hypothermic cardiovascular instability and
arrhythmias will occur
effects, in pediatric patients
Give this one a try later!
Early signs of compensated shock (Pallor, Tachy. effortless tachypnea)
Resp distress (and/or positional resp distress) that may lead to failure
Subtle change in consciousness (less playful, diaphoresis during feeding)
A potential for serious infection (Stiff neck, fever) - Could indicate
meningitis, retropharyngeal abscess, deep neck infection.
Signs of increased ICP (vomiting and increased headache when lying flat)
Vomiting without diarrhea - Could be intussusception, volvulus or
appendicitis = Surgical emergency
Signs of physical abuse
Explain how the metabolic rate varies in pediatric patients and the general approach
to treatment
,Give this one a try later!
Higher baseline oxygen and glucose demands. Which is further increased
in injury or illness
Maintain adequate oxygenation and early initiation of glucose containing
fluids
Describe the tubing in an Art Line
Give this one a try later!
Regular IV tubing from the bag to the transducer
High pressure tubing from transducer to patient
Facilitates the continuous flush of 3mL/hour to keep line patent
Stop cocks and a reservoir that can facilitate the return of the "discard"
blood after sampling
Outline the pathophysiology of drowning injury
Give this one a try later!
, Airway falls below water
Hold breath until breaking point = Hypoventilation, resp acidosis,
hypoxemia
Passive airway flooding = Cardiopulmonary arrest
Rapid drop in core temp = causes sudden gasp, tachypnea,
vasoconstriction, tachycardia, May also cause arrhythmia, muscle
weakness/incoordination and LOC
What are the two major risks/complications during an CVC insertion
Give this one a try later!
Pneumothorax and Dysrhythmias
Describe afterdrop in hypothermic treatment. And when is it most clinically important
Give this one a try later!
Caused by: Conductive heat loss from the warmer core to the cooler
periphery. Occurs via blood passing through cooler tissue and returning to
central circ.
Any action that increases blood flow to the cool periphery can precipitate
afterdrop
Most important when patient is borderline of moderate and severe
hypothermia. When severely hypothermic cardiovascular instability and
arrhythmias will occur
