Pediatrics Mod 6 Review Part One

Pre-schooler

Infants

School-age

Toddler

Adolescent

Peds airway is smaller.

Peds airway is more anterior.

Peds tongue is proportionally larger in relation to the jaw.

Toddlers prefer to breathe through their nose.

Children in respiratory distress take long to compensate, but quickly decompensate.

Increased work of breathing is most evident through nasal flaring and intercostal use.

Tachycardia is a sign of hypoxia.

Smaller children tend to breathe more from diaphragmatic function.

Blood pressure is a good indicator of perfusion status

Hypovolemia can develop just from vomiting

Capillary refill is proper to evaluate in a pediatric patient

Children compensate slowly, then decompensate rapidly

Peds need more head tilt then adults to maintain a patent airway

Modified jaw thrust cannot be used for pediatrics

OPA's cannot be inserted inverted, than rotated 180 degrees.

OPA's and NPA's are measured the same way as in adults.

3

5

2

1

For ages 1-10... Upper range is figured by: 40 - ( 2 times the age)

Hyperventilate head injury with posturing at 25 times/minute

Rescue ventilations at once every 3 seconds

All of the above are correct

Greater than 4 seconds is a sign of decompensated shock

Normal time is less than 3 seconds

Delayed ( 2-4 seconds) is a sign of compensated shock