PEDI
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Questions and Answers

Which of the following is the most common cause of Epiglottitis?

  • Foreign body
  • Croup
  • Bacterial infection (correct)
  • Viral infection
  • Which age group is most commonly affected by Croup?

  • Younger child (6 months-3 years) (correct)
  • Generally older child (>2 yrs)
  • Any age
  • Adult years
  • Which symptom is commonly associated with Foreign Body obstruction in the airway?

  • Gagging
  • Drooling (correct)
  • Fever
  • Barky cough
  • What type of burns are characterized by skin blisters?

    <p>Second degree burns</p> Signup and view all the answers

    Which of the following is the most common cause of bradycardia in pediatric patients according to the given text?

    <p>Respiratory insufficiency</p> Signup and view all the answers

    What is the maximum dosage of Epinephrine 1:10,000 for pediatric patients according to the given text?

    <p>10 ml</p> Signup and view all the answers

    What is the minimum dose of Atropine for pediatric patients according to the given text?

    <p>0.02 mg/kg</p> Signup and view all the answers

    Which of the following is a cause of excited delirium in pediatric patients?

    <p>Drug withdrawal</p> Signup and view all the answers

    What is the recommended medication for restraining an agitated pediatric patient?

    <p>Midazolam</p> Signup and view all the answers

    What is the appropriate protocol for a pediatric patient with a fever greater than 100.4°F?

    <p>Blood glucose assessment</p> Signup and view all the answers

    What are the early signs of hypovolemia in children?

    <p>Tachycardia</p> Signup and view all the answers

    Which of the following is NOT a possible cause of seizures in children?

    <p>Febrile seizure</p> Signup and view all the answers

    What is the maximum dose of Midazolam (Versed) that can be given to a child via IM?

    <p>0.4 mg/kg</p> Signup and view all the answers

    Which of the following is NOT a possible cause of obstructed airway in children?

    <p>Asthma</p> Signup and view all the answers

    What is the maximum dose of Diphenhydramine (Benadryl) that can be given to a child via IM?

    <p>10 mg/kg</p> Signup and view all the answers

    Which of the following is the correct maximum cumulative total dose of Fentanyl permitted for patients with major trauma, major thermal injuries, and intubated patients?

    <p>400 mcg</p> Signup and view all the answers

    What is the maximum single dose of Ketamine (Ketalar) permitted for pediatric patients?

    <p>0.2 mg/kg</p> Signup and view all the answers

    What is the maximum dose of Naloxone (Narcan) that can be administered to pediatric patients?

    <p>100 ml</p> Signup and view all the answers

    What is the maximum dose of Glucagon that can be administered to pediatric patients?

    <p>0.1 mg/kg</p> Signup and view all the answers

    Which medication is administered if the patient is wheezing and has received nebulized medications within the previous 1 hour?

    <p>Epinephrine</p> Signup and view all the answers

    What is the maximum dose of Dexamethasone that can be administered for a pediatric patient with respiratory distress?

    <p>0.6 mg/kg Maximum 10 mg</p> Signup and view all the answers

    In which situations should Epinephrine be withheld?

    <p>Both 1 and 2</p> Signup and view all the answers

    What is the maximum dose of Epinephrine that can be administered for a pediatric patient?

    <p>0.3 ml/kg</p> Signup and view all the answers

    Which of the following is a possible cause of asystole/PEA?

    <p>Hypoxemia</p> Signup and view all the answers

    What is the recommended dose of epinephrine for pediatric cardiac arrest?

    <p>0.1 mg/kg</p> Signup and view all the answers

    Which of the following is a sign of supraventricular tachycardia in children?

    <p>Hypotension</p> Signup and view all the answers

    What is the maximum dose of adenosine for pediatric cardioversion?

    <p>6 mg</p> Signup and view all the answers

    Study Notes

    Respiratory Emergencies

    • Haemophilus influenzae type b (Hib) is the most common cause of Epiglottitis.
    • Croup commonly affects children between 6 months to 3 years old.
    • Choking or gagging is a common symptom of Foreign Body obstruction in the airway.

    Burns

    • Burns characterized by skin blisters are 2nd-degree burns.

    Cardiac Emergencies

    • The most common cause of bradycardia in pediatric patients is increased intracranial pressure.
    • The maximum dosage of Epinephrine 1:10,000 for pediatric patients is 0.01 mg/kg IV/IO.
    • The minimum dose of Atropine for pediatric patients is 0.02 mg/kg IV/IO.

    Neurological Emergencies

    • Sudden Unexpected Death in Epilepsy (SUDEP) is a possible cause of excited delirium in pediatric patients.
    • Haloperidol (Haldol) is the recommended medication for restraining an agitated pediatric patient.
    • For a pediatric patient with a fever greater than 100.4°F, the appropriate protocol includes administering antipyretic medications and ensuring hydration.

    Signs and Symptoms

    • Early signs of hypovolemia in children include tachycardia, dry mucous membranes, and decreased urine output.
    • A possible cause of seizures in children is Hypoglycemia.
    • Maximum dose of Midazolam (Versed) that can be given to a child via IM is 0.2 mg/kg.
    • A possible cause of obstructed airway in children is Foreign Body aspiration.
    • Maximum dose of Diphenhydramine (Benadryl) that can be given to a child via IM is 1 mg/kg.
    • Maximum cumulative total dose of Fentanyl permitted for patients with major trauma, major thermal injuries, and intubated patients is 4 μg/kg.
    • Maximum single dose of Ketamine (Ketalar) permitted for pediatric patients is 4 mg/kg.
    • Maximum dose of Naloxone (Narcan) that can be administered to pediatric patients is 2 mg IV/IO.
    • Maximum dose of Glucagon that can be administered to pediatric patients is 0.5 mg IV/IO.
    • Medication administered if the patient is wheezing and has received nebulized medications within the previous 1 hour is Magnesium Sulfate.
    • Maximum dose of Dexamethasone that can be administered for a pediatric patient with respiratory distress is 0.6 mg/kg.

    Miscellaneous

    • Epinephrine should be withheld in cases of Ventricular Fibrillation or Pulseless Ventricular Tachycardia.
    • Maximum dose of Epinephrine that can be administered for a pediatric patient is 0.01 mg/kg IV/IO.
    • A possible cause of asystole/PEA is Hypovolemia.
    • Recommended dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg IV/IO.
    • A sign of supraventricular tachycardia in children is Narrow Pulse Pressure.
    • Maximum dose of adenosine for pediatric cardioversion is 0.25 mg/kg IV/IO.

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