Need to notionify
Notes made during lecture ⇒
acute severe asthma
repiratpry more common than cardiology
hypoxia underlying damage
cyanosed pale pink
effort efficacy and lastly sats
Air entry effort rate sat 4 things in breathing
Heart rate
Pulse = volume rate character
bp = tachy to brady
Capillar refill time ..thump on sternum count for five seconds and then leave to check blood fill back
D posture and menta status GCS
AVPO scale
alert system 16
Repsonse to voice 11/12
Response to pain 8
8 or less for ventliation and intubation endotracheal in
Cadiopulmonary arrest suall secondary to soemthing else
if recession then thats the cause otherwise can be other things
modified gcs score
menigocccoal sepsis rash blaching purpuric rash
posture slightly extented sniffing
But infant...maintain neutral ears are paralel to the floor or bes
position and open the air way
airwa => chin lift, head tilt, jaw thrust and then clear the airway and add on adjunts
Oral airways
Clear under direct vision with tongue depression and sunction
Bag and mask ventilation
High flow oxygen on
ventilation = bag and masks ...eyes and nose but not byong chin or eyes
intubation
immediate iv access to wihest bore cannula..cantral line
immediate blood for blood culture etc and then rest
Immediate fluid bolus is 20ml/kg normal saline ...always normal saline..in neonates 10ml/kg
10 = neonate, dengue, DKA hponatremia, hyponatremia, cardiac failure 5ml/kg
fluid in saline 20ml/kg N/5 or N/2
formular to maintain
maintain sugar
sugar bolus 10% dextrose 3ml/kg
IV antibotics dose
Reacess airway/breathing/circulation
Cardiac arrest
Continue basic life support
looking for danger
Responsiveness
Seek for help
DRS ABC
Do chest compression
older children = lower part use both hands and press 100-120
in infantcs circling or two finger method
Newborms = 3 into one.....15 into two
chest compressions
Assess rhythm
shocakable and non shcoakable VT VF borad complex tachycardias
adrenaline and every 2nd cycle (2 mins)
shocakable
alfortightms
Acute severe asthma algortihms
anapyaxis
Foreign bdoy aspiratorion algortihms
dengue shock
DKA
Septic shock
SLPediatricians guidelines