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Terms in this set (19)
Major risks for pediatric burns
3. fluid loss
Urine output goal for kids with burns
Parkland formula for fluids
TBSA burned x childs wt in kg x 4 = number of mL to be infused in 24 hrs. Give first half in first 8 (start at time of injury) then second 1/2 over the next 16 hours.
Assessment used in trauma pts: bradycardia, hypotension alteration of respiratons (suggestive of spinal cord injury)
Basillar skull fracture sx
1. hemotypanums = diruptions of cranial nerve 7 and 9
2. racoons eyes (echymosis below eyes)
3.Battles sign ( postaurical eccymosis)
Normal ICP in children and infants
1. infants: 2-6
2. children 3-7
Sx of increased ICP
slurred speech, lethargy, posturing, seizures, ataxia while crawling, walking etc.
Linear skull fracture
occurs from low energy blunt trauma over service of skull
sx: tenderness and swelling over indicated area
Basilar skull fracture
fracture of base of skull (frontal, ethomoid, sphenoids, temporal or occipital) leads to CSF leak and possible infection.
Sx of decompansated shock
widespread edema, tachycardia, DIC, urine in feces, decreased urine output less than 1mg/kg/hr, petichiae in extremities, hypotension, narrow pulse pressure progressing to wide pulse pressure, delayed cap refill.
sx of warm shock
cap refill less than 2 sec, bounding pulses, flushed, hot extremities, normotensive, widespread vasodialtion
sx of cold shock
delayed cap refil greater than 3 sec, bounding pulses, cool extremities, pallor, mottled extremities, wide pulse pressure.
Hypovolemic shock increases
Fluid bolus 20ml/kg, , packed red blood cells, vasoconstictors
Cardiogenic shock tx
Fluid bolus of 5-10 mL NS or LR, assess for sx of fluid overload,
cardiac tamponode, tension pneumo, PE
Types of distribuitive shock
neurogenic, septic, anaphylactic
causes lethargy in children
Four indicators of dehydration in pediatric population
1. general appearence, absence of tears, dry mucous membranes, cap refil greater than 2 secs.
Preferred route fo IO access in pediatrics
2 cm below tibial tuberosity on medial aspect of tibia
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