Positioning, Opening and Suctioning. Whether you are a basic or advanced provider, the key elements of airway management are
patient positioning, provider positioning, opening the airway and suctioning
.
What are some considerations when managing a pediatric patient’s airway?
Positioning, Opening and Suctioning. Whether you are a basic or advanced provider, the key elements of airway management are
patient positioning, provider positioning, opening the airway and suctioning
.
Which of the following is the appropriate treatment for a conscious child with anaphylaxis?
Epinephrine
helps quickly reverse the life-threatening symptoms of anaphylaxis. If it is available, epinephrine should be given immediately to anyone experiencing symptoms of anaphylaxis, followed by a call to 911, and a trip to the emergency department. The medicine comes in auto-injector syringes to make this easier.
When inserting an oropharyngeal airway in an infant or child you should?
Insertion of an Oropharyngeal Airway, Baby
Place padding under baby’s shoulders
. Open baby’s mouth. Using a tongue depressor to assist with insertion, insert airway with curved end facing down, following natural curvature of baby’s airway.
What is the purpose of the Pediatric Assessment Triangle PAT )?
The Pediatric Assessment Triangle is used as
a method of quickly determining the acuity of the child, and can determine whether the child is in respiratory distress, respiratory failure, or shock
. The Pediatric Assessment Triangle is taught, among other contexts, in Advanced Pediatric Life Support courses.
What position should be avoided with pediatric patients?
Neck over-extension must
be avoided as it can make laryngeal exposure difficult. When positioning older children, a head rest is generally sufficient to bring patients in optimal sniffing position.
Which of the following is a common lower airway issue in pediatric patient?
Common causes include bronchiolitis,
asthma
, pneumonia, laryngotracheo-bronchitis, congenital malformations and foreign body inhalation. Bronchiolitis usually occurs in children aged 2 months to 2 years. It is most commonly caused by respiratory syncytial virus infection.
What is the best treatment for anaphylaxis?
Epinephrine
— Epinephrine is the first and most important treatment for anaphylaxis, and it should be administered as soon as anaphylaxis is recognized to prevent the progression to life-threatening symptoms as described in the rapid overviews of the emergency management of anaphylaxis in adults (table 1) and children …
What are two signs of anaphylaxis?
- feeling lightheaded or faint.
- breathing difficulties – such as fast, shallow breathing.
- wheezing.
- a fast heartbeat.
- clammy skin.
- confusion and anxiety.
- collapsing or losing consciousness.
What is the first-line treatment for anaphylaxis?
Epinephrine
is the first-line treatment for anaphylaxis. Data indicate that antihistamines are overused as the first-line treatment of anaphylaxis. By definition, anaphylaxis has cardiovascular and respiratory manifestations, which require treatment with epinephrine.
What is the best location for chest compressions on a three month old infant?
Use two or three
fingers in the center of the chest just below the nipples
. Press down approximately one-third the depth of the chest (about 1 and a half inches).
What is the best location for chest compressions on a 3 month old infant?
Place 2 fingers just below that line on the breastbone and push down hard on the breastbone 11⁄2 inches toward the backbone
. Let the chest come back to its normal position after each compression. Compressions are done fast at a rate of 100 per minute.
Can you use an OPA on a child?
When inserting an OPA in children under 8-years-old: Sizing is important: measure from the centre of the incisors to the angle of the mandible. Use a tongue depressor to assist in insertion: in paediatrics this is needed to ensure the tongue is not pushed back by the oropharyngeal airway.
How do you assess a pediatric patient?
- Is the child alert, agitated, sleepy or unresponsive in regards to their appearance?
- Is their airway open?
- How is their work of breathing?
- Do you hear any sounds from them breathing?
- What is their respiratory rate?
- Do you see an accessory muscle use?
What are the three components of the Pediatric Assessment Triangle?
Paediatric assessment triangle (PAT)
Using the paediatric assessment triangle, the provider makes observations of three components (or ‘arms’ of the triangle):
appearance, work of breathing, and circulation to the skin
.
