By Eugene D. McGahren, William G. Wilson
Pediatrics keep in mind, Fourth Edition experiences illness entities lined in a pediatric clerkship with fast Q&A evaluate structure. prepared by means of illness method and concerned structures, the textual content comprises descriptions, indicators, indicators, pathophysiology necessities, remedies, and attainable results. themes contain simple concerns in neonatal and pediatric fluid administration, blood items, nutrients, development, emergencies, and in depth care. One bankruptcy is simply dedicated to concerns in relation to the adolescent sufferer. Highlights of this variation comprise new illustrations and up-to-date info on neuroblastoma staging, melanoma staging, and vaccines. The pocket dimension makes it handy to be used on medical rotations.
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Brief seizure—good if no complications occur; damage may still occur because of the underlying cause. qxd 05/24/2010 10:01 AM Page 47 Aptara Chapter 6 / Pediatric Emergencies 47 UNEXPLAINED COMA What is coma? A state of unconsciousness from which one cannot be aroused by stimulation of any magnitude What is the differential diagnosis of coma in an infant or child? AEIOU TIPS Alcohol/Abuse Epilepsy/Encephalopathy Infection/Inborn errors of metabolism Opiates Uremia Trauma/Tumor Insulin (hypoglycemia)/Intussusception (with severe bowel compromise) Poisoning (toxicology) Shock What initial laboratory and imaging studies are appropriate?
ARTERIAL PUNCTURE What are the 2 indications for arterial puncture? 1. When measurement of an arterial blood gas (ABG) is required 2. When a blood sample is needed and a vein cannot be accessed, an artery provides a good site, particularly in an infant. List 2 arteries that are preferred for drawing blood in infants. The radial or the dorsalis pedis arteries. The femoral, brachial, or axillary arteries are less desirable because thrombosis and arterial insufficiency to the respective limb may occur.
The patient may progress to respiratory failure. List 4 criteria for evaluating the pediatric airway when determining the need for intervention. Airway patency, airway anatomy, adequacy of respiratory effort, oxygenation What 3 maneuvers can be done to achieve airway patency? 1. Elevate the child’s shoulders (remember the large occiput causes neck flexion). 2. , chin thrust) to eliminate the occlusion of the airway by the tongue. 3. Suction any secretions. What is the most useful medication in pediatric resuscitation?