smallpox (variola) correct answers - fever
- vesiculopustular leisons in face + trunk
Dextrose 5% correct answers *not* used to tx *hypoglycemia* in kids
Dextrose 10% correct answers tx hypoglycemia in *neonates*
Dextrose 25% correct answers tx hypoglycemia in *1month to 2years old*
Dextrose 50% correct answers tx hypoglycemia in *2 years old & older*
in *compartment syndrome*, do you elevate extremity above the heart or at the level of the heart
correct answers keep limb *at leave of heart*
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are already worried
about reduced blood flow
*femur factures* are (name *4* things) correct answers 1. can cause significant blood loss
2. cause *hemorrhagic shock*
3. painful
4. presents w/ *external rotation*
*Oxygen supplement* helps a sickle cell anemia pt by correct answers ease WOB
oxygen baseline for sickle cell anemia pts are generally correct answers *lower* d/t *sickling of RBC* so
important to measure their O2
*Jaw thrust maneuver* is used in correct answers traumatic injury / spinal injury is suspected
,protects the spine
*head tilt maneuver* is used in correct answers non-trauma patients (when spine injury is NOT
suspected)
*normal liver* palpable up to how many cms below costal margin correct answers up to *2cm* below
costal margin
*Sickle cell disease* is most susceptible to what 2 things? correct answers 1. *acute chest syndrome*
(ACS)
2.sequestration crisis (firm/enlarged spleen) - *LUQ pain*
cry correct answers 0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility correct answers 0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
*do not give* what type of drugs to sickle cell disease patients correct answers *NSAIDS* - they can
impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what correct answers violence or aggressive
behaviors
s/s of *epiglottitis* correct answers - drooling
- inability to swallow
- retractions
- stridor
*epiglottitis* can be caused by correct answers HIB (take HIB vaccine)
s/s of *croup* correct answers - *inspiratory* stridor (s in inspir for s=tridor)
- *expiratory* wheeze
- barking cough
- retractions
- fever
birth weight *quadruples* correct answers *30 to 36* months
preferred IO site correct answers *proximal* tibia
skeletal survey correct answers will help reveal fractures and healing fractures
generally used when *suspected child abuse/suspicious fall/fall*
if babinski reflex is *NOT* observed in children under 2 year old, what do you suspect? so what exam is
required? correct answers lesion on the spine
CT scan of lower spine
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