NREMTP Review-Lara R. 🚑🚒
Endometrium
Inner lining of the uterus
Endometriosis
When uterine tissue in growing outside of the uterus
Midline pelvic pain or lower abdominal pain
pain worsens during intercourse
Endometritis
Often seen after a vaginal birth or from PROM (premature rupture of membranes)
Midline pelvic pain
Fever
Chills
PALS (up to puberty-11 years old)
The dose can never exceed that of an adult dose
Epinephrine-0.01 mg/kg
Amiodarone 5 mg/kg
Adenosine 1st dose=0.1 mg/kg MR at 0.2 mg/kg
Lidocaine 0.5-1 mg/kg
Neonates/Infants=D10W
Children=D25W
Adults D50W
Atropine 0.02 mg/kg
Fluids=Neonate/Infants 10 ml/kg, Children 15 ml/kg
Defibrillation 2 J/kg, 4 J/kg, 4 J/kg
Pediatric ET Tube
16 + Age/4
Activated Charcoal
Ingestion must be within 2 hours
Pt. must be awake & alert
No active vomiting
Do NOT give for caustic of acid ingestions (Bleach, acid, drain cleaner)
Pyloric Sphincter
A muscle that allows food to exit the stomach and go into the small intestine
Stenosis
narrowing & hardening of an area
Pyloric Stenosis
A narrowing & hardening of the pyloric sphincter
Projectile vomiting!!!!=losing stomach acid=metabolic alkalosis
Olive shaped mass
Vomiting often occurs after feeding
Draw their knees into the chest due to pain
Massive dehydration electrolyte imbalances
Weight loss
Constant HUNGER!!!!!!
You are on scene w/ a 1 year old, whose parents state he has had projectile vomiting for 3 days after eating, he appears weak, has dry mucus membranes. What is this infant at risk for based off the differential.
Select 3 answers
A. Metabolic alkalosis-Correct
B. metabolic acidosis
C. Electrolyte imbalances
D. Hypoglycemia
E. Hypovolemic Shock-Correct
F. Cardiac Dysrhythmias
Intussuseption
Occurs in peds
When the intestine/bowel telescopes and folds in on itself
Palpable sausage shaped mass
Severe abdominal pain
May draw their knees into their chest
"Currant jelly stools"
Colicky pain=CRAMPING
PALS
Symptomatic Bradycardia
ABCs & O2 as needed
12 Lead EKG
IV
1st line=Epi 0.01 mg/kg
2nd Line=Atropine 0.02 mg/kg
Unstable=TCP
9-year-old c/o chest palpitations, unable to catch their breath, dizziness, and nausea. Is showing a narrow complex tachycardia (SVT) on the monitor. VS-HR-172, BP-112/70, RR-30, Spo2-95%
CASH
Ischemic CP
AMS
Syncope/SOB w/ severe hypoxia
Hypotension
SVT Stable
ABCs & O2 as needed
12 Lead EKG
IV
Vagal maneuvers
Adenosine 0.1 mg/kg
MR at 0.2 mg/kg
May consider calcium channel blockers
Vagal maneuvers
Valsalva=Bearing Down
Mammalian diving reflex (Place their face into a bowl of ice or cold water)
CSM-Carotid sinus massage
Wide complex tachycardia (w/ a pulse)
Stable
ABCs & O2 as needed
12 Lead EKG
IV
Amiodarone 5 mg/kg (MR x 1)
OR
Lidocaine 1 mg/kg
Croup (Laryngotracheitis)
Bronchitis
Bronchiolitis=RSV
