DIGITAL CLUBBING IN PEDIATRIC AGE GROUP By Dr. Deboprasad Das.
tMEY. DEPARTMENT PEDIATRIC ASSESSMENTHEALTH SENIOR SERVICES PEDIATRIC ASSESSMENT NORMAL VITAL SIGNS...
1
*\'!!?tMEY fJ. DEPARTMENT HEALTH SENIOR SERVICES PEDIATRIC ASSESSMENT NORMAL VITAL SIGNS FOR CHILDREN OF VARIOUS AGE GROUPS Age Group Respiratory Heart Systolic Blood Rate Rate BIP New Born 30-60 100-160 >60* Infant (1- 12 months) 30-60 100-160 >60* Toddler (1-3 yrs) 24-40 90-150 >70* Preschooler (3-5 vrs) 22-34 80-140 >75 School Age (6- 12 yrs) 18-30 70-120 >80 Adolescent (13+yrs) 12-16 60-100 >90 -Inlonts & Children 3yrs or younger, evaluate the central pulses instead of measuring blood pressure GLASGOW COMA SCALE Infant Child/Adult Eye 4 Spontaneously 4 Spontaneously 3 To speech 3 To command Opening 2 To pain 2 To pain 1 No respanse 1 No response Best 5 Coos, babbles 5 Oriented 4 Irritable, cries 4 Confused Verbal 3 Cries to pain 3 Inappropriate words Response 2 Moons, grunts 2 Incomprehensible 1 No response 1 No response 6 Spontaneous 6 Obeys command Best 5 Localizes pain 5 Lacalizes pain Motor 4 Withdraws from pain 4 Withdraws from pain Response 3 Flexion (decorticate) 3 Flexion (decorticate) 2 Extension (decerebrate) 2 Extension (decerebrate) __ 1 No response 1 No response __ = Total -- = Total RESPONSE Level of Response Infant Child A - Alert Curious Alert Recognizes Parents Aware of Surroundings V - Responds to Voice Irritable, Cries Opens Eyes P - Responds to Pain Cries to Pain Withdraws U - Unresponsive No Response No Response 6/05 t/ ABCs t/ Distal pulses t/ Extremity and core temperature/color t/ Capillary refill (normal < 2 seconds) t/ Level of consciousness t/ Recognition of parents by child BURN CHART (% burn surface area) Adolescent Infant An infant's or child's hand is approximately 1% of its total body area. Emergency Medical Services for Children EQUIPMENT Age & Airway/Breathing Circulation Weight O2 Oral Bag-Valve Suction BP (kg) Mask Airwavs Mask Cuff Premie Premie Infant Infant 6-8 F Premie 1-1.5 kg Newborn Newborn Newborn Newborn Infant Infant 8F Newborn 0-6 mos Small Infant 3.5-7.5 kg 6-12 mos Pediatric Small Pediatric 8-10 F Infant 7.5-10 kg Child 1-3 yrs Pediatric Small Pediatric 10 F Child 10-15 ka 4-7 yrs Pediatric Medium Pediatric 14 F Child 17.5-23 kg ~ 8 yrs Adult Medium Pediatric 14 F Child > 25 kg Large Adult Adult NEWBORN RESUSCITATION Dry, Warm, Position, Suction, Tactile Stimulation If RR<40 or HR <80 or Central Cyanosis administer blow by oxygen If no change and airway is clear, administer 100% Oxygen via B-V-M @ 40-60bpm Request MICU ------------------------ H5371 ...•
Transcript of tMEY. DEPARTMENT PEDIATRIC ASSESSMENTHEALTH SENIOR SERVICES PEDIATRIC ASSESSMENT NORMAL VITAL SIGNS...
*\'!!?tMEYfJ. DEPARTMENTHEALTH
SENIOR SERVICES PEDIATRIC ASSESSMENTNORMAL VITAL SIGNS
FOR CHILDREN OF VARIOUS AGE GROUPS
Age Group Respiratory Heart Systolic BloodRate Rate BIP
New Born 30-60 100-160 >60*
Infant (1- 12 months) 30-60 100-160 >60*
Toddler (1-3 yrs) 24-40 90-150 >70*
Preschooler (3-5 vrs) 22-34 80-140 >75
School Age (6- 12 yrs) 18-30 70-120 >80
Adolescent (13+yrs) 12-16 60-100 >90
-Inlonts & Children 3yrs or younger, evaluate the central pulses instead of measuring bloodpressure
GLASGOW COMA SCALEInfant Child/Adult
Eye4 Spontaneously 4 Spontaneously3 To speech 3 To command
Opening 2 To pain 2 To pain1 No respa nse 1 No response
Best 5 Coos, babbles 5 Oriented4 Irritable, cries 4 Confused
Verbal 3 Cries to pain 3 Inappropriate wordsResponse 2 Moons, grunts 2 Incomprehensible1 No response 1 No response
6 Spontaneous 6 Obeys command
Best 5 Localizes pain 5 Lacalizes pain
Motor 4 Withdraws from pain 4 Withdraws from pain
Response 3 Flexion (decorticate) 3 Flexion (decorticate)2 Extension (decerebrate) 2 Extension (decerebrate)
__ 1 No response 1 No response
__ = Total -- = Total
RESPONSELevel of Response Infant Child
A - Alert Curious AlertRecognizes Parents Aware of Surroundings
V - Responds to Voice Irritable, Cries Opens Eyes
P - Responds to Pain Cries to Pain Withdraws
U - Unresponsive No Response No Response
6/05
t/ ABCst/ Distal pulsest/ Extremity and core
temperature/colort/ Capillary refill
(normal <2 seconds)t/ Level of consciousnesst/ Recognition of parents
by child
BURN CHART(% burn surface area)
Adolescent
Infant
An infant's or child's hand isapproximately 1% of its totalbody area.
Emergency MedicalServices for Children
EQUIPMENT
Age & Airway/Breathing CirculationWeight O2 Oral Bag-Valve Suction BP(kg) Mask Airwavs Mask Cuff
Premie Premie Infant Infant 6-8 F Premie1-1.5 kg Newborn Newborn
Newborn Newborn Infant Infant 8F Newborn0-6 mos Small Infant3.5-7.5 kg6-12 mos Pediatric Small Pediatric 8-10 F Infant7.5-10 kg Child1-3 yrs Pediatric Small Pediatric 10 F Child10-15 ka4-7 yrs Pediatric Medium Pediatric 14 F Child17.5-23 kg
~ 8 yrs Adult Medium Pediatric 14 F Child> 25 kg Large Adult Adult
NEWBORN RESUSCITATION
Dry, Warm, Position, Suction, Tactile Stimulation
If RR <40 or HR <80 or Central Cyanosisadminister blow by oxygen
If no change and airway is clear, administer100% Oxygen via B-V-M @ 40-60bpm
Request MICU------------------------
H5371
...•
