So let's start with an Airway question...
A three year old attends the ED late at night with her mother. She has had a barking cough and stridor on exertion. Her sats are 96% on air and she appears relatively well.
1) What are the normal heart and respiratory rate for this child? (2 marks)
2) Give SIX differentials for stridor in this age group. (3 marks)
3) List THREE drugs including dose and route for stridor. (3 marks)
4) Name and give three components of a scoring system for croup. ( 2 marks)
Answers will follow later in the week...
Resp Rates:
| |
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Neonate
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30-50
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Infant
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20-30
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Child
|
20-30
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Adolescent
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15-20
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Give six differentials – 0.5 mark each•Croup (laryngotracheobronchitis) – rougly 80%•Epiglottis•Foreign body•Airway Trauma•Anaphylaxis/ angioedema•Retropharyngeal abscess•Diptheria•Smoke inhalation•Whooping Cough
List 3 drugs (including dose and route) used for stridor- 0.5 for drug, 0.5 for dose & route
•Dexamethasone 0.15-0.6mg/kg, PO•Budesonide 1-2mg neb,
•Adrenaline 5mls 1:1000 neb.•Clever marks for heliox
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