Pediatric Disorder

CNS Pneumococcal Vax ( 2m01

-

1-
Meningitis Complication
•

Bacterial -

Seizure
•
E- Coli , Neisseria
Meningitidis ,
-

SIADH
Hib ( Herophilus Intl tape B)
.
-
Diabetic insipidus
Vitus : Paiamyxouiins
Hydrocephalus
-

. vestnik 2.

disease increase CSF

Infection
primary
-
of Cos
acquired as
-

Cowpli of Neurosurgery
-

2 kinds
-

Trauma a. Comuni eating /Non Obstmetie -

Disease
-
sinus or
Systemic - c- flow of CSF but
impaired asf

*
Meningitis is communicable → Dtopiet precaution absorption gubatach in spare
* Surgical mask b. Non Communicating -

- If doing procedure c- body F ( 3G 's ) -

tumor
,
obstruction
-

Private room 5/5

perms
* Dina communicable otter 48hm of antibiotic Macewen 's sign /crackpot sign
•
M -

8/5 •
"

setting sun
"

eyes
Fever MSIBD •
Infected head circumference
High
-

-
Irritability •

Bulging fontanelle
High pitched Coy Dilated
°

vein
-

scalp
poor teedig Late Sisrs →
'

:
-

Bulging Fontenelle
-

Nuchal
rigidity wingnut
- :

Shunt :
-

81s of Irritable UP shunt ( Ventriculi peritoneal shunt )

meningeal a.

Batok _

⑤ dzinski if taek ↳ Hexed

sign
body flex
-

-
Kale ④ 's sigh if knees flexed towards
nig
-
-

it
abdomen may try

extend masala't the op -

until
By Test :
-
Small
fray feebly prob
prescribed
lumbar Puncture
•
NPO status is
Vitus
GfwᵈM
cst Bacteria
hpositioh word
_

color cloudy clear

operon
WBC ↑( PMC cells ) Normal a-
slight ↑
post
-

r position 9 maintain that

-

↓
for 1st M his
Glucose Vana '

- Observe f- c- ↑ ICP
Mngnt
oitcerhthcsl
.

Droplet precaution
-

Measure head
tho
Assess we
Upright position sporty
-
-

•
Rash
•
Mean's M ↳
loss
Antibiotic
-

, antipyretic Complications
Non
stimulating envi to Bleeding
-
-

pteoent seizure for M 218 hrs intention

-

_
 2- Spinal cord
CSF
leakage
-

hair tuft
✓ Spina Bifida Occults dimpling c-
Halo
yellow circle
"
Blood I skin
"

sign
-

-
•

✓
Spina Bifida Cystica lower -
spine

Discharge Tenchi 8 -

Meningeal spinal fluid only

e-

sports
fluid i
- Avoid contact -

Mydomenioyocele
-

spinal nerves

-
Monitor Sls of shut foible Intervention
Infant Iriitlbilitg , ↑ shrill cry 1- Protect the sac
-

:
,

lethargy poor teedig -

More posit a

Avoid
-
Toddler : Needed
poor appetite
s
-

diaper use

Coat c- sterile
-
Older Children : altered Loc * sac
Youse moisten c-
sterile Nss

Discharge hstmdioi

Rege 's Syndrome Aspirin Viral Infection Ass of paralysis

+
3. -
- extent

Acute encephalopathy after

-
viral illness -

Clear intermittent catheterize

[ influence varicella )
High Gdr diet ↑ fl suppositories nose
or
as
-

,
Associated hofhiisk to akarfy to latex & rubber
,
•
I Aspirin [ nt .

products
-

.
Cerebral Edema
5. Cerebral Palsy
-
SIS impaired moment & postie
-

Due to
Hypoxia
-

-
Fever
- Nanna f-Vomiting -

permanent
-

Lethargy Gcs .
< 10 -
non -

progressive
deterioration
-

Pteynssie neurological Types

-
↑ ammonia levels &
Spastic type - most comes

Muscle
spasm
Intervention * Ataxic -
wide base
gait
eowi stimuli
& reduce Y
pyo kinetic / Atktoid
Rest moment
disorganized
- -

-
.

status
-

Assess neurological , -
worm
-
like

signs of A type
ICP * mixed Worst
type
-

-
monitor hepatic function & UFT result
of
bleeding / TTRINR) SIS
•
Monitor
sign
-

Persistent Reflexes
4. Neural Tube Detects * Normal : 3- " no
disappear primitive reflex,
a iheninjoale '
( Moro ,
tonic neck /
*
Omphale r
Delayed Development
Defect Abnormal posture
in de WSC Bruin &
Spinal cord)
-

touts from failure of neural tube to -0

pisthotonos etcezguckdarhj ,
Close
doing pnyreney of back
'

Folic Acid
Deficiency Mange hent
•

level f
-

green Leafy vegetables

•
Assets develop ehtal intelligence
physical occupational speech therapy
-
•

, ,

Types
* e
Mobility devices
i. Brain • safe environment
-
Aoencephakf
-

Execepnaly
 -

•
Position uptight during meals Trauma Primary Assessment
•
Muscle relaxant: Baclofen/ lion sat • Check
responsiveness
I smack heel of feet I
Head Immobilize
6.
Injury Airway Cervical collar
•

, ,
Jaw Thrust
Open head injury E
penetrating injury Breathing Manners
•
a. -

pulse carefully
.

b. Closed head injury

•
Circulation .
Pulse check adowaitii

'
Blunt trauma
,
Shaken
Baby Syndrome (Brachial pulse )
) 10 fluids
◦
More serious due to KP risk -

Deformity .
fhouivent of extremities
Etonian under Pt 's Clothes
•

Assess for ↑ XP Trauma Secondary Assessment

Early signs •
Full set vital signs
•
Slight Gaye in Us Loc .

Give comfort Position

,
.

Fontanel
◦

Irritability, Bulging . Head to to

assessment .
History
• Headache
,
NIU
,
diplopia .
Inspect the Back
late signs
-

Deformity
Contest "
F- Abmrsin
:
e Decorticate adduction
,
fleeing of
arms on
puncture
the chest bends fisted lower
Bleeds-8
, ,

extremity adducted Dysfunction of

-

Tenderness
cerebral aorta
Decerebrate : Extension and of
Laceration
pronation
•

arms and legs Dysfunction

. of Sweltt
the midbrain

RESPIRATORY SYSTEM
Mnghrt 1. Cystic Fibrosis
.

Airway ,
Immobile head & Spie _↳
sticky secretions

02 as prescribed Exocrine
gland dysfunction
-
-

Assess for other Injuries thick

•
-
secretions

-
Stimuli to minimum , minimise ctyof ✓ Lungs -

sticky mucus
infant -

lung infections

Withhold sedating medications sudden ↓ of Oz

-
-

Sei une Pancreas

precaution
• ✓ -
absence of pancreatic enzymes in

locked the intestine (

-

Reid podded silmarils ,

bud ahoy malabsorption )
@ bedside
- 0L -

indigestion
Maintain NPO
clearly at
prescribed
loss
-

or
-

weight
[
usually 12hrs1
-

Caiefuty administer luttuids MGMT

( nose / eats /
-
Monitor CSF leakage ✓
lungs -

CPT
Avoid High
ouetionig the narcs Frequency chest wall Oscillation
- -

Acetaminophen anticonvulsants , ,
antibiotic, the vest

tetanus toxoid -

↑ # , Exercise Program
- Corticosteroid or osmotic diuretic
 ✓ Pancras 3. Sudden Infant Death
Pancreatic
envyus Syndrome
-

_
death d-
-

unexpected a
healthy infant your
-
c- than I
meals

Diet : ↑Ut0 CHON fat

=
•

, , ,
cholesterol
•
Dx Test : sweat chloridetest
•

Pilocarpine given to trigger sweat Contes

60 •
< "◦
mEqk
-

smoking @ hone
A 760m
Egil positive pion position
•
:
-

with •
40-60
mtqll
:
suggestive of CF
, ieqnieepeat
test -
Co
sleeping E infant
Assessment
•

Integumentary system ! Abnormally high -

itpreic ,
blur
,
lifeless
concentrations of the sweat Napa in -

Prolly blood tiged fluid in

•

child
salty when kissed
test "
"
nose & mouth
-

Dehydration & Iec imbalance -

Aiohevekd bed
sodium F1 intake wet c- stool
High and Increase
diaper
-
•

diniz perspiration hyperthermia / Manion

-
Smote free enui .

Epiglottis positio
'
2.
_ supie
-

Bacterial form of Goop

-
Muon big pillow ,
duffed togs in
the
Hib (
Haemophilus Influenza type B) coils
•

Emergency situation
-

Updated wax

Sis -

High Tevet Intervention

throat
Support parents they grieve
- Sae -

as -

an

Absence of cough : mouth

YD :
Dysphagia Dysphonia, Dyspnea
-

,
,

☐
tooling 4. Fotuign body Obstruction/ foreign Body
-

Tachycardia Tachypua , Aspiration

into the
Toi pod position
air park
- •
Swallowing & aspiration of a
son:p way

Intervention : Mad stun Lobos bronchus

-
•
-
or
Cute : Round
•
Patent airway : resuscitation equipment available
◦
foods
D8 candy ,
(tracheostomy sett Hot
peanuts
•

Avoid
, potions grapes
,
mouth
anything by Assessment
•

Choking
wtgiqg#
•

B Universal sign
• -

armor
Attn auditor adequate Gagging
•
-

"
IV fluids antibiotics 8h tippets Coughing
'
an -
•
an
-

,
,
corticosteroid
,
•

Dyspnea
NO
-

suppositories( •
cannot speak / Ahsan
Collapse ( severe )
of
any
Nebulae epiephrie taconic Cyanosis
•
-

epileptoid ,
if seven

- Cool mist Oc therapy Manhunt

- Ensure
up
to take immunisation , .
Determine scene safety
paint/victim
.

2. Introduce self to
 Det WI of bleating
3.
difficulty by
-

fleekij .

A. Intent
" Ask paint /guardian whet hpoaeb
2- _

B- Child
i. Ask the victim if
he/ sleighing
is able to I
f- vic
respond _

Position
knee lap
Intent
pt .

popoloIreton
support
a.
_

or

b←ÉHr
' .

Backslaps
2.
Chest third

How to perform Abdominal thrusts

bathed Fist against the abdou
Properly position your at
-

midpoint between xiphoid paces and navel .

perform abdominal thrust c- a

quick
inward &
upward motion

H Infant becomes uneonscios ?

i. Carefully
down stobz flat suture
lay
a
on

n Actuate EMS and perf 30 Chest compression

3. Check oral cavity for presence of obstruction .

If foreign obj _ is viable , perfr.fiye sweep i

If not visible
_
4- It air bounces back
,
re -

positron
bad&
pts
administer 2nd Breath
5
properly Rescue

_
.

6 .

CARDIOVASCULAR SYSTEM