PEDIATRIC MENTAL HEALTH
MEDICATION & DOSAGES
ASSESSMENT
BE READY BEFORE THEY ARRIVE
CODE RESUSCITATION
NAME THAT DISEASE
100
A teenager with a history of self-harm presents with superficial cuts on theirs, what is your priority intervention?
What is ensure patient safety, assess suicidality, provide emotional support, get observation order
100
How is pediatric medication dosing typically calculated?
what is weight-based dosing (mg/kg)
100
Pediatric Assessment Triage (PA) components
What is Appearance, work of breathing, circulation to skin
100
What is racemic epinephrine, nebulizer, steroids, suction, and intubation supplies if worsening
100
This is the compression-to-breath ratio used during CPR for infants and children when only one rescuer is present.
What is 30 compressions to 2 breaths?
100
Barking cough, worse at night
What is Croup
200
Requires assessment every 15 minutes
What is Seclusion
200
The most commonly used sedative for pediatric patients undergoing procedural sedation
What is Ketamine
200
This is the most common cause when an infant presents to the emergency department with sunken fontanelles
What is dehydration
200
Patient is positive for pyloric stenosis
What is IV access, fluids, NPO, suction, NG tube for decompression
200
This is the shock energy dose for pediatric defibrillation
What is 2 J/kg initial, than 4 J/kg for subsequent shocks
200
Projectile vomiting, olive-shaped mass in RUQ
Pyloric Stenosis
300
Can only be done for a maximum of three times
what is manual holds
300
A child weighs 20kg.
1. What is the maintenance fluid dose formula?
2. How much fluid per hour will be the patient get?
1. What is the 4-2-1
2. 60 ml/hr
300
This systolic blood pressure threshold defines hypotension in a child under 1 year old
What is less than 70 mmHg
300
2nd Degree Burn
What is warm room, sterile saline-soaked dressings, pain control meds, IV access for fluids, burn chart for TBSA assessment
300
This is often the earliest and most sensitive clinical sign of shock in pediatric patients, even before blood pressure drops.
What is tachycardia?
300
Severe abdominal pain, intermittent crying, fetal position
What is Intussusception
400
A teenager arrives after a suicide attempt but says, "I'm fine, I just overreacted". What observation order will you obtained?
What is CO
400
Epinephrine dose for anaphylaxis in pediatrics, include the EpiPen dosing
What is 0.01mg/kg IM, max 0.5mg
What is EpiPen dosing: 0.15mg for 15-30kg patient
0.3mg for patients weight >30kg
400
This viral illness is the leading cause of hospitalization in infants under 1 year old and presents with wheezing, cough, and respiratory distress
What is bronchiolitis
400
DKA
what is cardiac monitor, IV set up, pump with channels
400
Unlike adults, cardiac arrest in pediatric patients is most commonly caused by this condition
What is respiratory failure?
400
Sudden chest pain, and SOB, absent breath sounds on one side
What is pneumothorax
500
A teenager arrives to the ED after ingesting an unknown amount of pills and displays thoughts of SI. Can she keep her phone and belongings since she will be a medical patient
What is NO - same protocol is applied as other mental health patients
500
Reversal agent for opioid overdose in pediatric, include dose in milligrams and max dose
What is Naloxone/Narcan - 0.1mg/kg IV, 2mg max
500
A 7-year-old undergoing chemotherapy presents with fever and altered mental status. This life-threatening condition must be considered first due to the risk of rapid deterioration from infection
What is febrile neutropenia with possible sepsis
500
Cardiac Arrest
What is room 5 (resuscitation room), code roles, monitor, intubation equipment, IV/IO set up, zoll and emergency medication box ready
500
A child with wide QRS, no pulse, and irregular rhythm is in what rhythm?
Ventricular fibrillation - requires immediate defibrillation
500
Overweight child, dark skin patches, increased thirst
What is Diabetes