Introduction / Housekeeping – Paediatrics

ADULT

PAEDIATRICS

• For flushing: water for injection / heparin saline  

• More other equipment to be prepared e.g. splint, T connector, 1 mL syringes etc. 
• For flushing: sodium chloride / water for injection 

• Usually at antecubital fossa

• Syringe is used

• Usually attempt at dorsum of hand first
• Syringe is not used, except for blood C&S and blood gas (BUT not same way as adult)

• 2 bottles - 1 for aerobic culture; 1 for anerobic culture
• Ideally 5 - 10 mL of blood for each bottle

• Only 1 bottle used for both aerobic + anaerobic culture 
 • 1 - 3 mL of blood

VBG & ABG are common

Most of the time only VBG taken; taking ABG in paediatrics is uncommon

4 mL tubes for most blood samples

500 μL tubes for most blood samples

• Normal saline is usually used 
• Usually 30 mL/kg/day 

• NSD5% is usually used; D10% is used in day 1 of life
• Neonates: total fluid intake according to different days of life 
• Holliday Segar formula for general paediatrics

• Blood taking and branula insertion can be done bedside most of the time

• Newborn resuscitation
• Blood taking and branula insertion are done in procedure room most of the time