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🔢 Pediatric Numbers

Every high-yield number, cut-off and bedside formula the Pediatrics Prometric asks — with calculators.

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Vital signs by ageNormal HR, RR and SBP; the hypotension formula FREEEmergency, Toxicology & Resuscitation
AgeHR (awake)RRSBP
Newborn100–18040–6060–90
Infant (1–12 mo)100–16030–5070–100
Toddler (1–3 y)90–15024–4080–110
Preschool (3–5 y)80–14022–3490–110
School (6–12 y)70–12018–3090–120
Adolescent60–10012–20100–130

Hypotension (PALS)

  • Term neonate 0–28 d: SBP <60
  • Infant 1–12 mo: SBP <70
  • 1–10 y: SBP <70 + (2 × age in years)
  • >10 y: SBP <90

Median expected SBP ≈ 90 + (2 × age). Tachycardia is the earliest sign of shock; hypotension is late (decompensated).

Tachycardia + poor perfusion with a normal BP = compensated shock; a falling BP means decompensation and imminent arrest.
Respiratory & oxygen thresholdsWHO fast breathing, SpO2 targets, A-a gradient FREERespiratory

WHO fast breathing (count a full 60 s)

AgeFast breathing
<2 months≥60/min
2–11 months≥50/min
1–5 years≥40/min

Oxygen

  • Bronchiolitis: give O2 if SpO2 <90–92%
  • Acute asthma: give O2 if SpO2 <92–94%; SpO2 <92% after initial SABA = severe/admit
  • Pneumonia: hypoxemia (SpO2 <90–92%) is an admission criterion
  • Normal A-a gradient in a healthy child on room air: <10 mmHg (raised = V/Q mismatch, shunt or diffusion problem; normal + high PaCO2 = pure hypoventilation)
WHO pneumonia: fast breathing or chest indrawing defines pneumonia in a child with cough; any general danger sign (unable to drink, convulsions, lethargy) = severe.
Weight estimation (APLS)When you cannot weigh the child FREEEmergency, Toxicology & Resuscitation
AgeEstimated weight (kg)
0–12 months(0.5 × age in months) + 4
1–5 years(2 × age in years) + 8
6–12 years(3 × age in years) + 7

Anchors: term birth weight ≈ 3.5 kg; ~10 kg at 1 year; ~20 kg at 5 years; ~30–35 kg at 9–10 years.

Use a length-based tape (Broselow) when available; it is more accurate than age formulas, which underestimate weight in obese children.

Estimate weight first in any emergency: every fluid bolus, drug dose, defibrillation energy and tube size is calculated from it.
Maintenance fluids (Holliday–Segar)100/50/20 per day = 4/2/1 per hour Nephrology, Fluids & Electrolytes
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Dehydration grading & WHO plans% loss, signs and ORS volumes Nephrology, Fluids & Electrolytes
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Fluid deficit calculation% dehydration × weight × 10 Nephrology, Fluids & Electrolytes
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Fluid bolus volumes20 mL/kg vs 10 mL/kg — who gets which Emergency, Toxicology & Resuscitation
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Endotracheal tube size & depthAge/4 formulas and neonatal sizes Emergency, Toxicology & Resuscitation
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Pediatric CPR numbersRate, depth, ratio (PALS 2020) Emergency, Toxicology & Resuscitation
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Defibrillation & cardioversion energies2 → 4 J/kg; synchronized 0.5–1 → 2 J/kg Emergency, Toxicology & Resuscitation
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Epinephrine dosesArrest vs anaphylaxis vs croup Emergency, Toxicology & Resuscitation
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Neonatal resuscitation numbersNRP 8th edition key figures Neonatology
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Apgar scoreScored at 1 and 5 minutes Neonatology
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Pulse oximetry CCHD screenNewborn critical CHD screening cut-offs Cardiology
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Gestation & birth-weight categoriesPreterm, LBW, SGA definitions and ROP screening Neonatology
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Corrected age for pretermsUse until 2 years for growth and development Growth, Development & Nutrition
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Newborn first-weeks numbersWeight loss, voids, stools, cord Neonatology
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Weight, length & head growthDouble, triple, +25 cm, 2-1-0.5 cm/month Growth, Development & Nutrition
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Fontanelles & teethClosure ages and dental eruption Growth, Development & Nutrition
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Height, MPH & short statureTarget height and growth-velocity cut-offs Growth, Development & Nutrition
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BMI percentilesOverweight, obesity, severe obesity Growth, Development & Nutrition
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Body surface areaMosteller formula and where BSA is used Miscellaneous
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Burns numbers%TBSA, Parkland and referral cut-offs Emergency, Toxicology & Resuscitation
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Breastfeeding numbersFrequency, duration, storage Growth, Development & Nutrition
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Energy, fluid & formula needskcal/kg by age, neonatal fluids, formula strength Growth, Development & Nutrition
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Supplement dosesVitamin K, D, iron, A, folic acid Growth, Development & Nutrition
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Fever definitions by ageThresholds and the febrile-infant age bands Infectious Diseases & Vaccines
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Febrile seizure numbersAge range, simple vs complex, recurrence Neurology
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Neonatal hypoglycemia thresholdsWho to screen, cut-offs and treatment Neonatology
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Hypoglycemia beyond the newbornDiabetes levels, critical sample, treatment Endocrinology & Diabetes
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DKA numbers (ISPAD 2022)Definition, severity, fluids and insulin Endocrinology & Diabetes
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Neonatal jaundice: physiologic vs pathologicTiming and bilirubin cut-offs Neonatology
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Phototherapy & exchange conceptsAAP 2022 hour-specific approach Neonatology
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Hemoglobin & anemia cut-offsNormal Hb by age and physiologic nadir Hematology & Oncology
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Iron deficiency numbersFerritin, treatment response, duration Hematology & Oncology
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Neutrophil & platelet cut-offsANC grades, ITP, LP and transfusion thresholds Hematology & Oncology
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Blood pressure centile definitionsAAP 2017 categories Nephrology, Fluids & Electrolytes
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Urine output, oliguria & AKINormal output and KDIGO criteria Nephrology, Fluids & Electrolytes
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Proteinuria, hematuria & nephrotic numbersQuantification cut-offs Nephrology, Fluids & Electrolytes
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Electrolyte thresholds & correction ratesNa, K, Ca and safe correction Nephrology, Fluids & Electrolytes
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Blood gas & anion gapNormal values, AG, Winter's formula Nephrology, Fluids & Electrolytes
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ECG numbers & QTcIntervals and normal pediatric findings Cardiology
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Saudi MOH schedule highlightsRoutine childhood vaccines by visit Infectious Diseases & Vaccines
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Vaccine timing rules & PEP windowsIntervals, delays and post-exposure deadlines Infectious Diseases & Vaccines
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Puberty age cut-offsPrecocious, delayed, menarche Endocrinology & Diabetes
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Surgical & orthopedic age cut-offsWhen to wait and when to operate Surgery & Orthopedics
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Toileting & elimination agesEnuresis, encopresis, constipation, bladder capacity Nephrology, Fluids & Electrolytes
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Toxic-dose thresholdsParacetamol, iron, salicylate, lead, batteries Emergency, Toxicology & Resuscitation
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Normal CSF values by ageCells, protein, glucose and opening pressure Infectious Diseases & Vaccines
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