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34 Cards in this Set
- Front
- Back
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Components in the prioritization of pediatric emergency care (4) |
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision |
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Pediatric Assessment Triangle : (3) components |
Appearance. Work of Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker". If there is an acute disruption in 2+ components the child is "sickest" |
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Pediatric Assessment Triangle : Appearance |
Most important. Reflects adequacy of ventilation, oxygenation, brain perfusion, and central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry. |
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PQRST for Pain |
(pg86) Precipitating and palliating factors Quality Radiation Severity, symptoms, and site Time or triggering factors |
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Verbal Report for pain |
(pg86) Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable or wiling to verbalize their discomfort. |
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What age is the respiratory system considered fully developed? |
(class) 8 years old
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Most ______ age __to____, are concrete thinkers and interpret words literally.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They often confuse coincidence with causation, and have difficulty distinguising fantasy from reality. |
(pg36) Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They often confuse coincidence with causation, and have difficulty distinguising fantasy from reality. |
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Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and may indicate a loss of ___% to ___% of their circulating blood volume. |
(pg262) Late sign.
20% to 25% of circulating blood volume |
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6P's Assessment for Musculoskeletal Trauma |
(pg 283) Pallor : color different from uninjured Pain Pulselessness : Parasthesia Paralysis Poikilothermia |
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Burn Transfer Criteria |
1. Partial thickness >10% of BSA 2. Face, hands, feet, genetalia, perineum or major joints 3. Third degree burns in any age group. 4. Electrical burns, including lightning injury, and chemical burns. 5. Inhalation injury. 6. Burn injury in pt with preexisting medical disorders that could complicate tx. 7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or mortality. 8. Burned children in hospital wo qualified equipment or personnel to care for them 9. Pt who will require special social, emotional, or rehabilitative intervention. |
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If live interpreter not available for 15mins use ___ |
Language line interpreter
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Infants are obligate nose breathers. If nose is obstructed ___ |
suction nose
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Opiod antidote Benzo antidote |
Narcan Romazicon
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Neutropenic pt with a temperature |
(class review) Don't take rectal temp. No invasive procedures if not necessary. |
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Nonblanchable Rashes of concern |
(class review) Meningocoxcemia. Petiachia/Purpura
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Bicycle accident concerns |
(class review) Did pt strike handle bars? Possible abdominal injury Ribs are more horizontal and provide less protection. |
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Normal Urine Output for child |
(class review) 1 to 2ml / Kg / Hr |
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Differences of child vs adult : BSA, blood volume, glycogen storage, metabolic rate |
(class review) Children have : increased BSA(predispose to temp dysregulation), decreased circulation blood volume(predispose to hypovolemia), decreased glycogen storage(predisoposed to hypoglycemia), Increased metabolic rate. |
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Oral Rehydration for 9month old with mild dehydration. |
(Practice Test) Glucose and sodium solution, every 2 to 5min with 5 to 10ml |
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6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior fontanel bulging, tachypnic. Diagnostic evaluation expected? |
(Practice Test) Skeletal survey. Possible shaken baby syndrome
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Minimal Acceptable BP's |
(class review) Newborn = 60 Infant = 70 Child = 70 + (2 x age in yrs) |
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All critically ill patients require _____ level |
(class review) glucose
due to low glycogen stores |
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Altered Mental Status is considered ______ until proven otherwise |
(class review) decreased cerebral perfusion |
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Decompensated shock in children #1 sign |
(class review) Hypotension |
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Best place for an IV |
(class review) Hand(ask if there is a certain side thumb they suck)
Scalp if less than 9months.
Not in feet if they walk.
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Tension Pneumothorax Tx |
(class review) Needle chest decompression
2nd ICS MCL |
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TBI considerations |
(class review) MD has to say when they can return, not the pt or caregiver.
Should be a "gradual return to play" |
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Cardiopulmonary Arrest usually from (2) |
(class review) Shock
Respiratory Distress |
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Bradycardia pharm treatment |
Epinephrine (1:10,000), 0.01mg/kg every 3-5min |
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Jump START triage : colors and designation |
Determined by ability to ambulate, respirations, perfusion, and mental status.
Black (dead or unsalvageable) Red (immediate care) Yellow (delayed care) Green (minor or ambulatory) |
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Jump START triage : breathing |
not breathing -> position upper airway, now breathing = red(immediate) -5 rescue breaths wo breathing, no pulse = black(deceased) |
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Jump START triage : Respiratory rate |
<15 or >45 = immediate (red) |
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Jump START triage : Pulse |
If breathing with resp rate 15-45.
No pulse = immediate (red) |
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Jump START triage : AVPU |
If breathing, resp rate 15-45, with palpable pulse.
AVPU
P(inappropriate), posturing or unresponsive = immediate(red)
A,V, P(appropriate) = delayed(yellow)
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