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27 Cards in this Set
- Front
- Back
the cessation of clinically detectable cardiac mechanical activity.
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Cardiac Arrest
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Characterized by unresponsiveness, apnea, and absence of detectable central pulses
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Cardiac Arrest
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In infants and childres, most cardiac arrest results from progressive ___, ___, or both
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respiratory failure or shock
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In the out of hospital setting only about __ % to __% of children who experience cardia arrest survive to hospital discharge.
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5 to 12
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Children who experience cardiac arrest in the hospital setting , __% survive to discharge
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27
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From the information gathered during ____, you ___ the clinical condition of the child by type and severity, ___ what needs to be done, and ___ to implement appropriate treatment
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assess, catergorize, decide, act
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4 parts of pediatric assessment:
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1- general assessment
2- primary assessment 3- secondary assessment 4- tertiary assessment |
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A rapid visual and auditory assessment of the child's overall appearance, work of breathing, ans circulation completed within the first few seconds of patient encounter
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general assessment
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A rapid, hands-on ABCDE approach to evaluate cardiopulomanry and neurologic function; this step includeds assessment of vital signs and pulse ox
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primary assessment
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A focused medical history using the sample mnemonic and a thorough head to toe physical exam
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secondary assessment
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laboratory, radiographic, and other advanced tests that helo to establish the childs physiological condition and diagnosis
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tertiary assessment
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Pediatric assessment triangle
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Appearance, work of breathing, circulation
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muscle tone, interaction, consolabiltiy, look/gaze, or speech/cry
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appearance
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imcreased work of breathing (nasal flaring, retractions) decreased or absent respiratory effort, or abnormal sounds (wheezing, grunting, stridor)
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work of breathing
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abnormal skin color (pallor, mottling) or bleeding
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circulation
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Decrease in interaction, speech or cry, look or gaze, and muscle tone usually suggest a ______.
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serious underlying illness or injury
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Pale, mottled, bluish/gray skin color suggest poor ___ or ____ or both.
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perfusion or oxgenation
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A flush appearance suggest ___ or ___.
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fever or toxicity
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Diaphoriesis suggest significant ___ which may be related to a ___ problem or ____
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distress
cardiac or hyperthermia |
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Primary assessment uses the
A- B- C- D- E- |
Airway
Breathing Circulation Disability Exposure |
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The diference between PAT and primary assessment-
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PAT uses visual and auditory cluesa
primary assessment is hands-on evaluation |
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During each step of the primary assessment, watch for any life-threatening abnormality....if one is present, ____ before you complete the rest of the assessment
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treat it
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Assessment of airway is essential to determine if it is ___ or ___.
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open or unobstructed (patent)
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To assess upper airway patency look for ____ of the chest or abdomen, listen for breath ___ or air ___, feel the movement of air at the ___ and ___.
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movement, sounds movement, nose and mouth
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airway can be maintained by simple measures
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maintainable
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airway cannot be maintained without advanced interventions
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Not maintainable
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suggesst that upper airway is obstructed:
increased inspiratory effort with ____. Abnormal inspiratory ____ (__ or ____). episodes where no airway or breath sounds are produced despite ___ |
retractions
sounds (snoring/ high-pitch stridor) respiratory effort (complete obstruction) |