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33 Cards in this Set
- Front
- Back
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Children compose what percent of ED visits? |
20%, most are less than 6 years old |
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Don't use the words |
"normal" or "Handicapped" instead use "typical" and "disabled"
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What does "growth" mean |
Physical, inc weight, BMI |
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Development means |
mental ability/skills |
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Neonate= |
birth to 28 days (from estimated due date). Reflexes should be symmetrical. Look for heat loss, hypoglycemia
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Infant = |
1 month-12 months. Obligate nose breathers til 4 months. 2 x metabolic rate. Insensible fluid loss (due to inc temp) |
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Toddlers |
1-3 years. Concrete thinkers |
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Preschoolers |
3-5 years old. Magical illogical thinkers. Literal. Interpretations. Ask many ?s |
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School Age |
5-11 years. Develop a sense of accomplishment. Logical thought processes. Improved time concepts |
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Flacc scale |
Face, legs, activity, cry, console |
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N-Pass |
Neonatal pain, agitation, & sedation |
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Faces |
youngest you can use it is 3 years old |
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Goals of he Initial systematic assessment |
1. Recognize life threatening 2. ID indicators of illness & injury 3. Determine priority |
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Airway |
1. Vocalization 2. tongue obstruction 3. Look for loose teeth/foreign object 4. Vomit/blood/secretions 5. Edema 6. Preferred posture 7. Drooling, dysphagia, abnormal airway sounds |
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Interventions for airway |
1. Spinal Stabilization 2. Get in a position where kid can see 3. Sniffing position 4. Jaw thrust -> Chin tilt/lift 5. Suction 6. Insert airway/intubate |
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Breathing |
1. Spontaneous respirations? 2. LEvel of Consciousness? 3. Rate and depth of respirations 4. Rise & fall of chest 5. SKin color 6. Bilateral breath sounds 7. Work of breathing (retractions, stridor, nasal flare) 8. JVD/tracheal deviation |
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Interventions for Breathing |
1. Position for effective & comfortable breathing 2. High Flow O2 3. Assist with Bag-Mask device 4. If intubated - decompress belly 5. Needle decompression of chest |
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Circulation |
1. Central and peripheral pulses 2. Skin color, temp & moisture 3. Cap refil 4. Uncontrolled external bleeding 5. patency of pre-existing IV 6. |
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Interventions for circulation |
1. CPR if pulse <60 2. Sync cardioversion/defib 3. Control External bleeding 4. 20mL/kg/mL crystalloid x 2-3 Obtain vasc access & IV fluids |
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What is the formula for BP in peds? |
90+2xage in years |
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What are focus adjuncts? |
1. cardiac monitor 2. Urinary Catheter 3. Gastric tube 4. Lab specimens 5. Bedside glucose |
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History= |
Ciampeds & MIVT |
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Planning & implementation |
1. Prepare to admit/transfer 2. I & O 3. Meds 4. Isolation 5. Provide psychosocial support 6. 4 score & ped GCS |
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WHat will you continue to re-evaluate |
1. Primary assessment 2. Pain 3. Vitals 4. Illness/injury |
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What are the 3 componenets of Pediatric Assessment triangle |
1. General Appearance 2. Work of Breathing 3. Circulation to skin |
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What is the central resp drive controlled by? |
Changes in PaCO2 & H ion concentration (O2 is a late drive like <60O2) |
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Signs of resp distress |
1. Nasal flaring 2. Accessory muscles 3. Inc resp rate 4. Retractions |
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Croup interventions |
1. Consider Racemic epinephrine (lasts 2 hours) 2. Cool mist 3. COnsider corticosteroids 4. Steeple sign |
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Epiglottitis |
1. Acutely high fever 2. Muffled voice 3. Drooling, severe sore throat, stridor 4. Get a lateral neck - thumb sign |
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Interventions |
1. Supplemental O2 2. Peak flow 3. Meds as ordered (B2 agonists, anticholinergic) 4. Reassess every 60 min |
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Interventions for Bronchiolitis |
1. Suction with bulb syringe 2. Contact isolation 3. Albuterol? 4. Nebulized saline |
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Interventions for pertussis |
1. Droplet precautions 2. Erythromycin 3. immunizations |
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N/v status |
1. pain 2. pallor 3. pulselessness 4. parthesia 5. paralysis 6. poikilothermia |
