258 revision 3

Question 1

BP for a 3-5 yo child

Answer 1

BP 89-112/ 46-72

Question 2

HR for a 3-5 yo child

Answer 2

80-120 (awake)

65-100 (sleeping)

Question 3

RR for a 3-5 yo child

Answer 3

20-28

Question 4

temp for a 3-5 yo child

Answer 4

35.8 - 38 (tympanic)

Question 5

oxygen sats for 3-5 yo child

Answer 5

95

Question 6

what are the stages of wound healing?

Answer 6

inflammation
organisation/proliferation
regeneragtion and fibrosis

Question 7

what is a tertiary intention?

Answer 7

a delayed primary closure (the wound is left open and surgical closure is done later when wound is clean)

Question 8

what kind of wounds are healed by secondary intention?

Answer 8

infected/contaminated wounds

dehisced surgical wounds

Question 9

about how long till wound has healed enough to remove staples?

Answer 9

1 week

Question 10

how long til primary intention wound achieves 90% strength?

Answer 10

about 3 weeks

Question 11

describe the organisation/proliferation stage of wound healing

Answer 11

granulation tissue
blood supply restored
collagen from fibroblasts fills the gap
macrophages
epithelial cells divide to start closing the gap

Question 12

describe the regeneration/fibrosis stage of wound healing

Answer 12

epithelium covers wound

scar tissue is formed

Question 13

action of cephazolin

Answer 13

interferes with cell wall synthesis
bactericidal
broad spectrum
often 2nd line

Question 14

administration of cephazolin

Answer 14

IV

Question 15

indications for cephazolin

Answer 15

surgical prophylaxis
skin
bone and joint
UTIs (also intra-abdo and gyna.)
respiratory
meningitis

Question 16

cephazolin SEs

Answer 16

N+V, abdo pain
fever
skin: rash, itching
dizziness, headache, insomnia, malaise
superinfection
anaphylaxis

Question 17

what bacteria is resistant to cephalosporins?

Answer 17

MRSA

Question 18

four aspects of a valid consent

Answer 18

informed,
specific,
voluntary
with capacity

Question 19

elements of the GCS

Answer 19

eyes open
verbal response
motor response
also note limb movement
pupil size

Question 20

what GCS score is associated with a need for airway management?

Answer 20

under 8

Question 21

goal of wound cleansing?

Answer 21

remove debris and devitalised tissue
remove dressing residue
remove excessive/ dry crusting exudates

Question 22

IDEAL discharge

Answer 22

Include – patient and family (with consent)
Discuss–home, medications, problems, warning signs, follow-up appointments
Educate – patient’s condition in plain language
Assess – how well education from doctors and nurses has been received
Listen – and respect patient’s goals, preferences, concerns