đź‘Ľ373: Pediatrics Flashcards
What are normal vitals for Newborn - 3 month olds?
HR: 100-150
RR: 35 - 55
BP: (65-85)/(45-55)
What are normal vitals for 3 months to 1 year old?
HR: 80 - 120
RR: 25 - 45
BP: (70-100)/(50-65)
What are the normal vitals for 1-3 year olds?
HR: 70-100
RR: 20-30
BP: (90-105)/(55-70)
What are normal vitals for 3-6 year olds?
HR: 65-100
RR: 20-25
BP: (95-110)/(60-75)
What are normal vitals for 6-12 year olds?
HR: 60-95
RR: 14-22
BP: (100-120)/(60-75)
What are normal vitals for 12+ year olds?
HR: 55-85
RR: 12-18
BP: (110-135)/(65-85)
What is the general pattern of growth in weight?
6 months: birth weight x2
1 year: birth weight x3
2.5 years: birth weight x4
What are the 3 directional trends of physical development?
- Cephalocaudal
- Proximodistal
- Differentiation
What is the general pattern of growth in length?
1 yr: birth weight x1.5 2 yrs: half adult height 4 yrs: birth length x2 4 - height cm = weight lbs (40,40) 13 yrs: birth weight x3
What is the general pattern of growth in dentition?
Erupt by 6 months
1 yr: 6-8 teeth, molars
2 yr: molars
3 yr: 20 baby teeth
6 yr: baby teeth fall out, adult teeth come in
What are major developmental milestones at 3 months?
- Eyes focus
- Hold head up
- Palmar grasp
- “Upward dog”
What are major developmental milestones at 4-5 months?
- Roll front to back
- another month for back to front
What are major developmental milestones at 6 months?
- Transfer objects from one hand to other
- Sit supported (unsupported 7-8 months)
- Support weight on legs
- Babbling one syllable
What are major developmental milestones at 8 months?
Pinser grasp- can pick things up!
What is the average age babies start to crawl?
10 months
What is the average age children start to walk?
13 months
What are major developmental milestones at 10 months?
- Pull themselves up
- Can cruise standing
- Vocalize one words (“muma”, “dada”)
What are major developmental milestones at 1-3 years?
- Vocabulary increases
18 months = 10+ words - Can hold a crayon at 1 yr
What are major developmental milestones at 2-3 years?
- Draw shapes
- 2-footed jump
- Turn pages of a book
300+ words
What are major developmental milestones at 4-5 years?
- Scissors
- Stairs independently
- Can write their name
- Hop on 1 foot
What is Erickson’s Psychosocial Development Theory?
Describes core problems/conflicts that the individual strives to master in personality development
- No core conflict ever mastered, but remains a current problem throughout life
8 stages - 5 in childhood
What are the first 5 of Erikson’s Stages that relate to childhood?
- Trust vs Mistrust
- Autonomy vs Shame and Doubt
- Initiative vs Guilt
- Industry vs Inferiority
- Identity vs Role Confusion
What is the Erikson’s 1st stage, and when does it occur?
Trust vs Mistrust
Birth - 1 year
- nurture attachment
What is the Erikson’s 2nd stage, and when does it occur?
Autonomy vs Shame and Doubt
1-3 years
- nurture choices and independence
What is the Erikson’s 3rd stage, and when does it occur?
Initiative vs Guilt
Preschool (3-6 years)
- engage in play
- goal-directed
What is the Erikson’s 4th stage, and when does it occur?
Industry vs Inferiority
School age (6 - 12)
- eager to develop skills and knowledge
What is the Erikson’s 5th stage, and when does it occur?
Identity vs Role Confusion
Adolescent (13-18 years)
- identity, peer pressure, appearances
- give privacy
What are the Piaget’s 4 Stages?
- Sensorimotor (birth - 2)
- Preoperational (2-7 years)
- Concrete operations (7-11 years)
- Formal operations (11 - adulthood)
What are the sleep patterns for newborns?
16 hours, for 3-4 hours at a time
What are the sleeping patterns of infants?
2-6 months: 14-16 hours (3 naps)
6-18 months: 14 hours (2 naps)
What are the sleeping patterns of toddlers?
10-12 hours/day (1 nap)
What are the sleeping patterns of preschoolers?
12 hours/night
What are the sleeping patterns of school-aged children?
10-12 hours/night
What are signs and symptoms of salicylate (ASA) overdose?
Hyperventilation Diaphoresis N/v Tinnitus Dizziness Confusion Seizures Bleeding
What is the treatment for salicylate (ASA) overdose?
- Activated charcoal
- Gastric lavage
- Sodium bicarbonate
- Vit K
- Anticonvulsants
What are signs and symptoms of acetaminophen overdose?
Diaphoresis Abdominal pain Lethargy Weakness N/v
(Don’t Allow Little Weaklings Near Vomit)
What is the treatment for acetaminophen overdose?
- Gastric lavage
2. Acetylcysteine (mucomyst)
What are signs and symptoms of lead poisoning?
Unexplained vomiting Chronic abdominal pain Anemia Drowsiness, irritability Ataxia Seizures Brain damage
What is the treatment for lead poisoning?
Chelation therapy
What are signs and symptoms of iron poisoning?
Vomiting blood Blood in stool Hypotension Tachypnea Cyanosis
What is the treatment for iron overdose?
- Gastric lavage
2. Chelation therapy
What are signs and symptoms of corrosives/chemicals ingestion?
Severe respiratory issues
What is the treatment for corrosives/chemical ingestion?
- Dilute with water
- Oxygen
- Maintain airway
What are the 3 stages of separation anxiety?
- Protest
- Despair
- Detachment/denial
What are stressors of hospitalization for children?
- Separation anxiety
- Loss of control
- Fear of bodily injury/pain
What are 7 functions of play?
- Sensorimotor development
- Intellectual development
- Socialization
- Creativity
- Self-Awareness
- Therapeutic Value (emotional outlet)
- Moral Value
What are the 4 types therapeutic play?
- Normative Play
- Emotional Outlet Play
- Instructional Play
- Physically Enhancing Play
What is the normal potassium range?
4.1 - 5.3