Assessment Flashcards
Assessment
Level of consciousness (impairment might reflect hypoxia).
Upper and lower airways. Observe for hoarse cry/voice, stridor (a high-pitched, noisy sound occurring during inhalation or exhalation), cough, wheezing, or shortness of breath.
Respiratory rate O2 saturation monitoring, if available.
Blood pressure. Note: because hypotension is less common in children, blood pressure may be unchanged, especially in children who have compensated shock with tachycardia.
Pulse rate (assess for rapid, weak pulse). Examine for pallor or cyanosis around perioral area.
Skin (observe for facial flushing, itching, hives or welts).
Suddenly quiet, sleepy or lethargic (common in young children).
Gastrointestinal (nausea, vomiting or diarrhea).
Injection site(s). Observe for redness, swelling or hives.
