Caring for Child: Ch 21 Flashcards
What is the order vital signs should be taken in?
- respirations (belly breathers)
- heart rate (apical; lower left nipple)
- temp (forehead)
- blood pressure
How long do you take RR and HR? Why?
- 1 min
- check for variations
What is a red flag for change in vitals in children?
- increased HR
- decreased BP
Where do we bathe children under 2?
-bed bath
What is something important when bathing a child with an IV?
-unplug the IV from the wall
What kind of error is just as bad as a medication error?
-feeding error
What does sleep in children promote?
- increased immunity
- increased growth
You walk in the room and child is blue and not breathing, what do you do?
- IV check
- NG tube check
- vital signs
What are safety measures we use?
- toxic materials out of reach
- verify identity
- crib and side rails are elevated
- bubble tops if needed
What are the 6 rights of medication administration?
- patient
- medication
- dose
- route
- time
- documentation
What should you keep in mind when administering medication?
- cuddling or soothing child after medication
- making sure medication is not seen as punishment
- parent may give medication if comfortable and after receiving proper teaching
- preschool age or above may take oral meds by themselves under close supervision
What are some fever reducing measures?
- antipyretics: acetaminophen
- clothes off
- ice pack or cool rag under bendable parts
- lower room temp
What should you never hesitate to do?
-delegate or ask for help!
What is some good emotional and spiritual support?
- be “in the moment”
- convey a caring attitude
- listen
- clarify misconceptions
- help family develop coping mechanisms
How do you explain procedures?
- based on developmental age
- right before it happens to prevent overwhelming
- prepare parent
