Ch.38 Pediatrics Flashcards
1
Q
Pediatric assessment triangle
A
- Appearance
- Work of breathing
- Circulation
2
Q
Appearance
A
- Tone
- Interactivity
- Consolable
- Speech/Cry
- Look/Gaze
3
Q
Work of breathing
A
- Rate
- Retractions
- Anxiety
- Positioning
4
Q
Circulation
A
- Cyanosis
- Pallor
- Mottled/Ashen
5
Q
Respiratory Distress
A
- Appearance -NORMAL
- Work of Breathing-ABNORMAL
- Circulation-NORMAL
6
Q
Respiratory Failure
A
- Appearance-ABNORMAL
- Work of Breathing-ABNORMAL
- Circulation-Either
7
Q
Respiratory Arrest
A
- Appearance-ABNORMAL
- Work of Breathing-ABNORMAL
- Circulation-ABNORMAL
8
Q
Airway Obstruction Conscious Pt
A
- Infant- 5 back blows, 5chest thrusts
* Child- Heimlich Maneuver
9
Q
Airway Obstruction unconscious pt
A
- CPR
- Look in mouth when doing ventilations
10
Q
Croup
A
- Common upper airway infection
- Viral
- 6 months- 3 years
11
Q
Croup S/Sx
A
- Respiratory distress Symptoms
- Seal bark like cough
12
Q
Croup Rx
A
- O2
- Saline Nebulizer
13
Q
Epiglottitis
A
- Resembles croup
- Bacterial
- 2-7 years of age
- High Mortality Rate
14
Q
Epiglottitis S/Sx
A
- High Fever
- Painful swallowing
- Drooling
- Stridor
15
Q
Asthma/Broncholitis
A
- Similar diseases and symptoms
- Will have wheezing upon exhalation
- Bronchiolitis -very young children, one episode of wheezing
- Asthma -multiple episodes of wheezing with a common cause
16
Q
ALTE
A
- Apparent Life Threatening Event
- An event that is frightening to the caregiver
- Less than 12 months old
17
Q
These thing falls on ALTE category
A
- Apnea
- Color change
- Marked change in muscle tone
- Unexplained choking or gagging
18
Q
Sudden death infant syndrome
A
- Sudden death of an infant less than 1 year old
- Exact cause unknown
- Make no judgement, treat as any other cardiac arrest
- If obvious signs of death DO NOT start resuscitation
19
Q
Trauma
A
- Head injuries (common)
- Extremity Fractures (common)
- Ribs more pliable
- Less Abdominal Muscles
20
Q
Car seats and Cspine
A
- Rear facing- can cspine in seat
- Forward facing- remove from vehicle on seat, then immobilize onto a board
- Booster seat - cspine as normal out of vehicle
21
Q
Child abuse
A
- Make no judgements
- Document- let law enforcement know and hospital staff
- Follow county policy -phone call ASAP and faxed written report within 36hours