Ch.38 Pediatrics Flashcards

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1
Q

Pediatric assessment triangle

A
  • Appearance
  • Work of breathing
  • Circulation
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2
Q

Appearance

A
  • Tone
  • Interactivity
  • Consolable
  • Speech/Cry
  • Look/Gaze
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3
Q

Work of breathing

A
  • Rate
  • Retractions
  • Anxiety
  • Positioning
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4
Q

Circulation

A
  • Cyanosis
  • Pallor
  • Mottled/Ashen
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5
Q

Respiratory Distress

A
  • Appearance -NORMAL
  • Work of Breathing-ABNORMAL
  • Circulation-NORMAL
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6
Q

Respiratory Failure

A
  • Appearance-ABNORMAL
  • Work of Breathing-ABNORMAL
  • Circulation-Either
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7
Q

Respiratory Arrest

A
  • Appearance-ABNORMAL
  • Work of Breathing-ABNORMAL
  • Circulation-ABNORMAL
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8
Q

Airway Obstruction Conscious Pt

A
  • Infant- 5 back blows, 5chest thrusts

* Child- Heimlich Maneuver

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9
Q

Airway Obstruction unconscious pt

A
  • CPR

- Look in mouth when doing ventilations

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10
Q

Croup

A
  • Common upper airway infection
  • Viral
  • 6 months- 3 years
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11
Q

Croup S/Sx

A
  • Respiratory distress Symptoms

- Seal bark like cough

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12
Q

Croup Rx

A
  • O2

- Saline Nebulizer

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13
Q

Epiglottitis

A
  • Resembles croup
  • Bacterial
  • 2-7 years of age
  • High Mortality Rate
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14
Q

Epiglottitis S/Sx

A
  • High Fever
  • Painful swallowing
  • Drooling
  • Stridor
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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
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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