chapter 30 Flashcards
Mechanical restraints must be used
Secure a child during IV infusions; protect a surgical site from injury, such as cleft lip and cleft palate; when restraint by hand is impractical
snug wraps used to restrain an infant or small child during a procedure
Mummy restraints
papoose boards
Papoose boards are similar restraints used for toddlers or preschoolers
Clove hitch restraints
Secure arm or leg, most often when a child is receiving an IV infusion. Restraint is made of soft cloth formed in a figure eight. Padding under the restraint is desirable if the child puts any pull on it. Loosen the restraint, check site at least every one to two hours
Elbow restraints
Wrapped around the child’s arm, tied securely to prevent elbow bending
Jacket restraints
Secure child from climbing out of bed or a chair; keep the child in a horizontal position
Three most common methods of holding a child
Horizontal position
Upright position
Football hold
Positioning for sleep
Infants on their backs or supported on their sides
what is no longer recommended for fever reducer
Tepid sponge baths no longer recommended for reducing fever
When lowering a child’s temperature and shivering occurs you must stop what you are doing to lower the temperature. This is because shivering
Is the body’s mechanism for raising the temperature
gavage also called what
Also called enteral tube feeding
Can be intermittent (bolus feeding) or continuous
Gastrostomy feeding
Surgically inserted through the abdominal wall into the stomach
Used in children who must receive tube feedings over a long period of time
Meticulous care of the wound site is necessary to prevent infection and irritation
after each feeding place the child in what position
After each feeding, place child on left side or in Fowler’s position (preferred).
if a bulb syringe does not work for suction what else can be used
Nasotracheal suctioning with a sterile suction catheter may be needed if secretions cannot be removed by other methods
Local application of heat: Increases
Increases circulation by vasodilation, promoting muscle relaxation
