Chapter 4 Flashcards
A viral infection of the upper airway and the most common cause of upper airway emergencies in young children?
Croup
This seizure is a brief generalized tonic clonic seizure lasting less than 15min and occurs in children w/o underlying neurological abnormalities?
Simple febrile seizures
This is defined as a non progressive bilateral neuromuscular disorder in which voluntary muscles are poorly controlled
Cerebral palsy
Which IS NOT a sign/symptom to help determine a possible cause for altered mental status.
Dementia
If ICS is already in place you should immediately seek the?
Medical staging officer to receive your assignment
After about 30min after birth the baby’s heart rate drops to about 90bmp and respiratory rate adjusts to 20-25bpm?
FALSE
Measure pulse rate at the radial by:
Counting beats for 15min, then multiply that number by 4.
In your assessment you have determined the patient is febrile and has pulmonary and peripheral edema, follow up your examination by doing what?
At least two sets of vitals
Lungs with absent breath sounds suggests?
Pneumothorax
Becks triad is associated with?
Cardiac tamponade
When your PCP starts IV and administers 500ml bolus of normal saline to a patient w gastrointestinal bleeding, you’d usually expect?
A rise in blood pressure and decrease pulse rate
List things that require immediate transport??
-Unstable pelvic injury
-Seizure lasting longer than 10m
-Stridor(warning sign airway is narrowed serious potentially life-threatening if accompanied by difficulty breathing)
-facial droop w slurred speech
-breech fetus presentation
-abdominal tenderness and distension.
Sickle cell is a common inherited blood disorder in certain populations. After infancy patients w sickle cell are usually??
Anemic
A 6yo girl has a temp of 32 degrees celsius, she’s said to have?
A moderate hypothermia (average temp for children that age is 36.4)
Alcohol promotes vasoconstriction, sending more blood to the skin and promoting further heat loss?
False! It does the opposite, alcohol promotes vasodilation which equals heat loss.
Where do you start your assessment on a pediatric patient?
At the feet 🐾
Which bone fracture presents with w swelling, shortened and outward turning leg?
Femur fracture
What type of shock presents when the heart is unable to circulate sufficient blood to maintain adequate peripheral oxygen delivery?
Cardiogenic shock
Lacerations and avulsions in and around the mouth are associated with?
A risk of intraoral hemorrhage
An assessment of motor integrity in an unconscious patient is Largely based on patients response to?
Painful stimulus
A fall from a significant height will produce what type of fracture?
Impacted fractures
What disease presents an obese patient with a blueish complexion, and hypoxemia?
Chronic bronchitis (a type of COPD)
The classic presentation of tuberculosis are:
Weight loss, cough with blood tinged sputum, fever and night sweats.
A person with this condition experiences pain after certain predictable amount of exertion
Stable Angina
A systolic pressure of 90mm/hg might suggest
Serious hypotension and shock
What aren’t signs of a panic attack?
Fever
When doing an assessment on a woman with gynecologic emergency be sure to palpate the abdomen?
TRUE
Who would you NOT expect to have a spinal injury?
Man with stab wound to femur
Stable patients vitals should be monitored every?
15mins
A 7yo is expected to have pulse rate of??
100bpm
Positions?
Supine: lying on your back
Fowler: sitting position
Semi fowler: head of the bed is at 30degrees and knees are flat or slightly bend.
Prone: laying face down on their stomach
Lateral recumbent: recovery position
Trendenburg: head down feet up.
What doesn’t present with a possible false pulse oximeter reading??
A) 16yo with nail polish
B)78yo w edema to extremities
C) someone w BP of 100/54
D) a 17yo w knee injury
D) 17yo with knee injury 🤕
(For answer C, low BP particularly low diastolic pressure, can indicate reduced blood flow to extremities which includes fingers so this could cause false reading.
A 3 month old is expected to have a respiration rate of ??
35bpm (age 0-12mo should be 35-60)
A 14yo is expected to have a blood pressure of?
120/80. (Adolescents 13+, 120/80 is normal) 🛹
When doing a blood pressure by palpation, inflate cuff until you can no longer feel radial pulse, how long do you continue to inflate cuff?
20mmHg
Head to toe assessment should be conducted during?
Secondary assessment 🥈
Mnemonic OPQRST is used to assess pain?
Yes!
O-onset
P-provoke
Q-quality
R-region
S-severity
T-time
A patient who has a near drowning experience, is eye opening to pain, speaks w incomprehensible sounds and localizes pain. What’s their Glasgow coma scale
9!
If you check cap refill, nail bed doesn’t return to it’s normal color after you release, what does this mean?????
Patient has insufficient circulation
What should you treat before performing a secondary assessment??
Severe bleeding from head 🗣️ 🩸
If you find a pulse that’s irregular, you should assess for?
Longer than 15 seconds ⌚
When blood below the skin is oxygen deficient it can give the skin a blueish tint?
TRUE 💙🔵
If you suspect head or spine injury you must address these concerns before continuing w secondary assessment?
True
Point tenderness can indicate presence of injury often a fracture?
True
Once head to toe assessment is completed. Reassess their ABCs?
True 🚑
Skin that is pale, cool and clammy would be expected in a patient experiencing hypovolemic shock?
True
hypovolemic shock occurs when the body loses significant amount of blood 🩸 (decreased blood volume) Body prioritizes blood flow to vitla organs so body constricts blood vessels in extremities.
Pupils that are fully dilated would indicate possible Head trauma??
True
