Environmental Risks Flashcards
What are environmental risks? (6 total)
Drug exposure Lead poisoning Failure to thrive Nutritional insufficiency Second hand smoke exposure Pediatric environmental concerns
What are some unique susceptibilities of children?
Exploratory Behavior Crawling Hand to mouth activity Restricted diet Teens-Work, hobbies
Children differ physiologically how?
Still growing and developing
Absorption, metabolism and elimination differ
Blood-brain barrier still forming in young infants
The APP (American Academy of Pediatrics) has established what type of office based recommendations for preschool aged, school aged, and adolescents?
Office-based counseling for unintentional injury prevention
What are some topics that the APP has made recommendations for?
Traffic safety Burn prevention Fall prevention Chocking prevention Drowning prevention Poison prevention Firearm safety
What is the second leading cause of death in children?
Burns
How many children die in house fires per year?
1,000. 2/3 under 4 years old.
What number of children require hospitalization due to burns?
20,000/440000. Most are scalding injuries
Rule of nines is unreliable in children under what age?
15
Distinguish between first, second, and third degree burns!
First= Superficial Second= Partial thickness Third= Full thickness
What is the difference between adult and child burns in terms of body percentage surface area affected?
Head and leg differences are greater in children compared to adults.
What are some services performed for burn treatment?
Immediate Measures
- Endotracheal intubation
- Ventilatory support
- Intravenous fluids
Non-Immediate measures Treatment for shock Escharotomy Wound Care-dressing changes Skin grafts
What are some burn complications?
Hypertrophic scarring
Contracture formation
Peripheral nerve involvement
Tendon involvement
Give examples of pt interventions for burns
Massage Splinting Positioning Exercises for adjacent joints Pressure wraps, socks, sleeves