General Care Flashcards

1
Q

Where do you assess pulse for a newborn?

A
  • Brachial with index finger
  • radius with middle finger
  • Umbilical cord
  • Temporal area of head
  • Femoral & carotid
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2
Q

What is the normal HR for a newborn?

A

120-140

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3
Q

Where is BP measured for newborn?

A

Above the AC space or legs

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4
Q

What is normal BP for micorpreemie (<1000g)?

A

S: 35-45
D: 15-35

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5
Q

What is normal BP for premature?

A

S: 40-60
D: 20-40

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6
Q

What is normal BP for term infant?

A

S: 50-70
D: 25-45

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7
Q

What are VITALS for infants ( < 1)?

A

RR: 30-60
HR: 90-120
BP: 65-100/45-65

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8
Q

What normal vitals for toddlers?

A

RR: 25-40
HR: 80-100
BP:90-110/55-70

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9
Q

What are normal vitals for a young child?

A

RR: 20-35
HR: 70-100
BP: 90-120/55-70

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10
Q

What are normal vitals for a school aged child?

A

RR: 18-30
HR: 70-100
BP: 90-120/60-80

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11
Q

What are the normal vitals for an adolescent?

A

RR: 16-24
HR: 60-100
BP: 100-120/65-85

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12
Q

What are some signs of dehydration?

A
  • Depressed fontanels (soft spots on head)
  • Less or no wet diapers in a time period
  • Nasal or oral mucosa will be dry
  • Infant or child is crying but produces no tears
  • Delayed capillary refill
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13
Q

What is insufflator-exsufflator (cough assist)?

A

This device creates a positive pressure to increase the FRC and then creates neagtive pressure to mimic a cough.

Beneficial in patients with neuromuscular weakness who have a weak ineffective cough

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14
Q

What are some contraindications to ACT?

A
  • pneumothorax
  • frank hemoptysis
  • foriegn body aspiration
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15
Q

How does continuous neb work?

A
  1. gives 5-20mg for refractory bronchospasm
  2. Monitor for cardiac side effects and hypokalemia
  3. Can be given in conjunction with heliox therapy
  4. REVIEW DOSING CALCULATIONS FOR CONT NEB DELIVERY
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16
Q

What is glycopyrrolate (robinul)?

A

Inhibits salivary and bronchial secretions

***Do not use for MG patients or down syndrome

17
Q

Side effects

Glycopyrrolate

A
  • thick secretions
  • tachycardia
  • palpitations
  • headache
18
Q

What does magnesium do?

A
  • relaxes smooth muscle
  • promotes bronchdilaton when given IV
  • reserved for patients with life threatening asthma exacerbation
19
Q

Side effects

Magnesium sulfate

A
  • hypotension
  • respiratory depression
  • somnolence