Key Pediatric Nursing Interventions Flashcards

1
Q

Assess what prior to med administration

A

Allergies
VS/physical exam
Developmental age

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2
Q

5 rights to med administration

A

Right:
-pt
-med
-dose
-route
-time

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3
Q

How to provide atraumatic care when administering meds (4)

A

Comforting position

Encourage participation

Give developmentally appriopriate options

Use topical anesthetic prior to injections

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4
Q

Oral meds
-what type of route is it
Forms

A

Preferred route

Forms:
Liquids
Chewable
Powders
Tablets/capsules

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5
Q

Oral meds

If only available in tablet or capsules we need to do what

A

Crush/opened and mixed with liquid or non-essential food

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6
Q

Oral meds:

Never what?

A

Never mix with essential food

Never crush or open and enteric coated or time release tablet

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7
Q

Oral med administration

How to

A

semi-reclined position, older child is upright

Admin into side of mouth in small amounts

Can mix with small amount of sweet non-essential food

Provide something to eat/drink after

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8
Q

What color are oral syringes

A

Orange

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9
Q

Rectal med admin

Is it preferred?
Only do it when
Position?

A

Not preferred (unpredictive drug absorption rates)

Preferred only when child is vomiting or NPO

Position child on side

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10
Q

Ophthalmic med admin

A

Inner to outer

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11
Q

Otic (ear) med admin

A

Less than 3
Down & back

Older than 3
Up & back

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12
Q

Nasal drops

A

Position supine with head hyperextended

After administration keep in position for 1 minute to promote adsorption

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13
Q

Nasal sprays

A

Position child upright with head tilted slightly back

Hold one nostril closed

Have child take deep breath in while administering med

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14
Q

IM injections

Infant <12 months old

vastus lateralis
Deltoid
Ventrogluteal

A

VL: 0.5ml

D: not recommended

VG: not recommended until 7 months

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15
Q

IM injections

Toddler 12mon-2yr

vastus lateralis
Deltoid
Ventrogluteal

A

vastus lateralis: o.5-1ml

Deltoid: 0.5ml

Ventrogluteal: 1ml

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16
Q

IM injections

3-5yrs old

vastus lateralis
Deltoid
Ventrogluteal

A

vastus lateralis: 1ml

Deltoid: 0.5ml

Ventrogluteal: 1.5ml

17
Q

IM injections

6-10yrs old

vastus lateralis
Deltoid
Ventrogluteal

A

vastus lateralis: 1.5-2ml

Deltoid: 0.5-1

Vastrogluteal: 1.5-2ml

18
Q

SQ injections

Primarily what drugs
Sites (3)

A

Primary used for :
-heparin, insulin, (vaccines: MMR & Varicella)

Sites:
-abdomen
-lateral upper arms
-anterior thighs

19
Q

Enteral feedings

(Types)
How elevated
Which ones do you check placement
Assess what

A

Continuous vs intermittent/bolus

HOB 30degree

Check placement for (NG/OG tube) NOT button

Assess abdomen for distention/bowel sounds

20
Q

Enteral feedings

Measure what
Flush with what
Feeding placed in what
Once complete do what

A

Measure gastric residual (remove air/replace contents)

Flush with sterile water once complete

Feeding placed in syringe or bag

21
Q

The duration for IV therapy

A

3-5 days for PIV

PICC (longer needs)

CVL (very sick)

22
Q

Atraumatic care of IV insertion

A

Limit attempts

Use transilluminator (vein finder)

Use topical numbing agents

child life therapy to assist-demonstrate proceduire on doll

JTIP (buffered lidocaine)

23
Q

IV admin

Most meds giving this way have to be given at a what?

Direct IV push meds are for what

Majority of IV meds given using what

A

Most meds given at a specific rate

Direct IV push med reserved for emergency situation

Majority of IV meds given using a syringe pump