Misc Flashcards
Drowsy and falls asleep quickly, but alert when awakened
Lethargy
sleepy and drowsy even when awake
obtundation
responsive only to vigorous and repeated stimuli
stupor
unresponsive even to painful stimuli
coma
patient demonstrates unrealistic sense of persecution, jealousy, grandiose ideas, or
ideas of reference
Distorted thinking:
Umbilical cord drops of by…
1-2 weeks
5th vital sign
pain
a hard/discrete node is
most likely malignant
tender node
most likely inflammation
Slow nodal enlargement over weeks/mo
benign
rapid enlargement w/o inflammation
malignancy
PALS
the primary site, all associated nodes, liver, spleen
submandibular or cervical nodes may be normal if they are less than
1 cm
inguinal nodes may be normal if they are less than
2 cm
Aspirin, barbituates, penicillin, tetracycline, iodide, cephalosporin, sulfonamide, mesantoin
may cause node enlargement
present w/ cervical nodes usually post. rather than ant.
childhood diseases like rubella, varicella, rubeola or Hep A and B and infectious
PAM List
Problems, allergies, medications
DO not use list
U, IU, MS, MSO, MgSO, X.0, or .X, QD, QOD
Lymph system development
20 weeks gestation
antibody production
immature at birth
Which lymph nodes are enlarged in infants?
postauricular and occipital
Which lymph nodes are enlarged in children?
cervical and submandibular
Which cervical lymph nodes are more consistent with cancer?
Posterior cervical nodes
fast myelinated pain fibers
A-delta fibers
slow, diffuse, chronic fibers
C-polymodal fibers
pain in infants
mostly along C-polymodal fibers, less ability to modulate pain
Older adults pain perception
NOT diminished
Descriptive pain scale
none->worst pain ever
Numeric Pain Scale
0-10
PIPP uses what parameters in measure pain in infants
age, behavior, HR, O2%, brow bulge, eye squeeze, nasolabial furrow
Neonatal infant pain scale
facial expression, cry, breathing patterns, movement, state of arousal
CRIES infant pain scale
crying, O2%, HR, BP, expressions, and sleeplessness
Wong-Baker faces
pain scale for children
Oucher Scale
pain scale for children real pics
FLACC
pain scale for non-verbal children (F-facial, L-leg motion, A-activity, C-cry, C-consolability) each 0-2
Non-verbal pain scale for older adults
vocal complaints (sounds), verbal complaints (words), facial expressions, bracing, restlessness 0-5 each
