Module 5 Flashcards
What are the specific pediatric safety measures for reducing fluid volume complications?
-all med dosages are based on a child’s weight
-daily weights are completed in the morning before the first feed
-IV rates are checked hourly and documented
-calculations of intake and output balances based on the child’s weight are completed and documented every 4 hours
What are the recommended nutritional guidelines for toddlers?
-small nutritious and frequent meals
-avoid foods that could potentially cause choking
-encourage the use of homogenized milk (3%) to complement breastfeeding at 12 months of age
-if toddler does not tolerate milk products the use of soy milk is recommended
-limit fluids and fruit juices between meals
-be patient when introducing new foods
What tools can be used to measure nutritional challenges?
-laboratory and diagnostic tests
-percentile/growth charts
-nutritional assessment
-dietary history compared to the Canada Food Guide
-activity and lifestyle factors
What is the Diagnostic Evaluation of Failure to Thrive?
-measure height and weight on growth chart
-complete health history including prenatal period
-dietary intake diary
-activity level
-parental heights
-blood work
What is considered underweight on the growth percentile charts?
3-5 percentile
What is considered severely underweight on the growth percentile chart?
<0.1 percentile
What is considered at risk for overweight on the growth percentile chart?
85th percentile
What is considered obese on the growth percentile chart?
> 95-97th percentile
What is considered severely obese on the growth percentile chart?
> 99.9th percentile
What are the barriers to pain management in children?
-misinterpretation of the meaning of a child’s words
-child’s fear or dislike of the intervention
-interpretation of PRN to mean “as little as possible”
-parent’s fear of child becoming addicted to narcotics
What is used for pain management in infants?
-sucrose
-swaddling
-breastfeeding
-skin to skin