Nursing Care of Children Flashcards
FLACC pain tool age
2 months - 7 years
Components of FLACC pain tool
- 0-10 rating
- Face
- Legs
- Activity
- Cry
- Consolability
FACES pain tool age
3 years and older
Oucher pain tool age
3-13 years
Oucher pain tool components
Pictures that show how the child is feeling
Non-communicating Children’s Pain Checklist age
3 years and older
Non-Communicating Children’s Pain Checklist scoring components
- Observe behaviors for 10 minutes
- Score 0-3 points for each category
Non-Communicating Children’s Pain Checklist categories (6)
- Vocal
- Social
- Facial
- Activity
- Body/limbs
- Physiological
Patent ductus arteriosus
Fetal ductus arteriosus doesn’t close within minutes - days after birth
Blood flow with patent ductus arteriosus
- Aorta to pulmonary artery
- Left to right shunting
Patent ductus arteriosus symptoms (7)
- Asymptomatic
- Symptoms of heart failure
- Respiratory distress
- Murmur
- Bounding pulses
- Widened pulse pressure
- Poor feeding
Ventricular septal defect
Abnormal opening in the septum between the left and right ventricle
Blood shunting in VSD
- Left to right shunting
VSD symptoms (3)
- Loud, harsh murmur auscultated at left sternal border
- Mild cyanosis that increases with crying
- Heart failure
Atrial septal defect
Abnormal opening in the septum between the left and right atria
Blood shunting in ASD
- Left to right shunting
ASD symptoms (6)
- Asymptomatic
- Murmur
- SOB with activity
- Frequent respiratory infections
- Dysrhythmias
- Heart palpitations/skipped beats
Tetralogy of fallot
- Pulmonary stenosis
- VSD
- Overriding aorta
- Hypertrophy of right ventricle
Blood shunting in TOF
- Left to right
- Right to left
TOF symptoms (5)
- Cyanosis/hypoxia (tet spells)
- Heart sounds vary depending on defect
- Cardiomegaly
- Heart failure
- Systolic murmur
Transposition of great vessels
- 2 main arteries are reversed
- Aorta exits the right ventricle instead of the left
- Pulmonary artery comes from the left ventricle instead of the right
Transposition of great vessels symptoms (4)
- Cyanosis
- Heart sounds vary depending on defect
- Cardiomegaly
- Heart failure
Coarctation of the aorta
Narrowing of the lumen of the aorta obstructing blood flow from the ventricle
Coarctation of the aorta symptoms (7)
- Upper extremities: elevated bp, bounding pulses
- Lower extremities: decreased bp, weak/absent pulses, cool skin
- Dizziness
- Syncope
- Headache
- Epistaxis
- Heart failure
Enterobiasis vermicularis
Pinworms
Nursing interventions for pinworms (3)
- Trim fingernails short
- Dress in 1 piece pajamas
- Shower instead of baths
Education for pinworms (3)
- Pyrantel pamoate will turn GI contents red and stain clothes
- Need to treat the whole family
- Good handwashing
Pediculosis capitis
Head lice
Education for head lice (8)
- Repeat treatment in 7-10 days
- Teach how to use nit comb and run in sections from scalp to ends
- Cover eyes when treating
- Treat all members of household
- Wash linens, towels, clothes in hot water and dry with hot air
- Seal non-washable items in plastic bag for 2 weeks
- Thoroughly vacuum carpets, car seats, pillows, stuffed animals
- Soak combs, brushes, hair accessories in lice killing agent for 1 hour
