Paediatric assessment

Question 1

When is the paediatric triangle used?

Answer 1

During the end of bed assessment

Question 2

What does the paediatric triangle involve:

Answer 2

Work of breathing, appearence, circulation of the skin

Question 3

In the paed triangle what are we looking at for WOB?

Answer 3

• Oxugenation and ventilation status
  position (tripoding?)
• Any abnormal airway sounds (grunting, wheeze, snoring, stridor, hoarse speech)
• Any visible recession (head bobbing (respiratory distress), tracheal tug and visible intercostal recession
• Nasal flaring?

Question 4

In the paed triangle, with appearence what are we looking for?

Answer 4

Tone - moves spontaneously, sits or stands
Interactivenes - appears alert and enaged with crew or caregiver, interacts with people and environment
Consolubilty - stops crying when being comforted by caregiver
Look/ gaze - Makes eye contact with provider
Speech/ cry - has strong cry, uses age approproate speech

Question 5

When looking at circulation in the paed triangle, what are we looking for?

Answer 5

Any Pallor - white or pale skin
Any mottling - patchy skin discorloration of skin due to vascontriction or vasodilation
Any cyanosis

Question 6

What is a tracheal tug?

Answer 6

a visible sign of respiratory distress where the trachea (windpipe) is pulled downwards and inwards towards the chest during inspiration.

Question 7

When administrating drug, what are the doages?

Answer 7

Weight based

Question 8

In paeds why is the absorbtion of oral medications slower?

Answer 8

incomplete development of the GI tract.

Question 9

Why is the absorbtion of IM drugs in newborns erratic and unpredictable?

Answer 9

They have reduced muscle and fat present