Pediatric Cardiopulmonary Rehab Management Flashcards
in general, infants & children have different normal vital signs than adults. Do infants & children have higher or lower ____ than adults?
– HR
– RR
– BP
– higher
– higher
– lower
is the following situation considered normal or abnormal?
Baby often cries when hungry or tired, shows visable response to parents, and moves extremities well
normal
is the following situation considered normal or abnormal?
Baby flares nostrils when breathing, is audiably loud when breathing, and has absent respiratory effort
abnormal
is the following situation considered normal or abnormal?
Baby’s skin appears a more blue/yellow appearance, has weak pulses, bleeding, and capillary refill > 2 seconds
abnormal
what resting position is an infant in when hospitalized?
- hips:
- knees:
- ankles:
- shoulders:
gravity-dependent positions
- hip flexion, abduction, ER
- knee flexion
- ankle PF
- shoulder abduction, ER, scapular retraction
if a baby is in a prolonged gravity dependent position, this can lead to:
decreased extensibility and ROM –> may slow developmental progression
due to the resting position of an infant in the hospital, premature infants have ___(less/more)___ physiological flexion
less
what is a developmental concern in infants we should be conscious of if they spend prolonged periods in the hospital/this resting position?
delayed ability to get to midline
what are some reasons that the thoracic cavity of children with cardiopulm conditions lose mobility?
prolonged immobilization
guarding of postural muscles
overuse of accessory muscles
scar tissue
shallow breathing
surgical scars (due to surgical precautions)
how do you measure thoracic expansion in a pediatric patient?
at the bottom of the rib cage by tape measure with inhalation
what shape/position is the thorax and ribs in a:
– 0-3 month old baby
– 6-12 month old baby
– triangular thorax with horizontal ribs
– rectangular thorax with down-angled ribs
what are treatments focused on for pediatric CVP patients?
impairments that arise from developmental abnormalities, prematurity, immunologic deficiencies, and trauma
true or false. infants/children require less monitoring because they exhibit less changes and distress
false - they need closer monitoring because of decreased tolerance for hemodynamic changes and limitations in communicating distress
what are three techniques that can be used to improve rib cage mobility?
gentle thoracic cage mobilizations
manual release techniques
scar tissue massage
gentle thoracic cage mobilizations can be performed in _____ positions, with _______ caution in children with osteopenia or other structural impairments
all ; increased
where do you perform manual release techniques in children?
over intercostals to gain extensibility
in order to prevent abnormal skin adherence and scar tissue build up, where would you perform scar tissue massage?
over sternotomy, thoracotomy, or invasive line sites
what’s the purpose of interventions focused on flexibility in children?
elongate all muscles with decreased extensibility
what muscles are elongated in sidelying trunk rotation?
intercostals
what are you accomplishing by putting a child in supine on a ball?
elongated rib cage muscles
thoracic extension
shoulder retraction
what muscles do you especially want to stretch in pediatric patients?
pec major
quadratus lumborum
lats
rectus abdominus
hamstrings
what’s the best way to perform strength exercises in children?
utilize the child’s own body weight and gravity for resistance
wheelbarrow walking or crab walking are examples of what kind of intervention?
upper extremity weight bearing
squat to stand to retrieve toys, hopping, and jumping are all examples of what kind of intervention?
lower extremity weight bearing
