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ENPC Study Guide With Complete And Rated 100% Correct Solutions

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  • ENPC
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  • ENPC

Pediatric triangle appearance work of breathing circulation to skin General appearance considerations Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: Increased work of breathing evidenced by tachypnea, strid...

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  • October 6, 2022
  • 16
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • enpc 2022 study guide with complete and rated 100 correct solutions

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  • ENPC
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ENPC 2022 Study Guide With Complete
And Rated 100% Correct Solutions
Pediatric triangle - Answer appearance
work of breathing
circulation to skin

General appearance considerations - Answer Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry

Work of breathing: - Answer Increased work of breathing evidenced by tachypnea,
stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal
positioning

Circulation to Skin - Answer Observe palor
mottling
cyanosis

Sick, Sicker, Sickest - Answer Sick: no disruption of any component of PAT but
caregivers are concerned

Sicker: one component of PAT is a concern

Sickest 2+ concerns of PAT

2 leading causes of altered mental status in kids - Answer hypoxia
hypoglycemia

Blood pressure norms - Answer Hypotension: Less than 70 + (2 x age in years)

Widening pulse pressure = increased ICP

Narrowing pulse pressure = hypovolemic shock

Crying child - Answer Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag

Respiratory distress indicated by: - Answer increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis

,ENPC 2022 Study Guide With Complete
And Rated 100% Correct Solutions
abnormal airwa sounds

Respiratory failure signs - Answer fatigue and become lethargic
hypoxia
hypercarbia

General airway interventions - Answer Allow child to stay in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation

Croup - Answer 1-3 days of nasal congestion and fever with sudden onset of barky
cough

Treatment: dexamethasone and nebulized epi

Discharge Teaching: oral hydration, get child to cool air or steamy bathroom

Asthma interventions - Answer albuterol, duo neb and oral steroid

Bronchiolitis/RSV - Answer Assessment: 1-3 days nasal congestion fever, cough,
respiratory distress with wheezing and crackles. Dehydration and tachypnea

interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2

Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration

treating hypoglycemia - Answer obtain glucose for anyone who is not awake and alert

treat kids with 2-4ml/kg of D25W

When to perform blood glucose test? - Answer When the child is not awake and alert or
AMS is suspected

Preventing Secondary brain injury in TBI - Answer prevent hypotension and hypoxia

cuffed vs uncuffed tube - Answer uncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5

fluid bolus formula - Answer infant: 10ml/kg
kid: 20ml/kg

normal vitals - Answer pg 52

, ENPC 2022 Study Guide With Complete
And Rated 100% Correct Solutions
blood glucose normal ages 5-11 - Answer 72-140

Cardiac Assessment - Answer Trend pulse and pulse pressure
palapate upper and lower extremity pulses

symptoms of CHF - Answer poor feeding, irritability, fatigue easily with rapid resp rate,
increased work of breathing

Ass and Interventions similar to adults

Myocarditis Assessment and treatment - Answer Assess: consider in anyone with
recent viral infection; SOB and crackles; dysrhthmias; heart failure; syncope; elevated
liver enzymes

Treat: diuretics; BP support; ECMO; transplant

Hypovolemic Shock - Answer Tachycardia, tacypnea; AMS; slight increaes in diastolic
pressure

Intervention: Stop bleed; give fluids and RBC; balanced therapy; offer pedialyte if not
NPO

Cardiogenic shock - Answer Intervention: expert consult; supportive care to decrease
O2 and metabolism demands; slow fluids; treat hpotension while decreasing afterload;
vagal maneuver; vasopressors

Obstructive Shock - Answer Assessment: Cardiac tamponade- muffled heart sounds
and pulsluss paradoxus; tension pneumo- asymmetrical chest rise and fall

Intervention: pericardiocentesis; needle thoracentesis; antigoagulation or surgical
intervention; treat ductal dependent lesion

Anaphylactic Shock - Answer remove pathogen
fluids
epi

Neurogenic - Answer spinal motion restriction
vasopressors
warming measures

Septic - Answer Fluids
antibiotics
vasopressors

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