ENPC Chapter 4 Question with answer 2023Components in the prioritization of pediatric emergency care (4)
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components
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components in the prioritization of pediatric emergency care 4 pat
focused assessment objective information
focused pediatric hxsubjective information
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ENPC Chapter 4 Question with answer
2023
Components in the prioritization of pediatric emergency care (4) - correct answer PAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - correct answer Forms the "general
impression".
Appearance. Work of Breathing. Circulation to the skin.
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest" Pg 54
Pediatric Assessment Triangle : Appearance - correct answer Most important. Reflects
adequacy of ventilation, oxygenation, brain perfusion, & central nervous system
function.
Assess for : tone, interactiveness, consolability, look/gaze, & speech/cry.
Pediatric Assessment Triangle : Breathing - correct answer More accurate indicator of
oxygenation & ventilation than RR or auscultation of chest sounds.
Look and listen for abnormal airway sounds, abnormal positioning, retractions, and
nasal flaring.
Pediatric Assessment Triangle : Circulation to skin - correct answer Allows
assessment of adequacy of CO & core perfusion or perfusion of vital organs.
Inspect skin color in central areas, lips, & mucous membranes.
Look for pallor, mottling, & cyanosis
Mottling skin - correct answer Patchy skin color. Areas where the skin color is irregular.
Refers to blood vessel changes that cause a patchy appearance in skin.
Sick pt - correct answer Consider lower-acuity rating, observe for change in PAT,
provide comfort measures and reassurance to child and caregiver
Sicker pt - correct answer Consider higher-acuity rating, provide focused clinical
intervention ( i.e. O2 in distress).
Sickest pt - correct answer Immediate transport to treatment area, resuscitation efforts
to support oxygenation, ventilation, & circulation, ped team activated.
Avoid rectal temp in ped pts _____ - correct answer Potential or actual
immunocompromised, rectal surgery, chronic illness-no bacterial through abrased wall
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