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ENPC Questions And Answers Graded A+
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ENPC Questions | 87 Questions And AnswersGraded A+
Components in the prioritization of pediatric emergency care (4) ANS -
PAT, Focused Assessment (objective information), Focused pediatric
Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components ANS - Appearance.
Work of Breathing. Circulation to the skin. This forms the "general
impression".
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"
Pediatric Assessment Triangle : Appearance ANS - Most important.
Reflects adequacy of ventilation, oxygenation, brain perfusion, and central
nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
Pediatric Assessment Triangle : Work of Breathing ANS - Breathing
easy, even, and unlabored or tripod position, nasal flaring, retractions,
supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin ANS - Mottling
or PWD
PQRST for Pain ANS - (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain ANS - (pg86)
Self-report is the most reliable indicatior of pain; however not all pediatric pt
are capable or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed? ANS -
8 years old
Most ______ age __to____, are concrete thinkers and interpret words literally.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They
often confuse coincidence with causation, and have difficulty distinguising
fantasy from reality. ANS - (pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words
literally.
, Where as, most Preschoolers age 3yo to 5yo, are magical and illogical
thinkers. They often confuse coincidence with causation, and have difficulty
distinguising fantasy from reality.
Hypotension related to hypovolemia in pediatric trauma patients is a _____
sign and may indicate a loss of ___% to ___% of their circulating blood
volume. ANS - (pg262)
Late sign.
20% to 25% of circulating blood volume
6P's Assessment for Musculoskeletal Trauma ANS - (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria ANS - 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate
tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the
greatest risk of morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for
them
9. Pt who will require special social, emotional, or rehabilitative intervention.
If live interpreter not available for 15mins use ________ ANS -
Language line interpreter
Infants are obligate nose breathers. If nose is obstructed ___________ ANS
- suction nose
Opiod antidote ANS - Narcan
Benzo antidote ANS - Romazicon
Neutropenic pt with a temperature ANS - Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern ANS - Meningocoxcemia
Petiachia/Purpura
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