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ENPC Study Guide With 100% Correct Answers, Complete A+ Rated 100% Solutions

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ENPC Study Guide With 100% Correct Answers, Complete A+ Rated 100% Solutions 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 bre...

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  • May 22, 2024
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  • 2023/2024
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ENPC Study Guide With 100% Correct
Answers, Complete A+ Rated 100%
Solutions
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, stridor, grunting, retractions,

accessory musles, nasal flaring, head bobbing, abnormal positioning

Circulation to Skin

Observe palor

mottling

cyanosis

,Sick, Sicker, Sickest

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

hypoxia

hypoglycemia

Blood pressure norms

Hypotension: Less than 70 + (2 x age in years)



Widening pulse pressure = increased ICP



Narrowing pulse pressure = hypovolemic shock

Crying child

Vigorous = good

weak = sick

high-pitched = increased ICP

"Fussiness" = red flag

,Respiratory distress indicated by:

increased heart rate

skin color changes

incrased work of breathing

wheezing

diaphoresis

abnormal airwa sounds

Respiratory failure signs

fatigue and become lethargic

hypoxia

hypercarbia

General airway interventions

Allow child to stay in most comfortable position

Give O2 to maintain it above 92%

O2 does NOT measure ventilation

Croup

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

albuterol, duo neb and oral steroid

Bronchiolitis/RSV

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

obtain glucose for anyone who is not awake and alert



treat kids with 2-4ml/kg of D25W

When to perform blood glucose test?

When the child is not awake and alert or AMS is suspected

Preventing Secondary brain injury in TBI

prevent hypotension and hypoxia

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