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Components |in |the |prioritization |of |pediatric |emergency |care |(4) |- |ANSWER-PAT,
|Focused |Assessment |(objective |information), |Focused |pediatric |Hx(subjective
|information), |assignment |of |an |acuity |rating |decision
Pediatric |Assessment |Triangle |: |(3) |components |- |ANSWER-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 |- |ANSWER-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 |- |ANSWER-Breathing |easy, |even,
|and |unlabored |or |tripod |position, |nasal |flaring, |retractions, |supraclavicular
|retractions
Pediatric |Assessment |Triangle |: |Circulation |to |the |skin |- |ANSWER-Mottling |or |PWD
PQRST |for |Pain |- |ANSWER-(pg86)
Precipitating |and |palliating |factors
Quality
Radiation
Severity, |symptoms, |and |site
Time |or |triggering |factors
Verbal |Report |for |pain |- |ANSWER-(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? |- |ANSWER-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. |- |ANSWER-(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. |- |ANSWER-
(pg262)
Late |sign.
20% |to |25% |of |circulating |blood |volume
6P's |Assessment |for |Musculoskeletal |Trauma |- |ANSWER-(pg |283)
Pallor |: |color |different |from |uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn |Transfer |Criteria |- |ANSWER-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 |________ |- |ANSWER-Language |line
|interpreter
Infants |are |obligate |nose |breathers. |If |nose |is |obstructed |___________ |- |ANSWER-
suction |nose
Opiod |antidote |- |ANSWER-Narcan
Benzo |antidote |- |ANSWER-Romazicon
Neutropenic |pt |with |a |temperature |- |ANSWER-Don't |take |rectal |temp.
No |invasive |procedures |if |not |necessary.
Nonblanchable |Rashes |of |concern |- |ANSWER-Meningocoxcemia
Petiachia/Purpura
Bicycle |accident |concerns |- |ANSWER-Did |pt |strike |handle |bars?
Possible |abdominal |injury
Ribs |are |more |horizontal |and |provide |less |protection.
Normal |Urine |Output |for |child |- |ANSWER-1 |to |2ml |/ |Kg |/ |Hr
Differences |of |child |vs |adult |: |BSA, |blood |volume, |glycogen |storage, |metabolic |rate |-
|ANSWER-Children |have |: |increased |BSA(predispose |to |temp |dysregulation),
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