ENPC Questions with complete 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 ...
pediatric triangle appearance work of breathing ci
general appearance considerations tone interactive
blood pressure norms hypotension less than 70
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ENPC Questions with complete
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
, incrased work of breathing
wheezing
diaphoresis
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
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
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