components in the prioritization of pediatric emer
pat focused assessment objective information f
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ENPC Questions Test A
Components in the prioritization of pediatric emergency care (4)ANSWERPAT, Focused Assessment
(objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating
decision
Pediatric Assessment Triangle : (3) componentsANSWERAppearance. 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"
PQRST for PainANSWER(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed?ANSWER8 years old
6P's Assessment for Musculoskeletal TraumaANSWER(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
, Burn Transfer CriteriaANSWER1. 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.
Infants are obligate nose breathers. If nose is obstructed ___________ANSWERmouth then suction nose
Neutropenic pt with a temperatureANSWERDon't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concernANSWERMeningocoxcemia
Petiachia/Purpura
Normal Urine Output for childANSWER1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration.ANSWERGlucose and sodium solution, every 2 to
5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior
fontanel bulging, tachypnic. Diagnostic evaluation expected?ANSWERSkeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP'sANSWERNewborn = 60
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