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ENPC STUDY GUIDE - QUESTIONS AND ANSWERS
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ENPC STUDY GUIDE - QUESTIONS AND ANSWERS
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ENPC STUDY GUIDE - QUESTIONS AND ANSWERSPediatric triangle Correct Answer - appearance
work of breathing
circulation to skin
General appearance considerations Correct Answer - Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: Correct Answer - Increased work of breathing evidenced by
tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal
positioning
Circulation to Skin Correct Answer - Observe palor
mottling
cyanosis
Sick, Sicker, Sickest Correct 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 Correct Answer - hypoxia
hypoglycemia
Blood pressure norms Correct Answer - Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child Correct Answer - Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: Correct Answer - increased heart rate
skin color changes
incrased work of breathing
, wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs Correct Answer - fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions Correct Answer - Allow child to stay in most comfortable
position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup Correct 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 Correct Answer - albuterol, duo neb and oral steroid
Bronchiolitis/RSV Correct Answer - 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 Correct 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? Correct Answer - When the child is not awake and
alert or AMS is suspected
Preventing Secondary brain injury in TBI Correct Answer - prevent hypotension and
hypoxia
cuffed vs uncuffed tube Correct Answer - uncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula Correct Answer - infant: 10ml/kg
kid: 20ml/kg
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