Exam (elaborations)
ENPC STUDY GUIDE - QUESTIONS AND ANSWERS
- Course
- Institution
ENPC STUDY GUIDE - QUESTIONS AND ANSWERS
[Show more]
Seller
Follow
Studyhall
Reviews received
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now