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ENPC Questions With Answers (Latest Update)
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ENPC Questions With Answers (Latest Update)
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ENPC Questions With Answers (LatestUpdate)
Inconsolable neonate Ans - hypoxia
Preschooler 3-5yrs likes Ans - Nightlights + Bandaids
4 Components of the Pediatric Prioritization Process Ans - 1. PAT
2. Focused Hx
3. Focused Assessment
4. Assignment of an acuity rating
Pain scale - nonverbal Ans - Flacc
Pain Scale - 4-7 yrs Ans - Faces
Pain Scale 8 yrs+ Ans - Numerical 0-10 scale
PAT Components Ans - General appearance
Work of breathing
Circulation
0 = Sick
1 = Sicker
2+ = Sickest
Airway Assessments Ans - Tongue Obstruction
Loose Teeth
Vomit
Secretions
Blood
Edema
Airway Interventions Ans - Re-position the head to a neural position
Open airway - chin lift, jaw thrust
Suction secretions - avoiding vagal stimulation
Not conscious - consider inserting orophargyngeal airway
Breathing Assessment Ans - Do I have spontaneous respirations?
What is the rate and depth of respiratons?
Do I have symmetric chest rise and fall?
Breath sounds present, what is their quality?
What is the work of breathing - do I have nasal flaring, retractions, accessory
muscle use?
, Interventions breathing Ans - Maintain a position of comfort
Provide supplemental O2
Not breathing adequately - provide bag mask ventilation AND reassess for
the effectiveness of breathing
Prepare for endotracheal intubation/RSI
Assessment of tube placement, insert gastric tube to reduce abd distention
Breathing assessment Ans - Do I have spontaneous respiration?
Do I have equal chest rise and fall?
What is the rate and depth of respiration?
What is the work of breathing - is there any nasal flaring, retractions, head
bobbing?
Circulation assessment Ans - Central and peripheral pulse rate and
quality
Skin color and temperature
Capillary refill
JVD and tracheal position - trauma
Circulation interventions Ans - CPR/ALS
Control obvious bleeding
Obtain IV access
Adminster 20ml/kg fluid bolus and reassessment of circulatory assessment
Administer blood or blood productions
Disability assessment Ans - AVPU - awake/alert, verbal, responds to pain,
does not respond/unconscious
Pupils equal round reactive to light
E Ans - Exposure and Environmental Control
Exposure and Environmental Control Assessment and Interventions Ans -
Look for obvious skin abnormalities
Sources of heat loss
Apply warm blankets
Provide overhead warming light
warm IV fluids/warmed humidified O2
F Ans - Full set of vital signs
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