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"
3. Pediatric Assessment Triangle : Appearance: Most important.
Reflects ad- equacy of ventilation, oxygenation, brain perfusion, and
central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and
speech/cry.
4. Pediatric Assessment Triangle : Work of Breathing: Breathing easy,
even, and unlabored or tripod position, nasal flaring, retractions,
supraclavicular retrac- tions
5. Pediatric Assessment Triangle : Circulation to the skin: Mottling or PWD
,6. PQRST for Pain: (pg86)
Precipitating and palliating
factors Quality
Radiation
Severity, symptoms, and
site Time or triggering
factors
7. Verbal Report for pain: (pg86)
Self-report is the most reliable indicatior of pain; however not all
pediatric pt are capable or wiling to verbalize their discomfort.
8. What age is the respiratory system considered fully developed?: 8
years old
9. Most age to , are concrete thinkers and interpret
words literally.
Where as, most age to , are magical and illogical thinkers. They
often confuse coincidence with causation, and have difficulty distinguising
fantasy from reality.: (pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret
words literally. Where as, most Preschoolers age 3yo to 5yo, are
,magical and illogical thinkers. They often confuse coincidence with
causation, and have difficulty distinguising fantasy from reality.
, 10. Hypotension related to hypovolemia in pediatric trauma patients is a
sign and may indicate a loss of % to % of their circulating
blood volume.: (pg262)
Late sign.
20% to 25% of circulating blood volume
11.6P's Assessment for Musculoskeletal Trauma: (pg
283) Pallor : color different from uninjured
Pain
Pulselessnes
s
Parasthesia
Paralysis
Poikilotherm
ia
12.Burn Transfer Criteria: 1. 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.
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