ENPC Exam Study Guide with Complete Solutions
Pediatric 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 ...
ENPC Exam Study Guide with Complete
Solutions
Pediatric 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)
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
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
normal vitals - Correct Answer pg 52
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