Peds CPA 3: Comprehensive
Pediatric Clinical Practice
Assessment Guide |
Edition
flex neck causing hip an knee flexion when meningitis present
brudzinski
Most common causes of illness and hospitalization in children
respiratory
Respiratory dysfunction in children tends to be more severe th...
Peds CPA 3: Comprehensive
Pediatric Clinical Practice
Assessment Guide | 2024-2025
Edition
flex neck causing hip an knee flexion when meningitis present
brudzinski
Most common causes of illness and hospitalization in children
respiratory
Respiratory dysfunction in children tends to be more severe than in adults
T or F
true
what is the most common cause of respiratory infections in children
viruses
Do children or adults deteriorate faster from respiratory issues
children/infants
How long are infants nose breathers?
4 weeks
what is most important during assessment
chief complaint
,are labs always drawn during peds assessments
yes
what do you first assess in peds assessment
skin color
peds respiratory anatomy
-nasal passage
-airway lumen size
-larynx size
-is airway compliant
-Cannot automatically open their mouth to breathe if the nose is obstructed
-Nasal passages are narrower
-Airway lumen is smaller in infants and children than adults
-Larynx is smaller and funnel shaped
-Airway is highly compliant
T or F:
Makes it susceptible to dynamic collapse if the airway is obstructed
true
alveoli amount at birth-8 years
Born with 150 million alveoli and increase to 300 million around 8 years of age
3 things you get ordered for peds check up
►Blood work
►X-rays
►Flu and strep tests
High-pitched sound that usually occurs on expiration
wheezing
,Crackling sounds on inspiration, expiration, or both
rales
nasal cannula amount
1/8 to recommended 4 L/min
oxygen hood amount
10 to 15 L/min
Provides 80-90%
oxygen tent
Provides high humidity up to 50%
simple mask amount
6 to 10 L/min 35-60%
non re breather mask amount
10 to 12 L/min 95%
ventilatory oxygen amount
100%
highest age group that has upper respiratory infections and when
-Children in day care
-School age children
(winter)
, how is the flu spread
-Inhalation of droplets
-Contact with fine-particle aerosols
what should parents do after 24 hours of antibiotics
throw the kids toothbrush away
parent teaching about common cold and how to treat
-treat symptoms
-Antibiotics is not indicated
-Frequent hand washing,
-Avoid second-hand smoke and crowded places
-Healthy diet and rest
Inflammation of the throat mucosa
pharyngitis
-15 to 25% of cases of peds pharyngitis
-Usually self limiting
-requires antibiotic therapy
-Tonsillitis often occurs with pharyngitis
Group A streptococci
assessment of child with pharyngitis
Abrupt onset Fever
Sore throat,
Difficulty swallowing
Headache
Abdominal pain
Pharynx inflammation
Rapid strep test
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