Pediatric triangle
appearance
work of breathing
circulation to skin
General appearance considerations
Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing:
Increased work of breathing evidenced by tachypnea, strid...
General appearance considerations correct answerTone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: correct answerIncreased work of breathing evidenced by tachypnea, stridor,
grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning
Circulation to Skin correct answerObserve palor
mottling
cyanosis
Sick, Sicker, Sickest correct answerSick: 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 answerhypoxia
hypoglycemia
,Blood pressure norms correct answerHypotension: Less than 70 + (2 x age in years)
Respiratory failure signs correct answerfatigue and become lethargic
hypoxia
hypercarbia
General airway interventions correct answerAllow child to stay in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup correct answer1-3 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 answeralbuterol, duo neb and oral steroid
Bronchiolitis/RSV correct answerAssessment: 1-3 days nasal congestion fever, cough, respiratory
distress with wheezing and crackles. Dehydration and tachypnea
treating hypoglycemia correct answerobtain glucose for anyone who is not awake and alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? correct answerWhen the child is not awake and alert or AMS is
suspected
Preventing Secondary brain injury in TBI correct answerprevent hypotension and hypoxia
cuffed vs uncuffed tube correct answeruncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula correct answerinfant: 10ml/kg
kid: 20ml/kg
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