Latest ENPC 2024 Exam Questions Rated 100% With Correct Answers
1 view 0 purchase
Course
ENPC
Institution
ENPC
Pediatric triangle - ANS appearance
work of breathing
circulation to skin
General appearance considerations - ANS Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANS Increased work of br...
Pediatric triangle - ANS appearance
work of breathing
circulation to skin
General appearance considerations - ANS Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANS Increased work of breathing evidenced by tachypnea, stridor,
grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning
Circulation to Skin - ANS Observe palor
mottling
cyanosis
Sick, Sicker, Sickest - ANS 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 - ANS hypoxia
hypoglycemia
Blood pressure norms - ANS Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child - ANS Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
,Respiratory distress indicated by: - ANS increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - ANS fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions - ANS Allow child to stay in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - ANS 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 - ANS albuterol, duo neb and oral steroid
Bronchiolitis/RSV - ANS Assessment: 1-3 days nasal congestion fever, cough, respiratory
distress with wheezing and crackles. Dehydration and tachypnea
treating hypoglycemia - ANS obtain glucose for anyone who is not awake and alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? - ANS When the child is not awake and alert or AMS
is suspected
Preventing Secondary brain injury in TBI - ANS prevent hypotension and hypoxia
cuffed vs uncuffed tube - ANS uncuffed= (age in years/4) + 4
cuffed= (age in years/4) + 3.5
fluid bolus formula - ANS infant: 10ml/kg
, kid: 20ml/kg
normal vitals - ANS pg 52
blood glucose normal ages 5-11 - ANS 72-140
Cardiac Assessment - ANS Trend pulse and pulse pressure
palapate upper and lower extremity pulses
symptoms of CHF - ANS poor feeding, irritability, fatigue easily with rapid resp rate,
increased work of breathing
Ass and Interventions similar to adults
Myocarditis Assessment and treatment - ANS Assess: consider in anyone with recent
viral infection; SOB and crackles; dysrhthmias; heart failure; syncope; elevated liver enzymes
Treat: diuretics; BP support; ECMO; transplant
Hypovolemic Shock - ANS Tachycardia, tacypnea; AMS; slight increaes in diastolic
pressure
Intervention: Stop bleed; give fluids and RBC; balanced therapy; offer pedialyte if not NPO
Cardiogenic shock - ANS Intervention: expert consult; supportive care to decrease O2
and metabolism demands; slow fluids; treat hpotension while decreasing afterload; vagal
maneuver; vasopressors
Obstructive Shock - ANS Assessment: Cardiac tamponade- muffled heart sounds and
pulsluss paradoxus; tension pneumo- asymmetrical chest rise and fall
Anaphylactic Shock - ANS remove pathogen
fluids
epi
Neurogenic - ANS spinal motion restriction
vasopressors
warming measures
Septic - ANS Fluids
antibiotics
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.39. You're not tied to anything after your purchase.
