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Exam (elaborations)

ENPC Questions and Correct Answers | Latest Update

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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 bre...

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  • September 24, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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1 | P a g e | © copyright 2024/2025 | Grade A+




ENPC Questions and Correct
Answers | Latest Update
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, stridor,

grunting, retractions, accessory musles, nasal flaring, head bobbing,

abnormal positioning




Circulation to Skin


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ::- Observe palor

mottling

cyanosis




Sick, Sicker, Sickest


→ ::- 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


→ ::- hypoxia

hypoglycemia




Blood pressure norms


→ ::- Hypotension: Less than 70 + (2 x age in years)




Widening pulse pressure = increased ICP




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




Narrowing pulse pressure = hypovolemic shock




Crying child


→ ::- Vigorous = good

weak = sick

high-pitched = increased ICP

"Fussiness" = red flag




Respiratory distress indicated by:


→ ::- increased heart rate

skin color changes

incrased work of breathing

wheezing

diaphoresis

abnormal airwa sounds




Respiratory failure signs


→ ::- fatigue and become lethargic

hypoxia



Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


hypercarbia




General airway interventions


→ ::- Allow child to stay in most comfortable position

Give O2 to maintain it above 92%

O2 does NOT measure ventilation




Croup


→ ::- 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


→ ::- albuterol, duo neb and oral steroid




Bronchiolitis/RSV




Master01 | September, 2024/2025 | Latest update

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