Term
| What are big indicators that a child 'looks sick' upon initial assessment? |
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Definition
| Little to no eye contact or playing |
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Term
| What does PAT stand for? What 3 aspects form the PAT? |
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Definition
Pediatric Assessment Triangle
1. Appearance
2. Work of breathing
3. Circulation
*AWCward! :P |
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Term
| What is an acronym concerning the 'Appearance' portion of the PAT? What it stand for? |
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Definition
TICLS! he he!
T Tone (muscle)
I Interactiveness
C Consolability
L Look/gaze
S Speech/cry |
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Term
| What indicates in the PAT that a child is having difficulty in their 'Work of breathing?' |
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Definition
| Leaning forward, tripod, nasal flaring |
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Term
| What are adjectives that describe 'circulation' in the PAT? |
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Definition
| Ashen before cyanotic. Pale, mottled |
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Term
| What comprises a 'focused' assessment? |
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Definition
Cardiac, respiratory, GI, neuro
*AAOx3 not appropriate for babies! (Use Flacc pain scale for babies, too) |
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Term
| Fact: Obtain resting measurements first and COMPARE them to when child is awake/alert |
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Definition
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Term
| Small ______ changes are ______ly significant |
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Definition
| Quantitative; qualitative |
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Term
| Ill normals for HR and RR |
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Definition
| Should be high; RR high if in resp distress |
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Term
| What is unusual about pediatric shock? |
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Definition
| Hypotension is NOT present in early shock |
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Term
| In what order do we assess kids? What is the acronym for this? |
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Definition
RABT!
R Respirations
A Apical pulse
B BP
T Temperature |
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Term
What should the SBP be for:
Infant?
>10 yo? |
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Definition
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Term
| Make sure the child has a _____ temp during exam! Why? |
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Definition
Warm; Cold stress increases O2 consumption.
*Don't ignore wet diaper- will lower temp |
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Term
| What are "red flag" changes in a child? |
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Definition
| LOC/behavior, change in cry, poor feeding |
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Term
| What do you need to know a/b output for a child in diapers? |
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Definition
1 lb wet diaper = 1 ml fluid
WEIGH diapers, don't count them!
Minimal output is 1 cc/kg/h (NOT 30 ml/h!!!) |
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Term
| How would you minimize O2 demand in a sick child? |
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Definition
Treat fever, pain, anxiety
Would vent, intubation, sedation be beneficial? |
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Term
S/S _________ distress:
1. Mottled/pale, NOT CYANOTIC
2. Irritable, grimace
3. Tachycardic, tachypneic
*Lethargy is LATE! |
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Definition
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Term
| Decreased response to painful stimulus is ________ in ANY age |
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Definition
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Term
| _______ _______ refers to eliminating/minimizing psychologic/physical distress for children/families in the health care system |
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Definition
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Term
This is an example of atraumatic care:
______ cream numbs for CBCs, IV placements, etc. |
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Definition
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Term
| When can you see the effects of hospitalization on a child? |
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Definition
| Before, during, or after hospital stay. Anxiety is better predicted in child's concept of illness rather than their maturity level. |
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Term
| How do you "normalize" a hospital environment for a child? |
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Definition
Maintain routine
Age-appropriate self-care
School work
Friends and visitors |
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Term
| What age group is it particularly important to 'minimize' separation? |
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Definition
< 5 yo.
*Parents are NOT visitors! |
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Term
| What are the phases of separation anxiety? |
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Definition
1. Protest phase
2. Despair phase
3. Detachment phase *May seriously affect attachment to parent |
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