Ch.38 Pediatrics

Question 1

Pediatric assessment triangle

Answer 1

• Appearance
• Work of breathing
• Circulation

Question 2

Appearance

Answer 2

• Tone
• Interactivity
• Consolable
• Speech/Cry
• Look/Gaze

Question 3

Work of breathing

Answer 3

• Rate
• Retractions
• Anxiety
• Positioning

Question 4

Circulation

Answer 4

• Cyanosis
• Pallor
• Mottled/Ashen

Question 5

Respiratory Distress

Answer 5

• Appearance -NORMAL
• Work of Breathing-ABNORMAL
• Circulation-NORMAL

Question 6

Respiratory Failure

Answer 6

• Appearance-ABNORMAL
• Work of Breathing-ABNORMAL
• Circulation-Either

Question 7

Respiratory Arrest

Answer 7

• Appearance-ABNORMAL
• Work of Breathing-ABNORMAL
• Circulation-ABNORMAL

Question 8

Airway Obstruction Conscious Pt

Answer 8

• Infant- 5 back blows, 5chest thrusts

* Child- Heimlich Maneuver

Question 9

Airway Obstruction unconscious pt

Answer 9

• CPR

- Look in mouth when doing ventilations

Question 10

Croup

Answer 10

• Common upper airway infection
• Viral
• 6 months- 3 years

Question 11

Croup S/Sx

Answer 11

• Respiratory distress Symptoms

- Seal bark like cough

Question 12

Croup Rx

Answer 12

• O2

- Saline Nebulizer

Question 13

Epiglottitis

Answer 13

• Resembles croup
• Bacterial
• 2-7 years of age
• High Mortality Rate

Question 14

Epiglottitis S/Sx

Answer 14

• High Fever
• Painful swallowing
• Drooling
• Stridor

Question 15

Asthma/Broncholitis

Answer 15

• Similar diseases and symptoms
• Will have wheezing upon exhalation
• Bronchiolitis -very young children, one episode of wheezing
• Asthma -multiple episodes of wheezing with a common cause

Question 16

ALTE

Answer 16

• Apparent Life Threatening Event
• An event that is frightening to the caregiver
• Less than 12 months old

Question 17

These thing falls on ALTE category

Answer 17

• Apnea
• Color change
• Marked change in muscle tone
• Unexplained choking or gagging

Question 18

Sudden death infant syndrome

Answer 18

• Sudden death of an infant less than 1 year old
• Exact cause unknown
• Make no judgement, treat as any other cardiac arrest
• If obvious signs of death DO NOT start resuscitation

Question 19

Trauma

Answer 19

• Head injuries (common)
• Extremity Fractures (common)
• Ribs more pliable
• Less Abdominal Muscles

Question 20

Car seats and Cspine

Answer 20

• Rear facing- can cspine in seat
• Forward facing- remove from vehicle on seat, then immobilize onto a board
• Booster seat - cspine as normal out of vehicle

Question 21

Child abuse

Answer 21

• Make no judgements
• Document- let law enforcement know and hospital staff
• Follow county policy -phone call ASAP and faxed written report within 36hours