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Initial Assessment and Head-to-toe- Peds Test 1
n/a
24
Nursing
Undergraduate 4
02/02/2010

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Cards

Term
What are big indicators that a child 'looks sick' upon initial assessment?
Definition
Little to no eye contact or playing
Term
What does PAT stand for? What 3 aspects form the PAT?
Definition
Pediatric Assessment Triangle
1. Appearance
2. Work of breathing
3. Circulation

*AWCward! :P
Term
What is an acronym concerning the 'Appearance' portion of the PAT? What it stand for?
Definition
TICLS! he he!

T Tone (muscle)
I Interactiveness
C Consolability
L Look/gaze
S Speech/cry
Term
What indicates in the PAT that a child is having difficulty in their 'Work of breathing?'
Definition
Leaning forward, tripod, nasal flaring
Term
What are adjectives that describe 'circulation' in the PAT?
Definition
Ashen before cyanotic. Pale, mottled
Term
What comprises a 'focused' assessment?
Definition
Cardiac, respiratory, GI, neuro

*AAOx3 not appropriate for babies! (Use Flacc pain scale for babies, too)
Term
Fact: Obtain resting measurements first and COMPARE them to when child is awake/alert
Definition
Term
Small ______ changes are ______ly significant
Definition
Quantitative; qualitative
Term
Ill normals for HR and RR
Definition
Should be high; RR high if in resp distress
Term
What is unusual about pediatric shock?
Definition
Hypotension is NOT present in early shock
Term
In what order do we assess kids? What is the acronym for this?
Definition
RABT!
R Respirations
A Apical pulse
B BP
T Temperature
Term
What should the SBP be for:
Infant?
>10 yo?
Definition
>70 mmHg
>90 mmHg
Term
Make sure the child has a _____ temp during exam! Why?
Definition
Warm; Cold stress increases O2 consumption.
*Don't ignore wet diaper- will lower temp
Term
What are "red flag" changes in a child?
Definition
LOC/behavior, change in cry, poor feeding
Term
What do you need to know a/b output for a child in diapers?
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!!!)
Term
How would you minimize O2 demand in a sick child?
Definition
Treat fever, pain, anxiety
Would vent, intubation, sedation be beneficial?
Term
S/S _________ distress:
1. Mottled/pale, NOT CYANOTIC
2. Irritable, grimace
3. Tachycardic, tachypneic
*Lethargy is LATE!
Definition
Cardiorespiratory
Term
Decreased response to painful stimulus is ________ in ANY age
Definition
Abnormal
Term
_______ _______ refers to eliminating/minimizing psychologic/physical distress for children/families in the health care system
Definition
Atraumatic care
Term
This is an example of atraumatic care:
______ cream numbs for CBCs, IV placements, etc.
Definition
EMLA
Term
When can you see the effects of hospitalization on a child?
Definition
Before, during, or after hospital stay. Anxiety is better predicted in child's concept of illness rather than their maturity level.
Term
How do you "normalize" a hospital environment for a child?
Definition
Maintain routine
Age-appropriate self-care
School work
Friends and visitors
Term
What age group is it particularly important to 'minimize' separation?
Definition
< 5 yo.
*Parents are NOT visitors!
Term
What are the phases of separation anxiety?
Definition
1. Protest phase
2. Despair phase
3. Detachment phase *May seriously affect attachment to parent
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