Term
| What is the Nursing Care for Pediatric Emergencies? |
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Definition
Airway
Breathing (Ambubag)
Circulation (compressions)
Disability
Exposure (Remove clothing and Diaper)
Farenheit (keep child warm)
Get Vital Signs
Head to Toe Assessment |
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Term
| What are the parameters for IV access on a child? |
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Definition
Largest Gauge that can be utilized
3 Attempts within 90 sec.
Intraosseous Access (IO) temporary removed w/in 6 - 12 hrs.
Never try twice in same leg
Use NSS or Ringer's Lactate |
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Term
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Definition
The most common injury from blunt trauma
Produces confusion or brief loss of consciousness
Does not require hospitalization |
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Term
| What is a Carebral Contusion? |
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Definition
Bruising to the brain
Coup (primary impact) or Contracoup (secondary impact)
Peak of symptoms may not occur until 48 - 72 hrs., may last for days
Increased ICP may occur
May be focal or generalized edema or bleeding from either site. |
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Term
| What is a linear skull fracture? |
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Definition
Caused by blunt trauma over a wide surface of the skull.
Pts. are asymptomatic and present w/o LOC
Usually do not req. any intervention other than observation |
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Term
| What are the S/S of a Basilar Skull Fracture? |
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Definition
Raccoon Eyes
Battle Sign
Leakage of rhinorrhea or otorrhea (may be CSF test for glucose)
Associated with cranial nerve injuries |
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Term
| What are the S/S of increasing ICP? |
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Definition
Changes in LOC and pupils
Behavior changes
Headache
Vomiting
Seizures
Cushing's triad |
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Term
| What is the treatment of increasing ICP? |
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Definition
Elevate HOB 30'
Mechanical Ventilation
Mannitol or Lasix as ordered
Supportive Care |
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Term
| What are the S/S of brain herniation? |
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Definition
Fixed and Dilated pupils
Decreasing LOC
Cheyne-Stokes respirations
Abnormal Posturing (Decerebrating/Decorticating) |
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Term
| What is a Diffuse Axonal Injury? |
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Definition
Result of rapid accel/decel forces
Trauma causes the axion to twist and tear resulting in permanent death of the brain cell
Highly abnormal neuro exam with a lack of abnormal findings on CT
Prognosis for full recovery very poor |
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Term
| What are the S/S of shaken baby syndrome? |
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Definition
lethargy
seizures
hyperirritability
poor feeding
bulging fontanels
dyspnea
coma
cardiac arrest
retinal hemorrhages
Fractures of the posterior ribs may also be present |
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Term
| What is the treatment for Shaken Baby Syndrome |
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Definition
Respiratory Support
Immobilize cervical spine
Assess for inc. ICP
Supportive Care
Full assessment for abuse, skeletal series |
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Term
| What are the associated causes of near drowning? |
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Definition
Trauma (unintentional and intentional)
Seizures
Exhaustion and hypothermia
Alcohol and Drug use |
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Term
| What is treatment based on for near drowning? |
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Definition
Length of time underwater
Temperature of water
Child's response to the event
Initial treatment given at the scene
Any concurrent injuries |
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Term
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Definition
Ingestion
Inhalation
Skin Exposure
Eye Contact |
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Term
| What are the common substances INgested? |
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Definition
Analgesics, Cough and Cold Meds., Topicals, Antibiotics, Vitamins,
Cosmetics & personal care products, PLants, Miscellaneous, Hydrocarbons, Insecticides |
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Term
| What is the treatment for poisoning? |
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Definition
Assess ABC's
Call poison control
Gastric decontamination
Inducing Vomiting with ipecac
Absorbing the toxin w/ activated charcoal
Gastric lavage
Inc. bowel motility |
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Term
| What are the Antidotes to poisoning? |
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Definition
Mucomyst - Tylenol
Narcan - Opiods
Romazicon - Valium/Versed
Digibind - Digoxin
Desferal - Iron
Bicarbonate - Tricyclic Antidepressants |
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