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Peds Test 3
Pediatric Emergencies
29
Nursing
Graduate
07/16/2013

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Cards

Term
Early signs of shock
Definition
tachycardia, delayed cap refill
Term
Late signs of shock
Definition
decreased blood pressure
Term
Signs of respiratory arrest
Definition
RR below 10 or above 60
Term
Triage Classifications
Definition
Resuscitation, emergent (10 min), urgent(30 to 60), semi-urgent (1-2), non-urgent (2-3)
Term
AMPLE
Definition
Allergies, medications, past medical history, last meal, events surrounding incident
Term
S/S of compensation
Definition
Increased RR, Increased breathing work, Incerased HR
Term
S/S of decompensation
Definition
Decreased RR and effort, brady, decreased LOC, hypotension, pale skin, mottling, delayed cap refill, possible hypoglycemia
Term
Rediograph
Definition
chest, abdomen, bones
Term
Types of shock
Definition
hypovolemic, distributive, cardiogenic, obstructive
Term
Most common cause of hypovolemic shock in children
Definition
Fluid loss, blood loss from trauma
Term
Decreased preload leading to reduced stroke volume and low cardiac output
Definition
hypovolemic shock patho
Term
Tx of hypovolemic shock
Definition
IV fluids, NS or LR, if inadequate, packed RBCs
Term
Distributive shock
Definition
Septic shock, anaphylactic shock, neurogenic (head, spinal injury)
Term
Lab values for septic shock
Definition
WBC greater than 12000 or less than 4000, platelets elevated in acute phase, may be decreased
Term
characterized by venodilation, systemic vasodilation, increased cap permeability, pulmonary vasoconstriction
Definition
anaphylactic shock
Term
OD on tylenol causes
Definition
liver failure
Term
Lead interferes with metabolism of:
Definition
Vit D and calcium
Term
Lead blood levels causing impairment
Definition
20-44 ug/dL, emergency 70 ug/dL
Term
4 levels of sedation
Definition
anxiolysis, moderate sedation, deep sedation, general anesthesia
Term
ASA classifications
Definition
I: nl II: mild systemic disease III. severe systemic disease IV: severe disease with constant life threat V: Moribund child, not expected to survive without procedure
Term
Versed
Definition
Benzo, potent sedative, amnestic, anxiolytic, good for non painful procedures
Term
max versed dose
Definition
15 mg oral, 2.5 mg IV
Term
Chloral hydrate
Definition
half-life of 10 hours, requires longer monitoring, no reversal agent, drug must be dialyzed out
Term
Meperidine (Demerol)
Definition
synthetic narcotic, slightly less strong than morphine, not recommended for children
Term
Fentanyl
Definition
Potent opoiod, fast, short acting, often used in combo with midazolam
Term
Ketamine
Definition
induces dreamlike state of mind before producing sensory blockage, useful for short, painful procedure, maintains airway tone
Term
Benzodiazepine antagonist
Definition
romazicon, flumazinil (maz dose 1 mg or 0.5 mg/kg)
Term
Post procedure monitoring
Definition
Q15min until child slips CL and returns to preporcdeure mobility
Term
emergence phenomena
Definition
random puropsless movements
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