Pediatrics Exam 1 Summary - Wong's
Nursing Care for Infants & Children
Summary wong's nursing care of infants and
children
Pediatrics Exam 1
, Physical Assessment/Pediatric Variations: 10 questions
Physical Assessment—see PowerPoint
Central/Peripheral pulses
Signed Consent
Temperature
Pain: 5 questions
FLACC Scale: (0-10) for post-operative pain or for children who are developmentally unable to respond
• Facial expression
• Leg movement
• Activity
• Cry
• Consolability
CRIES Scale—when working w/ premature or FT infants in NICU (0-10); A pain score greater than 4 is significant
• Crying
• Requiring increased O2
• Increased vital signs
• Expression
• Sleeplessness
Pharmacology
• Nonopioids
o For mild to moderate pain
o Antipyretic, anti-inflammatory, analgesic
o 1 hour to take effect
o Acetaminophen (Tylenol, Paracetamol), NSAIDS
• Opioids
o Moderate to severe pain
o Morphine = gold standard
o Others: hydromorphone (dilaudid)
▪ has a longer duration of action than morphine
▪ less associated w/ nausea and pruritus
o fentanyl (sublimaze)
▪ more potent than morphine
o Codeine = weak opioid; safety and efficacy problems
Illness Prevention/Communicable Diseases: 12 questions
Vaccination Schedule:
Nursing Care for Infants & Children
Summary wong's nursing care of infants and
children
Pediatrics Exam 1
, Physical Assessment/Pediatric Variations: 10 questions
Physical Assessment—see PowerPoint
Central/Peripheral pulses
Signed Consent
Temperature
Pain: 5 questions
FLACC Scale: (0-10) for post-operative pain or for children who are developmentally unable to respond
• Facial expression
• Leg movement
• Activity
• Cry
• Consolability
CRIES Scale—when working w/ premature or FT infants in NICU (0-10); A pain score greater than 4 is significant
• Crying
• Requiring increased O2
• Increased vital signs
• Expression
• Sleeplessness
Pharmacology
• Nonopioids
o For mild to moderate pain
o Antipyretic, anti-inflammatory, analgesic
o 1 hour to take effect
o Acetaminophen (Tylenol, Paracetamol), NSAIDS
• Opioids
o Moderate to severe pain
o Morphine = gold standard
o Others: hydromorphone (dilaudid)
▪ has a longer duration of action than morphine
▪ less associated w/ nausea and pruritus
o fentanyl (sublimaze)
▪ more potent than morphine
o Codeine = weak opioid; safety and efficacy problems
Illness Prevention/Communicable Diseases: 12 questions
Vaccination Schedule:
