lOMoARcPSD|28964921
Peds ATI remediation
Nursing Care of Children (Indiana Wesleyan University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by john gatheca ()
, lOMoARcPSD|28964921
Peds ATI remediation:
Accident/Error/Injury Prevention:
Health promotion of toddlers: injury prevention:
-- Aspiration: Avoid small objects (grapes/coins/candy)
-- Check clothing for lose buttons
-- No balloons
-- Bodily Harm: no sharp objects, teach stranger danger, don’t leave alone with
animals
--Burns: check bath water temp, thermostats should be turned down, pot handles
turned in
--Drowning, don’t leave alone in bathtubs, keep toilet closed, teach toddler to swim
--Falls: lock windows/doors locked, use safety gates, crib mattress lowest position rails
up
-- MVA, always in the backseat, rear face until 20lbs, ff back seat, remain in car seat
until 4yrs old or 40 lbs
-- Poisoning, no lead paint, put poison control number in phone, co2 monitor in home
--Suffocation: no plastic bags, crib mattresses should fit tightly, slats no father then
2.4in/6cm apart, no pillows, remove drawstrings from jackets
Seizures: risk factors
--Genetic predispositions
-- acute febrile state, esp in infants and children under 2
-- Head trauma/brain tumor
--Cerebral edema
--abrupt cessation of antielleptic meds
-- Hypoxia
--Acute drug/alcohol withdrawl
--Fluid electrolyte imbalances
Triggers: increased physical activity, excessive stress, overwhelming fatigue, acute
alcohol ingestion, exposure to flashing light, specific substances (alcohol, caffeine,
cocaine, aerosols glue)
Tonic-clonic seizure—may begin with an aura, 10-20 sec tonic episode (stiffening of
muscles) and loss of consciousness, 1-2 min clonic episode (rhythmic jerking),
breathing may stop in tonic phase
Myoclonic seizure: brief jerking/stiffening of the extremities, systemic/asymmetric
Atonic/akinetic: muscle tone is lost for a few seconds, followed by period of confusion
Patial (focal/local) :
Complex partial: associated automatisms (behavior that the child is unaware of ie lip
smacking/picking at clothes) loss of consciousness lasts several minutes, amnesia may
occur immediately prior/after
Simple partial: consciousness is maintained, seizure activity—unusual sensations,
sense of déjà vu, autonomic abnormalities (changes in hr, flushing, unilateral
abnormal extremity movements, pain, offensive smell)
Unclassified(idiopathic) :account for ½ of seizures occur for no known reason
Downloaded by john gatheca ()
Peds ATI remediation
Nursing Care of Children (Indiana Wesleyan University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by john gatheca ()
, lOMoARcPSD|28964921
Peds ATI remediation:
Accident/Error/Injury Prevention:
Health promotion of toddlers: injury prevention:
-- Aspiration: Avoid small objects (grapes/coins/candy)
-- Check clothing for lose buttons
-- No balloons
-- Bodily Harm: no sharp objects, teach stranger danger, don’t leave alone with
animals
--Burns: check bath water temp, thermostats should be turned down, pot handles
turned in
--Drowning, don’t leave alone in bathtubs, keep toilet closed, teach toddler to swim
--Falls: lock windows/doors locked, use safety gates, crib mattress lowest position rails
up
-- MVA, always in the backseat, rear face until 20lbs, ff back seat, remain in car seat
until 4yrs old or 40 lbs
-- Poisoning, no lead paint, put poison control number in phone, co2 monitor in home
--Suffocation: no plastic bags, crib mattresses should fit tightly, slats no father then
2.4in/6cm apart, no pillows, remove drawstrings from jackets
Seizures: risk factors
--Genetic predispositions
-- acute febrile state, esp in infants and children under 2
-- Head trauma/brain tumor
--Cerebral edema
--abrupt cessation of antielleptic meds
-- Hypoxia
--Acute drug/alcohol withdrawl
--Fluid electrolyte imbalances
Triggers: increased physical activity, excessive stress, overwhelming fatigue, acute
alcohol ingestion, exposure to flashing light, specific substances (alcohol, caffeine,
cocaine, aerosols glue)
Tonic-clonic seizure—may begin with an aura, 10-20 sec tonic episode (stiffening of
muscles) and loss of consciousness, 1-2 min clonic episode (rhythmic jerking),
breathing may stop in tonic phase
Myoclonic seizure: brief jerking/stiffening of the extremities, systemic/asymmetric
Atonic/akinetic: muscle tone is lost for a few seconds, followed by period of confusion
Patial (focal/local) :
Complex partial: associated automatisms (behavior that the child is unaware of ie lip
smacking/picking at clothes) loss of consciousness lasts several minutes, amnesia may
occur immediately prior/after
Simple partial: consciousness is maintained, seizure activity—unusual sensations,
sense of déjà vu, autonomic abnormalities (changes in hr, flushing, unilateral
abnormal extremity movements, pain, offensive smell)
Unclassified(idiopathic) :account for ½ of seizures occur for no known reason
Downloaded by john gatheca ()
