ENPC Study Guide With 100% Correct
Answers, Complete A+ Rated 100%
Solutions
Pediatric triangle
appearance
work of breathing
circulation to skin
General appearance considerations
Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing:
Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions,
accessory musles, nasal flaring, head bobbing, abnormal positioning
Circulation to Skin
Observe palor
mottling
cyanosis
,Sick, Sicker, Sickest
Sick: no disruption of any component of PAT but caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids
hypoxia
hypoglycemia
Blood pressure norms
Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child
Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
,Respiratory distress indicated by:
increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs
fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions
Allow child to stay in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup
1-3 days of nasal congestion and fever with sudden onset of barky cough
Treatment: dexamethasone and nebulized epi
, Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions
albuterol, duo neb and oral steroid
Bronchiolitis/RSV
Assessment: 1-3 days nasal congestion fever, cough, respiratory distress with
wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia
obtain glucose for anyone who is not awake and alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test?
When the child is not awake and alert or AMS is suspected
Preventing Secondary brain injury in TBI
prevent hypotension and hypoxia
Answers, Complete A+ Rated 100%
Solutions
Pediatric triangle
appearance
work of breathing
circulation to skin
General appearance considerations
Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing:
Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions,
accessory musles, nasal flaring, head bobbing, abnormal positioning
Circulation to Skin
Observe palor
mottling
cyanosis
,Sick, Sicker, Sickest
Sick: no disruption of any component of PAT but caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids
hypoxia
hypoglycemia
Blood pressure norms
Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child
Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
,Respiratory distress indicated by:
increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs
fatigue and become lethargic
hypoxia
hypercarbia
General airway interventions
Allow child to stay in most comfortable position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup
1-3 days of nasal congestion and fever with sudden onset of barky cough
Treatment: dexamethasone and nebulized epi
, Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions
albuterol, duo neb and oral steroid
Bronchiolitis/RSV
Assessment: 1-3 days nasal congestion fever, cough, respiratory distress with
wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia
obtain glucose for anyone who is not awake and alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test?
When the child is not awake and alert or AMS is suspected
Preventing Secondary brain injury in TBI
prevent hypotension and hypoxia
