VERSION
CognitiveBandBSensoryBImpairments:BFindingsBtoBReportBtoBProviderB-
B1.BStrabismusBshouldBbeBreportedBtoBtheBprovider.
2. ForBhearingBimpairmentsBinBinfants,BnursesBshouldBreportBlackBofBstartleBreflex,Bf
ailureBtoBrespondBtoBnoise,BabsenceBofBvocalizationBbyB7Bmonths,BandBlackBofBresp
onseBtoBtheBspokenBword.
3. ForBhearingBimpairmentsBinBolderBchildren,BnursesBshouldBreportBnotBtalkingBafterB15B
months,BspeakingBinBmonotone,BneedBforBrepeatedBconversation,BandBspeakingBloudlyBf
orBtheBsituation.
4. ForBDownsBSyndrome,BtheBnurseBshouldBreportBseparatedBsagittalBsutureBandBe
nlargedBanteriorBfontanel.
ATIBChB15
EstablishingBPriorities:BManagingBClientBCare:BIdentifyingBPriorityBChildBtoBAssessB(Man
agementBofBCare)B-B-prioritizeBsystemicBbeforeBlocalB("lifeBbeforeBlimb"
-prioritizeBacuteBbeforeBchronic
-prioritizeBactualBproblemsBbeforeBpotentialBfutureBproblems
-listenBcarefullyBtoBclientsBandBdon'tBassume
-recognizeBandBrespondBtoBtrendsBvs.BtransientBfindings
-
recognizeBindicationsBofBmedicalBemergencesBandBcomplicationsBvs.BexpectedBfindings
-applyBclinicalBknowledgeBtoBproceduralBstandardsBtoBdetermineBtheBpriorityBaction
-considerBMaslow'sBhierarchBofBhumanBneeds
-ABCDEB(airway,Bbreathing,Bcirculation,Bdisability,Bexposure)
-lookBforBsafetyBrisks
-
leastBrestrictiveBandBleastBinvasiveBinterventionsBshouldBbeButilizedBasBmuchBasBpossible.
CysticBfibrosisBdescriptionB-
BRespiratoryBdisorderBthatBresultsBfromBinheritingBaBmutatedBgene.BCharacteristics:BMuc
usBglandsBthatBsecreteBincreasedBquantityBofBthickBtenaciousBmucus,BleadingBtoBmechan
icalBobstructionBofBorgansB(pancreas,Blungs,Bliver,BsmallBintestine,BreproductiveBsystem)
.BIncreasedBorganicBandBenzymaticBconstituentsBofBsaliva.BIncreasedBsodiumBandBchlori
deBinBsweat.BCNSBabnormalities.****
PediatricBEmergencies:BPlanningBinterventionBforBleadBexposureB-
B*CanBbeBfromBleadBingestionBfromBlead-basedBpaintBorBsoilBcontamination
*Symptoms:Bdistractibility,Bimpulsiveness,Bhyperactivity,BhearingBimpairment,BmildBintel
lectualBdifficultyB(Low-
dose),BcognitiveBdelays,Bseverity,Bblindness,Bparalysis,Bcoma,Bseizures,BdeathB(highBdo
es),BKidneyBimpairment,BimpairedBcalciumBfunctionsBandBanemia.
*ChelationBtherapyBusingBcalciumBEDTABforBhighBserumBlevels
Burns:BTeachingBAboutBSunburnBPreventionB(RNBQSENB-
BSafetyB,BActiveBLearningBTemplateB-BBasicBConcept,BRMBNCC
RNB10.0BchpB32)B-B-adolescentsBshouldBapplyBsuncreenBwithBatBleastB15BSPF
-adolescentsBshouldBreapplyBsunscreenBeveryB2-3Bhours
-adolescentsBshouldBavoidBtanningBbeds
,-itBisBimportantBtoBavoidBlongBperiodsBofBdirectBUVBcontact
HealthBPromotionBofBAdolescentsB(12BtoB20BYears):BInformedBConsent*B-
B1.BYouBcanBbeBaBminorBandBnotBneedBconsentBforBSTDBscreeningBifBtheyBareBaboveB13.
2. PregnancyBisBanotherBreasonBtoBnotBneedBconsent.
3. EmancipatedBminorsBareBanBexceptionBasBwell.B
ChpB7BpgB33
PsychosocialBIssuesBofBInfants,BChildren,BandBAdolescents:BDiagnosticBFindingsBtoBRep
ortBtoBtheBProviderB-
BAssessmentBfindingsBforBchildrenBwithBADHD:Binattention,Bhyperactivity,Bimpulsivity
AssessmentBfindingsBforBchildrenBwithBautism:BdelaysBinBsocialBinteraction,BsocialBcomm
unication,BimaginativeBplay;BspendsBtimeBalone,BheightenedBorBloweredBsenses
HeadBInjury:BPlanningBCareBforBanBInfantBWhoBHasBanBEpiduralBHematomaB-B-
MonitorBvitalBsigns,BlevelBofBconsciousness,BpupilsBICP,BmotorBactivity,BsensoryBpercepti
on,BandBverbalBresponsesBatBfrequentBintervals.BUseBGlascowBComaBScale.
-
MaintainBpatentBairway.BAdministerBoxygenBasBneeded.BKeepBsaturationBatBorBaboveB95
%.
-AssessBforBclearBfluidBdrainageBfromBearsBorBnose.
-ImplementBactionsBthatBwillBdecreaseBICP
-ProvideBcalm,BrestfulBenvironment.
-ProvideBadequateBfluids
-MonitorBfluidBandBelectrolyteBvalues.
HealthBPromotionBofBSchool-
AgeBChildrenB(6BtoB12BYears):BTeachingBAboutBBicycleBSafetyB-
B1.BToBdecreaseBtheBriskBofBinjury,BparentsBshouldBensureBthatBtheBbikeBisBtheBcorrectBsizeB
forBtheBchild.BWhenBseatedBonBtheBbike,BtheBchildBshouldBbeBableBtoBstandBwithBtheBballBofB
eachBfootBtouchingBtheBgroundBandBshouldBbeBableBtoBstandBwithBeachBfootBonBtheBground
BwhenBstraddlingBtheBbike'sBcenterBbar.
2. ChildrenBshouldBrideBtheirBbikesBsingleBfileBratherBthanBsideBbyBside.
3. ChildrenBshouldBwearBlight-
coloredBclothingBthatBhasBaBfluorescentBmaterialBattached.BFluorescentBmateria
lBonBtheBbikeBitselfBtoo.
4. BikeBridersBshouldBrideBinBtheBdirectionBofBtheBflowBofBtraffic.B
ChpB6BpgB29
HealthBPromotionBofBInfantsB(2BDaysBtoB1BYear):BTeachingBAboutBHomeBSafetyB(chp.B3)B-
BaspirationB--
>BteachBparentsBtoBholdBtheBinfantsBforBfeedingsB(doBnotBpropBbottle),BputBawayBsmallBobj
ectsBandBkeepBoutBofBreachBofBbaby,BuseBage-
appropriateBtoysBonly,BcheckBclothingBforBsafetyBhazardsB(i.e.BlooseBbuttons).
bodilyBharmB--
>BkeepBsharpBobjectsBoutBofBreach,BanchorBheavyBobjects/furniture,BdoBnotBleaveBunatte
ndedBwithBanimalsBpresent.
burnsB--
>BavoidBwarmingBformulaBinBmicrowaveB(checkBtempBbeforeBfeeding),BalsoBcheckBbathBw
aterBtempB(hotBwaterBthermostatsBshouldBbeBsetBatB120˚BorBless),BcheckBsmokeBdetectors,
BturnBhandlesBofBpots/pansBinwardBtowardsBstove,BuseBsunscreenBwhenBexposedBtoBsun,B
coverBelectricalBoutlets.
drowningB--
>BdoBnotBleaveBunattendedBnearBanyBwater,BsecureBfencingBaroundBpools,BcloseBbathroo
,mBdoors.
, fallsB--
>BcribBmattressesBinBtheBlowestBposition/railsBallBtheBwayBup,BrestraintsBinBinfantBseats,Bdo
BnotBleaveBunattendedBonBelevatedBsurfaces,BuseBsafetyBguardsBatBtop/bottomBofBstairs.
poisoningB--
>BavoidBleadBpaint,BkeepBtoxins/plantsBoutBofBreach,BsafetyBlocksBonBcabinets,BkeepBpoiso
nBcontrolBphoneBnumberBcloseBby,BmedsBinBchildproofBcontainers,BworkingBcarbonBmono
xideBalarm.
motorBvehicleB-->BremainBinBrear-
facingBcarBseatsBuntilB2Byrs.BorBatBheightBrecommendationB(doBnotBuseBcarBseatsBinBtheBfro
ntBseatB-BsafestBinBtheBbackseatBofBtheBcar),BdoBnotBleaveBinBparkedBcars.
suffocationB--
>BavoidBplasticBbags/balloons,BfitBcribBmattressesBsnuglyB(slatsBnoBfurtherBthanB6BcmBapar
t),BremoveBmobilesBorBcribBgymsBbyB4-
5Bmonths,BplaceBonBbackBtoBsleep,BkeepBtoysBwithBsmallBpartsBoutBofBreach,BremoveBdraw
stringsBfromBjackets/clothing.
Accident/Error/InjuryBPrevention:
PediatricBEmergencies:BPlanningBInterventionsBforBLeadBExposureB(SafetyBandBInfection
BControl)B-B-ManifestationsBofBLeadBexposure:
---
lowBdoseBexposure:Bdistractibility,Bimpulsiveness,Bhyperactivity,BhearingBimpairment
,BandBmildBintellectualBdifficultly
---
highBdoseBexposure:BcognitiveBdelaysBvaryingBinBseverity,Bblindness,Bparalysis,Bcoma,Bs
eizures,BandBdeath
---other:BkidneyBimpairment,BimpairedBcalciumBfunction,BandBanemia
-
InterventionsBforBleadBexposure:BchelationBtherapyBusingBcalciumBEDTAB(calciumBdisodi
umBversante
-
InterventionsBforBpoisonBprevention:BkeepBtoxicBagentsBoutBofBreachBofBchildren,BlockBcab
inetsBcontainingBpotentiallyBharmfulBsubstances,BdoBnotBtakeBmedicationsBinBfrontBofBchil
dren,BdiscardBunusedBmedications,BwhenBgivingBmedsBdoBnotBsayBitBisBcandy,BuseBnonB
mercuryBthermometers,BeliminateBlead-
basedBpaintBinBtheBenvironment,BencourageBhandBhygieneBpriorBtoBeating,BandBdoBnotBst
oreBfoodBinBlead-basedBcontainers
RiskBfactorsBforBCFB-BBothBbiologicalBparentsBcarryBtraitBforBCFB(recessive).
HeadBInjury:BPlanningBcareBforBanBinfantBwithBanBepiduralBhematomaB-
B*BleedingBbetweenBtheBduraBandBtheBskull
*BloodBaccumulatesBinBepiduralBspaceBandBcompressesBtheBbrain
*StartsBw/BshortBperiodBofBunconsciousness,BthenBnormalBperiodBforBseveralBhours,BthenB
bloodBaccumulationBcausesBlethargyBorBcoma
HealthBPromotionBofBInfantsB(1BMonthBtoB1BYear):BCarBSeatBUseB(RNBQSENB-BSafetyB,
ActiveBLearningBTemplateB-BGrowth
andBDevelopment,BRMBNCCBRNB10.0BChpB3)B-B--
infantsBshouldBbeBplacedBinBaBfederallyBapprovedBcarBseatBatBaB45BdegreeBangleBtoBpreve
ntBslumpingBorBairwayBobstruction
-
placeBcarBseatBrearBfacingBandBsecuredBusingBsafetyBbeltBofBLATCHBsystemBifBpossibl
e
-shoulderBharnessBshouldBbeBplacedBinBtheBslotsBorBatBorBbelowBtheBchild'sBshoulders