ENPC – Assessment Study Review Test.

ENPC – Assessment Study Review Test. 1. Inconsolable neonate 2. Preschooler 3-5yrs likes 3. 4 Components of the Pedi- atric Prioritiza- tion Process 4. Pain scale - non- verbal 5. Pain Scale - 4-7 yrs hypoxia Nightlights + Bandaids 1. PAT 2. Focused Hx 3. Focused Assessment 4. Assignment of an acuity rating Flacc Faces 6. Pain Scale 8 yrs+ Numerical 0-10 scale 7. PAT Components General appearance Work of breathing Circulation 0 = Sick 1 = Sicker 2+ = Sickest 8. Airway Assess- ments Tongue Obstruction Loose Teeth Vomit Secretions Blood Edema 9. Airway Interven- tions 10. Breathing As- sessment 11. Interventions breathing Re-position the head to a neural position Open airway - chin lift, jaw thrust Suction secretions - avoiding vagal stimulation Not conscious - consider inserting orophargyngeal airway Do I have spontaneous respirations? What is the rate and depth of respiratons? Do I have symmetric chest rise and fall? Breath sounds present, what is their quality? What is the work of breathing - do I have nasal flaring, retractions, accessory muscle use? Maintain a position of comfort Provide supplemental O2 Not breathing adequately - provide bag mask ventilation AND reassess for the ettectiveness of breathing Prepare for endotracheal intubation/RSI Assessment of tube placement, insert gastric tube to reduce abd distention 12. Breathing assess- Do I have spontaneous respiration? ment 13. Circulation as- sessment Do I have equal chest rise and fall? What is the rate and depth of respiration? What is the work of breathing - is there any nasal flaring, retractions, head bobbing? Central and peripheral pulse rate and quality Skin color and temperature Capillary refill JVD and tracheal position - trauma