NUR 436 ASU Midterm
Exam | Study Guide,
Practice Questions &
Exam Review
|Guaranteed success|
, Pediatric vital signs: RR -Neonate 0-1 month: 30-60
-Infant 1-12 month: 30-53
-Toddler 1-3 yr: 22-37
-Preschool: 3-6 yr: 20-28
-School Age 6-12 yr: 18-25
-Adolescent 12-18 yr: 12-20
Pediatric vital signs: O2 and temp -Temp: 98.6 (between 97-99 ok)
-O2: over 95%
Head to toe assessment -Neuro: LOC, PERRLA, AxO
-CV/perfusion: heart sounds, cap refill, extremities (warm/cold, color, edema)
-Pulmonary: lung sounds, RR, work of breathing, LOC
-GI: bowel sounds, I&O
-Skin: bruising, color, intact, turgor, overall appearance
-Lines/drains: inspect for patency, infection, dressings
ABC assessment -Airway: breath sounds, voice
(Swallow screen: sit upright, swallow 3 oz of water, assess for
coughing/choking)
-Breathing: RR, chest movement, lung auscultation, O2 sat
-Circulation: palpate pulse, heart auscultation, EKG, BP, cap refill, skin color,
dry/moist
Ventricular fibrillation (V-fib) -No coordinated activity, ventricle quivering, messy on EKG
-Patient will not have a pulse
-CODE BLUE: CPR, defibrillate, ACLS
Ventricular tachycardia (V-tach) -LETHAL - fast dysrhythmias
-Wide and fast QRS's
-May or may not have pulse, but will eventually lose pulse
-Pulse present: oxygen, cardioversion, amiodarone
-No pulse: CODE BLUE - CRP, defibrillate
SVT/PSVT -Normal QRS, may be narrow
-Unable to separate P wave / T wave
-Interventions: oxygen, vagal maneuvers, adenosine, synchronized
cardioversion
Vagal manuevers -Ice to face
-Valsalva maneuver
-Carotid sinus massage
-Bear down
Medications for dysrhythmia -Epi: 1mg q3-5 min (adult), 0.01mg/kg q 3-5 min 1mg max (peds)
-Amiodarone: 300mg bolus (adults), 5mg/kg bolus 3x (peds)
-SPEED up heart: atropine, pacing, epi
-SLOW down heart: vagal maneuvers, amiodarone, adenosine, beta-blockers,
calcium channel blockers, synchronized cardioversion
Exam | Study Guide,
Practice Questions &
Exam Review
|Guaranteed success|
, Pediatric vital signs: RR -Neonate 0-1 month: 30-60
-Infant 1-12 month: 30-53
-Toddler 1-3 yr: 22-37
-Preschool: 3-6 yr: 20-28
-School Age 6-12 yr: 18-25
-Adolescent 12-18 yr: 12-20
Pediatric vital signs: O2 and temp -Temp: 98.6 (between 97-99 ok)
-O2: over 95%
Head to toe assessment -Neuro: LOC, PERRLA, AxO
-CV/perfusion: heart sounds, cap refill, extremities (warm/cold, color, edema)
-Pulmonary: lung sounds, RR, work of breathing, LOC
-GI: bowel sounds, I&O
-Skin: bruising, color, intact, turgor, overall appearance
-Lines/drains: inspect for patency, infection, dressings
ABC assessment -Airway: breath sounds, voice
(Swallow screen: sit upright, swallow 3 oz of water, assess for
coughing/choking)
-Breathing: RR, chest movement, lung auscultation, O2 sat
-Circulation: palpate pulse, heart auscultation, EKG, BP, cap refill, skin color,
dry/moist
Ventricular fibrillation (V-fib) -No coordinated activity, ventricle quivering, messy on EKG
-Patient will not have a pulse
-CODE BLUE: CPR, defibrillate, ACLS
Ventricular tachycardia (V-tach) -LETHAL - fast dysrhythmias
-Wide and fast QRS's
-May or may not have pulse, but will eventually lose pulse
-Pulse present: oxygen, cardioversion, amiodarone
-No pulse: CODE BLUE - CRP, defibrillate
SVT/PSVT -Normal QRS, may be narrow
-Unable to separate P wave / T wave
-Interventions: oxygen, vagal maneuvers, adenosine, synchronized
cardioversion
Vagal manuevers -Ice to face
-Valsalva maneuver
-Carotid sinus massage
-Bear down
Medications for dysrhythmia -Epi: 1mg q3-5 min (adult), 0.01mg/kg q 3-5 min 1mg max (peds)
-Amiodarone: 300mg bolus (adults), 5mg/kg bolus 3x (peds)
-SPEED up heart: atropine, pacing, epi
-SLOW down heart: vagal maneuvers, amiodarone, adenosine, beta-blockers,
calcium channel blockers, synchronized cardioversion
