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Exam (elaborations)

ENPC Home Exam (graded A+) already passed!

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ENPC Home Exam (graded A+) already passed!Tachycardia = an _______ sign of shock Early What is a late sign of circulatory compromise in children? Hypotension Children can remain normotensive until about _____ percent of blood volume is lost 25% What are two intervention you should always be doing? Applying oxygen Checking bedside blood glucose How long should the car seat be rear facing? Until at least one year of age _____ model parents behavior with toys Toddlers Age 3 to 5: Preschoolers Magical and it logical thinkers Take things literally What are common fears of the preschooler? Pain Darkness Body mutilation Being alone Ages 5 to 11: School age kids Beers include separation from parents, loss of control, and physical disability 11 to 18 years old: Body a parent is the most important thing What is one of the critical public health issues in today society? Childhood obesity At how many years old can a child start using the faces pain scale? Three years old What is there an emphasis on during the prioritization of the patient? Safety I focused assessment is what type of information? Objective I focused history is what type of information? Subjective The pediatric assessment triangle a.k.a. the across the room assessment of a patient looks at what three things? General appearance Work of breathing Circulation to the skin How long should the pediatric assessment triangle take? About 3 to 5 seconds What does the general appearance section include: Interaction Muscle tone Consolabilty Look or gaze Speech or cry Work of breathing— a good indicator of oxygenation and ventilation. What should you look for in this assessment? Abnormal airway sounds Coughing Abnormal positioning Retractions/nasal flaring Rate and depth of respirations Circulation to the skin: Skin reflects perfusion status Inspect the color of central areas such as lips and mucous membranes Assessed for pallor, molting, or cyanosis Is the patient flushed or diaphoretic What are the three patient categories for the pediatric assessment triangle? Sick Sicker Sickest If all three components of the PAT are stable know what will the patient be ranked as? Sick If there is disruption in one of the areas of the PAT what will the patient be ranked? Sicker If there is Disruption in two or more components of the PAT what ranking will the patient receive? Sickest If a patient is identified as sickest what is indicated? Rapid resuscitation And a child what event typically leads to a code? Typically a respiratory event leads to a cardiac event What is the priority with any trauma or suspected drama? Stabilize the C-spine and stop any bleeding What maneuver is used to open the jaw in a trauma patient? Jaw thrust maneuver When is the nasal pharyngeal airway indicated? In a semi conscious or conscious patient Where is the nasopharyngeal airway contra indicated? In trauma patients What type of airway should be used for a trauma patient? Oral pharyngeal airways and be prepared for intubation with RSI if oral pharyngeal airway is unsuccessful After you have bagged the patient, the patients oxygen saturations and respiratory effort including respiratory rate have not improved, what is your next step? Prepare to Intubate Less than eight intubate

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