ENPC Questions with 100% Solved 2024
Components in the prioritization of pediatric emergency care (4) - Answer- PAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components -...
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - Answer- Appearance. Work of
Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
Pediatric Assessment Triangle : Appearance - Answer- Most important. Reflects
adequacy of ventilation, oxygenation, brain perfusion, and central nervous system
function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
Pediatric Assessment Triangle : Work of Breathing - Answer- Breathing easy, even, and
unlabored or tripod position, nasal flaring, retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin - Answer- Mottling or PWD
PQRST for Pain - Answer- (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain - Answer- (pg86)
,Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable
or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed? - Answer- 8 years old
Most ______ age __to____, are concrete thinkers and interpret words literally.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They often
confuse coincidence with causation, and have difficulty distinguising fantasy from
reality. - Answer- (pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They
often confuse coincidence with causation, and have difficulty distinguising fantasy from
reality.
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and
may indicate a loss of ___% to ___% of their circulating blood volume. - Answer-
(pg262)
Late sign.
20% to 25% of circulating blood volume
6P's Assessment for Musculoskeletal Trauma - Answer- (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
, Burn Transfer Criteria - Answer- 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
If live interpreter not available for 15mins use ________ - Answer- Language line
interpreter
Infants are obligate nose breathers. If nose is obstructed ___________ - Answer-
suction nose
Opiod antidote - Answer- Narcan
Benzo antidote - Answer- Romazicon
Neutropenic pt with a temperature - Answer- Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern - Answer- Meningocoxcemia
Petiachia/Purpura
Bicycle accident concerns - Answer- Did pt strike handle bars?
Possible abdominal injury
Ribs are more horizontal and provide less protection.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GraceAmelia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
