ENPC Study Guide With Questions And Answers Already
Graded A
Side effects of psych meds - ANSWER>>wt gain
type 2 diabetes
increased sedationdry mouth
dizziness and nausea
Neurogenic Shock - ANSWER>>Injury above T6 results in bradycardia, hypotension,
and vasodilation, thermoregulatory instability
Spinal shock - ANSWER>>flaccid muscle tone below thei njury and decreased sensation
at and below the level of injury
Pediatric triangle - ANSWER>>appearance
work of breathing
circulation to skin
General appearance considerations - ANSWER>>Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANSWER>>Increased work of breathing evidenced by tachypnea,
stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal
positioning
Circulation to Skin - ANSWER>>Observe palor
mottling
cyanosis
,Sick, Sicker, Sickest - ANSWER>>Sick: no disruption of any component of PAT but
caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids - ANSWER>>hypoxia
hypoglycemia
Blood pressure norms - ANSWER>>Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child - ANSWER>>Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: - ANSWER>>increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - ANSWER>>fatigue and become lethargic
, hypoxia
hypercarbia
General airway interventions - ANSWER>>Allow child to stay in most comfortable
position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - ANSWER>>1-3 days of nasal congestion and fever with sudden onset of barky
cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions - ANSWER>>albuterol, duo neb and oral steroid
Bronchiolitis/RSV - ANSWER>>Assessment: 1-3 days nasal congestion fever, cough,
respiratory distress with wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia - ANSWER>>obtain glucose for anyone who is not awake and
alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? - ANSWER>>When the child is not awake and alert
or AMS is suspected
Graded A
Side effects of psych meds - ANSWER>>wt gain
type 2 diabetes
increased sedationdry mouth
dizziness and nausea
Neurogenic Shock - ANSWER>>Injury above T6 results in bradycardia, hypotension,
and vasodilation, thermoregulatory instability
Spinal shock - ANSWER>>flaccid muscle tone below thei njury and decreased sensation
at and below the level of injury
Pediatric triangle - ANSWER>>appearance
work of breathing
circulation to skin
General appearance considerations - ANSWER>>Tone
Interactiveness: drawn to sounds or people. Wants to play
Consolability
Look/Gaze
Speech/cry
Work of breathing: - ANSWER>>Increased work of breathing evidenced by tachypnea,
stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal
positioning
Circulation to Skin - ANSWER>>Observe palor
mottling
cyanosis
,Sick, Sicker, Sickest - ANSWER>>Sick: no disruption of any component of PAT but
caregivers are concerned
Sicker: one component of PAT is a concern
Sickest 2+ concerns of PAT
2 leading causes of altered mental status in kids - ANSWER>>hypoxia
hypoglycemia
Blood pressure norms - ANSWER>>Hypotension: Less than 70 + (2 x age in years)
Widening pulse pressure = increased ICP
Narrowing pulse pressure = hypovolemic shock
Crying child - ANSWER>>Vigorous = good
weak = sick
high-pitched = increased ICP
"Fussiness" = red flag
Respiratory distress indicated by: - ANSWER>>increased heart rate
skin color changes
incrased work of breathing
wheezing
diaphoresis
abnormal airwa sounds
Respiratory failure signs - ANSWER>>fatigue and become lethargic
, hypoxia
hypercarbia
General airway interventions - ANSWER>>Allow child to stay in most comfortable
position
Give O2 to maintain it above 92%
O2 does NOT measure ventilation
Croup - ANSWER>>1-3 days of nasal congestion and fever with sudden onset of barky
cough
Treatment: dexamethasone and nebulized epi
Discharge Teaching: oral hydration, get child to cool air or steamy bathroom
Asthma interventions - ANSWER>>albuterol, duo neb and oral steroid
Bronchiolitis/RSV - ANSWER>>Assessment: 1-3 days nasal congestion fever, cough,
respiratory distress with wheezing and crackles. Dehydration and tachypnea
interventions: nasla suctioning, fluids
sever: heated, high flow nasal cannula O2
Discharge: lasts 2-3 weeks; nasal suctioning; monitor hydration
treating hypoglycemia - ANSWER>>obtain glucose for anyone who is not awake and
alert
treat kids with 2-4ml/kg of D25W
When to perform blood glucose test? - ANSWER>>When the child is not awake and alert
or AMS is suspected
