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4/2/1 Method for hourly fluid requirements - 🧠 ANSWER ✔✔0-10 kg 4 mL/kg/hr,
10-20 kg 40 mL/hr for first 10 kg + 2 mL/kg/hr for kg 11-20, 21-30 kg 60 mL for
first 20 kg + 1 mL/kg/hr for kg 21-30
Total Fluid Intake (TFI) 100-50-20 Rule - 🧠 ANSWER ✔✔Total fluid (mL) that
child will receive in 24 hr period; ordered by physician
100 mL/kg for first 10 kg
50 mL/kg for next 10 kg
20 mL/kg for remainder in kg
Atraumatic Care - 🧠 ANSWER ✔✔Care that minimizes separate, stress, and is
customized to the child's unique needs. Ex. use of distraction techniques, thorough
education for child and parents, making the room a safe place, wearing kid-friendly
scrubs, understanding that parent is expert on their child
,First Nations Primary Health Concerns for Population (4) - 🧠 ANSWER ✔✔1.
Suicide rate
2. Obesity and Type 2 Diabetes Mellitus
3. Injuries being primary cause of death
4. SIDS rate
First Nations Risk Factors - 🧠 ANSWER ✔✔Genetics, residential schools,
violence, substance abuse, depression/ suicide, poor nutrition
*All influenced by social determinants of health
Assent - 🧠 ANSWER ✔✔Child's capacity to participate in decision-making
process about their healthcare
*Want assent not consent in children
Dissent - 🧠 ANSWER ✔✔Child disagreeing to treatment
Determinants of Health (7) - 🧠 ANSWER ✔✔1. Income/ Social status
2. Education
3. Environment
4. Social support networks
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,5. Genetics
6. Health Services
7. Gender
Case Management - 🧠 ANSWER ✔✔Care coordination used in a variety of
healthcare settings to ensure the continuity of care
Primary Level of Care & Nurse's Role - 🧠 ANSWER ✔✔Focus on health
promotion and illness prevention
Nurses Role: advocate, educator, manager
Secondary Level of Care & Nurse's Role - 🧠 ANSWER ✔✔Focus on diagnosis and
treatment of illness
Nurse's Role: Collaborator, care coordinator, consultatant
Tertiary Level of Care - 🧠 ANSWER ✔✔Focus on specialized complex skills and
technology
Quaternary Level of Care - 🧠 ANSWER ✔✔Highly specialized with complex
skills and technology
Pediatric Care Trends - 🧠 ANSWER ✔✔- Inc. emphasis on health promotion &
QOL
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, - Evidence-based
- Care continuum (acute to outpatient)
- Cost efficiencies vs. quality of care
- multiculturalism acceptance
- empowerment of patient & family
Pediatric Care Issues - 🧠 ANSWER ✔✔- financial barriers
- sociocultural/ ethnic barriers
- need to protect children's right using assent
- electronic records & confidentiality
UN 1989 Rights of a Child - 🧠 ANSWER ✔✔1. Protection for abuse, exploitation,
& harmful substances
2. Provision for education, healthcare, & adequate standard of living
3. Participation to listen & respect
Ethics Principles - 🧠 ANSWER ✔✔autonomy, beneficence, non-maleficence,
justice, veracity
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