NSER 7210 MODULE 5A – PEDIATRICS STUDY GUIDE
Pediatric Assessment Triangle (PAT) - Answer -appearance, work of breathing,
circulation
Appearance assessment (TICLS) - Answer -T one
I nteractiveness
C onsolability
L ook/gaze
S peech/cry
Subjective History (CIAMPEDS) - Answer -C hief complaint
I mmunizations / isolation
A llergies
M edications
P ast history / parents perception
E vents surrounding illness
D iapers/diet
S ymptoms associated
Pediatric Anatomical Differences - Answer -Head - larger (trauma)
Body surface area (hypothermia, dehydration)
High metabolic rate (Hypoxia, dehydration)
Higher blood volume (blood loss relative to wt)
AIRWAY
Tongue - larger in proportion (aiway obstruction)
Trachea - short/narrow (FB, inflammation, obstruction)
---- cuffless ETT
Nose breathers <6/12 (Resp distress with congestion)
Sympathetic nervous system - underdeveloped
---- (Atropine for bradycardia during intubation)
MSK
Anterior/post fontanelle (ant - assess dehydration)
Chest wall - soft (internal injury w/o rib #)
Abdo muscles - weak (liver spleen injury)
Diaphragmatic breathers - don't restrain over abdo
family centered care - Answer -Recognizes the family as the constant in a child's life.
1. Dignity/respect
2. Communication of information
3. Family participation
4. Collaberation in delivery of care
RSV - Answer -respiratory syncytial virus
Pediatric Assessment Triangle (PAT) - Answer -appearance, work of breathing,
circulation
Appearance assessment (TICLS) - Answer -T one
I nteractiveness
C onsolability
L ook/gaze
S peech/cry
Subjective History (CIAMPEDS) - Answer -C hief complaint
I mmunizations / isolation
A llergies
M edications
P ast history / parents perception
E vents surrounding illness
D iapers/diet
S ymptoms associated
Pediatric Anatomical Differences - Answer -Head - larger (trauma)
Body surface area (hypothermia, dehydration)
High metabolic rate (Hypoxia, dehydration)
Higher blood volume (blood loss relative to wt)
AIRWAY
Tongue - larger in proportion (aiway obstruction)
Trachea - short/narrow (FB, inflammation, obstruction)
---- cuffless ETT
Nose breathers <6/12 (Resp distress with congestion)
Sympathetic nervous system - underdeveloped
---- (Atropine for bradycardia during intubation)
MSK
Anterior/post fontanelle (ant - assess dehydration)
Chest wall - soft (internal injury w/o rib #)
Abdo muscles - weak (liver spleen injury)
Diaphragmatic breathers - don't restrain over abdo
family centered care - Answer -Recognizes the family as the constant in a child's life.
1. Dignity/respect
2. Communication of information
3. Family participation
4. Collaberation in delivery of care
RSV - Answer -respiratory syncytial virus