PEDIATRIC BUNDLE
42 pgs.
, TABLE OF CONTENTS
Immunizations 3 Neurological Illnesses 31
Vital Signs 3 • Reye’s Syndrome
Pain Management 4 • Fever Management
Hospitalization 4 • Febrile Seizures
• Infant • Neural Tube Defects
• Toddler • Bacterial Meningitis
• Preschooler Musculoskeletal Illnesses 34
• School-Age • Scoliosis
• Adolescence • DDH
Growth Development, Milestones, Renal Illness 36
Theories, Delays, & More! 6 • Acute Poststreptococcal
• Infant Glomerulonephritis
• Toddler Gastrointestinal Illnesses 36
• Preschooler • Epiglottis
• School-Age • Hypertrophic Pyloric
• Adolescence Stenosis
• Physiological Changes • Intussusception
(Adolescence) • Cleft Lip/Palate
Communicable Diseases 16 • GERD
• Measles Hematologic Illness 40
• Mumps • Sickle Cell Anemia
• Rubella Integumentary Illnesses 41
• Varicella • Impetigo
• Pertussis • Eczema
• Diphtheria Mental Health 43
• Erythema Infectiosum • ADHD
• Scarlet Fever • Autism
• Influenza
Ear Illnesses 19
• Otitis Media
• Otitis Externa
Respiratory Illnesses 20
• Tonsillitis
• Nasopharyngitis
• Strep Throat
• Pneumonia
• Asthma
• Croup
• SIDS
• Cystic Fibrosis
• RSV
Cardiac Illnesses 26
• ASD, VSD, PDA
• TOF, COA
• Kawasaki
, IMMUNIZATIONS & VITAL SIGNS
Can be transferred
VACCINES AGE from mother’s
*
infected birth canal
Hepatitis B (HBV) Birth, 1-2 months, 6-18 months
Depend on Vaccine Med Given:
Rotarix - 2 & 4 months
Rotavirus (RV) 2 months, 4 months, 6 months RotaTeq - 2, 4, & 6 months
DTap 2 months, 4 months, 6 months, 15-18 months, 4-6 years
Haemophilus Influenza type B (Hib) 2 months, 4 months, 6 months, 12-15 months (Booster)
Depend on Vaccine Med Given:
Pneumococcal Conjugate (PCV-13) 2 months, 4 months, 6 months, 12-15 months PedvaxHIB - 2, 4, & 12-15 months
ActHIB, Hiberix, Pentacel, Vaxelis - 2,
Poliovirus (IPV) 2 months, 4 months, 6-18 months, 4-6 years 4, 6, & 12-15 months
Influenza 6 months, Yearly
Measles, Mumps, Rubella (MMR) 12-15 months, 4-6 years
Varicella 12-15 months, 4-6 years
Hepatitis A (HAV) 12-23 months, Second dose given 6 months after first dose
Tdap 11-12 years, Every 10 years (Booster)
Human Papillomavirus (HPV) 11-12 years, Second dose given 1-2 months after first dose,
Third dose given 6 months after first dose HPV Vaccine can be
given early at 9 yrs &
Meningococcal Conjugate (MenACWY) 11-12 years, 16 years (Booster) late at 26 yrs
PULSE BP RR
beats/min mm Hg beats/min TEMP
NEWBORN (birth-1 month) 120-160 60-80/40-50 30-60 Oral
96-99.5 F (35.6-37.5 C)
INFANT (1 month-1 yr.) 110-180 74-100/50-70 20-40 Rectal
97-100.4 F (36-38 C)
TODDLER (1-3 yrs.) 80-110 80-112/50-80 20-30 Tympanic
96-100.4 F (35.6-38 C)
70-115 Axillary
PRE-SCHOOLER (3-6 yrs.) 82-112/50-78 20-25
94.5-99 F (34.7-37.2 C)
SCHOOL AGE (6-12 yrs.) 65-110 84-120/54-80 17-22
ADOLESCENT (12 yrs.+) 60-100 80-120/60-80 12-20
Pediatric VS vary in textbooks. Be sure to consult with your professor the value ranges they want you to follow 3
, PAIN ASSESSMENT
FLACC — 2 mnths - 7 mnths
0: smile or no expression
WONG-BAKER FACE PAIN SCALE — 3 yrs. +
FACE (F) 1: occasional frown, grimace
2: frequent frown, clenched jaw,
quivering chin
LEGS (L) 0: relaxed or normal position
1: restless, tense
2: kicking, legs drawn up
0: lying quietly, moves easily, normal
ACTIVITY (A) position
1: squirming, shifting
2: arched, rigid, jerking
CRY (C) 0: no cry
1: moans, whimpers
2: crying, screaming, sobbing
CONSOLABILITY 0: content, relaxed
1: touching & hugging, able to distract
(C) 2: difficult to console
HOSPITALIZATION
STAGES OF SEPARATION ANXIETY INFANTS (BIRTH - 12 MONTHS)
(INFANTS, TODDLERS) EFFECTS OF HOSPITALIZATION:
• Separation anxiety, Stranger anxiety (6-18 months)
PROTEST: Cries, fearful, search for parents, acts • Trouble sleeping (odd noises, monitors beeping)
aggressively, rejects contact with strangers • Anxious, Fearful of the new environment
DESPAIR: Withdrawn, depressed, quiet, uninterested • Expresses distress by physical behavior due to
in play or environment, loses newly learned skill & inability to verbalize
regresses INTERVENTIONS:
DENIAL (most CONCERNING stage): Detached, • Cuddle, touch, & gently talk to the infant
Emotionally rejects parents after lengthy separation • Keep infants without their parents/caregivers close
to protect themselves, Appears to adjust to loss by to the nursing station to quickly meet needs
playing & interacting with others (a signs of • Stay consistent with around-the-clock caregivers
resignation, NOT contentment), Forms negative • Give a pacifier or other sucking object to assist
coping mechanisms, Desperately need parents/ with sucking & oral stimulate
caregiver support • Stimulate infant’s senses with toys of different
colors, textures, sizes, & noise-making toys when
(PRESCHOOLERS) appropriate
PROTEST: More aggressive, displace feeling on others
DESPAIR: Withdrawn, depressed, uninterested in play
or environment, loses newly learned skill & regresses,
uncooperative, repeatedly asks about parents
DENIAL (most CONCERNING stage): Same as Infant/
Toddlers 4
42 pgs.
, TABLE OF CONTENTS
Immunizations 3 Neurological Illnesses 31
Vital Signs 3 • Reye’s Syndrome
Pain Management 4 • Fever Management
Hospitalization 4 • Febrile Seizures
• Infant • Neural Tube Defects
• Toddler • Bacterial Meningitis
• Preschooler Musculoskeletal Illnesses 34
• School-Age • Scoliosis
• Adolescence • DDH
Growth Development, Milestones, Renal Illness 36
Theories, Delays, & More! 6 • Acute Poststreptococcal
• Infant Glomerulonephritis
• Toddler Gastrointestinal Illnesses 36
• Preschooler • Epiglottis
• School-Age • Hypertrophic Pyloric
• Adolescence Stenosis
• Physiological Changes • Intussusception
(Adolescence) • Cleft Lip/Palate
Communicable Diseases 16 • GERD
• Measles Hematologic Illness 40
• Mumps • Sickle Cell Anemia
• Rubella Integumentary Illnesses 41
• Varicella • Impetigo
• Pertussis • Eczema
• Diphtheria Mental Health 43
• Erythema Infectiosum • ADHD
• Scarlet Fever • Autism
• Influenza
Ear Illnesses 19
• Otitis Media
• Otitis Externa
Respiratory Illnesses 20
• Tonsillitis
• Nasopharyngitis
• Strep Throat
• Pneumonia
• Asthma
• Croup
• SIDS
• Cystic Fibrosis
• RSV
Cardiac Illnesses 26
• ASD, VSD, PDA
• TOF, COA
• Kawasaki
, IMMUNIZATIONS & VITAL SIGNS
Can be transferred
VACCINES AGE from mother’s
*
infected birth canal
Hepatitis B (HBV) Birth, 1-2 months, 6-18 months
Depend on Vaccine Med Given:
Rotarix - 2 & 4 months
Rotavirus (RV) 2 months, 4 months, 6 months RotaTeq - 2, 4, & 6 months
DTap 2 months, 4 months, 6 months, 15-18 months, 4-6 years
Haemophilus Influenza type B (Hib) 2 months, 4 months, 6 months, 12-15 months (Booster)
Depend on Vaccine Med Given:
Pneumococcal Conjugate (PCV-13) 2 months, 4 months, 6 months, 12-15 months PedvaxHIB - 2, 4, & 12-15 months
ActHIB, Hiberix, Pentacel, Vaxelis - 2,
Poliovirus (IPV) 2 months, 4 months, 6-18 months, 4-6 years 4, 6, & 12-15 months
Influenza 6 months, Yearly
Measles, Mumps, Rubella (MMR) 12-15 months, 4-6 years
Varicella 12-15 months, 4-6 years
Hepatitis A (HAV) 12-23 months, Second dose given 6 months after first dose
Tdap 11-12 years, Every 10 years (Booster)
Human Papillomavirus (HPV) 11-12 years, Second dose given 1-2 months after first dose,
Third dose given 6 months after first dose HPV Vaccine can be
given early at 9 yrs &
Meningococcal Conjugate (MenACWY) 11-12 years, 16 years (Booster) late at 26 yrs
PULSE BP RR
beats/min mm Hg beats/min TEMP
NEWBORN (birth-1 month) 120-160 60-80/40-50 30-60 Oral
96-99.5 F (35.6-37.5 C)
INFANT (1 month-1 yr.) 110-180 74-100/50-70 20-40 Rectal
97-100.4 F (36-38 C)
TODDLER (1-3 yrs.) 80-110 80-112/50-80 20-30 Tympanic
96-100.4 F (35.6-38 C)
70-115 Axillary
PRE-SCHOOLER (3-6 yrs.) 82-112/50-78 20-25
94.5-99 F (34.7-37.2 C)
SCHOOL AGE (6-12 yrs.) 65-110 84-120/54-80 17-22
ADOLESCENT (12 yrs.+) 60-100 80-120/60-80 12-20
Pediatric VS vary in textbooks. Be sure to consult with your professor the value ranges they want you to follow 3
, PAIN ASSESSMENT
FLACC — 2 mnths - 7 mnths
0: smile or no expression
WONG-BAKER FACE PAIN SCALE — 3 yrs. +
FACE (F) 1: occasional frown, grimace
2: frequent frown, clenched jaw,
quivering chin
LEGS (L) 0: relaxed or normal position
1: restless, tense
2: kicking, legs drawn up
0: lying quietly, moves easily, normal
ACTIVITY (A) position
1: squirming, shifting
2: arched, rigid, jerking
CRY (C) 0: no cry
1: moans, whimpers
2: crying, screaming, sobbing
CONSOLABILITY 0: content, relaxed
1: touching & hugging, able to distract
(C) 2: difficult to console
HOSPITALIZATION
STAGES OF SEPARATION ANXIETY INFANTS (BIRTH - 12 MONTHS)
(INFANTS, TODDLERS) EFFECTS OF HOSPITALIZATION:
• Separation anxiety, Stranger anxiety (6-18 months)
PROTEST: Cries, fearful, search for parents, acts • Trouble sleeping (odd noises, monitors beeping)
aggressively, rejects contact with strangers • Anxious, Fearful of the new environment
DESPAIR: Withdrawn, depressed, quiet, uninterested • Expresses distress by physical behavior due to
in play or environment, loses newly learned skill & inability to verbalize
regresses INTERVENTIONS:
DENIAL (most CONCERNING stage): Detached, • Cuddle, touch, & gently talk to the infant
Emotionally rejects parents after lengthy separation • Keep infants without their parents/caregivers close
to protect themselves, Appears to adjust to loss by to the nursing station to quickly meet needs
playing & interacting with others (a signs of • Stay consistent with around-the-clock caregivers
resignation, NOT contentment), Forms negative • Give a pacifier or other sucking object to assist
coping mechanisms, Desperately need parents/ with sucking & oral stimulate
caregiver support • Stimulate infant’s senses with toys of different
colors, textures, sizes, & noise-making toys when
(PRESCHOOLERS) appropriate
PROTEST: More aggressive, displace feeling on others
DESPAIR: Withdrawn, depressed, uninterested in play
or environment, loses newly learned skill & regresses,
uncooperative, repeatedly asks about parents
DENIAL (most CONCERNING stage): Same as Infant/
Toddlers 4
