ENPC FINAL PAPER EXAM SCRIPT TESTED
QUESTIONS AND VERIFIED SOLUTIONS
◉ Fluids with IO access
Answer: Normal Saline OR Lactated Ringers
20ml/kg
◉ Disability ASSESSMENT
Answer: We are now assessing the patients neurological status.
What are the NORMAL developmental behaviors of the pediatric
patient.
- Crawl
- Walk
- Talk
Level of alertness
Responsive to environment
◉ D in ABCDE
Answer: "disability" neuro assessment
- Glasgow Coma Score
,◉ Glascow Come Scale
Answer: assess the level of a conscious state of a patient, for initial
as well as continuing assessment.
A patient is assessed against the criteria of the scale, and the
resulting points give a patient score between 3 (indicating deep
unconsciousness) and 15.
◉ Rule for intubation
Answer: Less than 8
you intubate
◉ Decorticate
Answer: arms flexed, legs extended
- The ball is still in the court (response to stimulus)
◉ Decerebrate
Answer: extension away from body, pronation of arms/legs
- The body makes and E --> middle response to stimulus
◉ Flaccid
, Answer: No response to stimulus at all
- BAD sign !!
◉ Assessment EXPOSURE
Answer: •Expose the patient
•Cut away clothing
•Protect privacy
•Assess for signs of heat/chemical
exposure OR abuse.
•Initiate measures to prevent heat loss
◉ Pediatric SecondaryAssessment
Answer: Vital Signs
Head-to-toe survey
◉ Vital signs to take
Answer: T-P-R-BP & WEIGHT!! (yes, pain too)
QUESTIONS AND VERIFIED SOLUTIONS
◉ Fluids with IO access
Answer: Normal Saline OR Lactated Ringers
20ml/kg
◉ Disability ASSESSMENT
Answer: We are now assessing the patients neurological status.
What are the NORMAL developmental behaviors of the pediatric
patient.
- Crawl
- Walk
- Talk
Level of alertness
Responsive to environment
◉ D in ABCDE
Answer: "disability" neuro assessment
- Glasgow Coma Score
,◉ Glascow Come Scale
Answer: assess the level of a conscious state of a patient, for initial
as well as continuing assessment.
A patient is assessed against the criteria of the scale, and the
resulting points give a patient score between 3 (indicating deep
unconsciousness) and 15.
◉ Rule for intubation
Answer: Less than 8
you intubate
◉ Decorticate
Answer: arms flexed, legs extended
- The ball is still in the court (response to stimulus)
◉ Decerebrate
Answer: extension away from body, pronation of arms/legs
- The body makes and E --> middle response to stimulus
◉ Flaccid
, Answer: No response to stimulus at all
- BAD sign !!
◉ Assessment EXPOSURE
Answer: •Expose the patient
•Cut away clothing
•Protect privacy
•Assess for signs of heat/chemical
exposure OR abuse.
•Initiate measures to prevent heat loss
◉ Pediatric SecondaryAssessment
Answer: Vital Signs
Head-to-toe survey
◉ Vital signs to take
Answer: T-P-R-BP & WEIGHT!! (yes, pain too)