145 Pediatric Exam 2
Chapter 21
Objective 1: Define each key term listed
Objective 3: Describe three phases of separation anxiety
Protest- continuous crying and calling out for “mommy”
Despair- appear sad and depressed and withdraw, not playing with toys
Detachment/denial- deny the need for parents and disinterested in their visits.
The child should cry when the parent comes, not show joy
Objective 5: Two milestones in the psychosocial development of the preschool (3-6yr.)
child that contribute either positively or negatively to the adjustment to hospitalization
Concrete thinking- the can understand more but cannot remember explanations
Afraid of bodily harm-
Magical thinking- fantasizing about the unknown can cause fear
Objective 6: Discuss the management of pain in infants and children
Use the same assessment tools to monitor pain
Wong- Baker Faces- Explain the tool to the child so the pick an accurate pain rep
FLACC- Nonverbal children- monitoring the facial expressions
NIPS, N-PASS- Infants
Objective Assessment- Check vitals
Non-pharmacological- drawing, distraction, imagery, backrubs, oral sucrose
Acetaminophen <25mg/day. Reversal- antecedal cystine
PCA (patient- controlled analgesia)- 7 yrs. or older, no one else can push it
Fentanyl- short half-life, Midazolam- treats anxiety and has sedation effect
Objective 9: Interpret a clinical pathway for a hospitalized child
Interdisciplinary plan of care to display progress of the entire treatment plan
Chapter 22
Objective 5: Identify the normal vital signs of infants and children at various ages
Objective 10: Proper techniques of assessing vital signs in infants and children
Objective 13: Calculate the safe dosage of a medicine that is in liquid form
Chapter 23
Objective 1: Define each key term listed
Amblyopia= lazy eye
Strabismus= eye crossing
Otitis media= “swimmer’s ear”
Acute otitis media= Inflammation of the middle ear
Hyperopia= Far sightedness
Athetosis= involuntary/purposeless movements- interfere with normal motion
Objective 2: Discuss the prevention and treatment of ear infections
Ear plugs (for swimmers)
Wick- keeps eye drops in the correct area
Infants- Eustachian tube is short and straight-does not facilitate drainage easily
HIB and Pneumococcal vaccination prevent infections
This study source was downloaded by 100000850306617 from CourseHero.com on 07-31-2022 09:22:52 GMT -05:00
https://www.coursehero.com/file/40682512/145-Pediatric-Exam-2docx/
Chapter 21
Objective 1: Define each key term listed
Objective 3: Describe three phases of separation anxiety
Protest- continuous crying and calling out for “mommy”
Despair- appear sad and depressed and withdraw, not playing with toys
Detachment/denial- deny the need for parents and disinterested in their visits.
The child should cry when the parent comes, not show joy
Objective 5: Two milestones in the psychosocial development of the preschool (3-6yr.)
child that contribute either positively or negatively to the adjustment to hospitalization
Concrete thinking- the can understand more but cannot remember explanations
Afraid of bodily harm-
Magical thinking- fantasizing about the unknown can cause fear
Objective 6: Discuss the management of pain in infants and children
Use the same assessment tools to monitor pain
Wong- Baker Faces- Explain the tool to the child so the pick an accurate pain rep
FLACC- Nonverbal children- monitoring the facial expressions
NIPS, N-PASS- Infants
Objective Assessment- Check vitals
Non-pharmacological- drawing, distraction, imagery, backrubs, oral sucrose
Acetaminophen <25mg/day. Reversal- antecedal cystine
PCA (patient- controlled analgesia)- 7 yrs. or older, no one else can push it
Fentanyl- short half-life, Midazolam- treats anxiety and has sedation effect
Objective 9: Interpret a clinical pathway for a hospitalized child
Interdisciplinary plan of care to display progress of the entire treatment plan
Chapter 22
Objective 5: Identify the normal vital signs of infants and children at various ages
Objective 10: Proper techniques of assessing vital signs in infants and children
Objective 13: Calculate the safe dosage of a medicine that is in liquid form
Chapter 23
Objective 1: Define each key term listed
Amblyopia= lazy eye
Strabismus= eye crossing
Otitis media= “swimmer’s ear”
Acute otitis media= Inflammation of the middle ear
Hyperopia= Far sightedness
Athetosis= involuntary/purposeless movements- interfere with normal motion
Objective 2: Discuss the prevention and treatment of ear infections
Ear plugs (for swimmers)
Wick- keeps eye drops in the correct area
Infants- Eustachian tube is short and straight-does not facilitate drainage easily
HIB and Pneumococcal vaccination prevent infections
This study source was downloaded by 100000850306617 from CourseHero.com on 07-31-2022 09:22:52 GMT -05:00
https://www.coursehero.com/file/40682512/145-Pediatric-Exam-2docx/
