Components in the prioritization of pediatric emergency care (4)
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric As
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Components in the prioritization of pediatric emergency care (4)
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components
Appearance. Work of Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
Pediatric Assessment Triangle : Appearance
Most important. Reflects adequacy of ventilation, oxygenation, brain perfusion, and central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
Pediatric Assessment Triangle : Work of Breathing
Breathing easy, even, and unlabored or tripod position, nasal flaring, retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin
Mottling or PWD
PQRST for Pain
(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain
(pg86)
Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed?
8 years old
Most ______ age __to____, are concrete thinkers and interpret words literally.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They often confuse coincidence with causation, and have difficulty distinguising fantasy from reality.
(pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They often confuse coincidence with causation, and have difficulty distinguising fantasy from reality.
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and may indicate a loss of ___% to ___% of their circulating blood volume.
(pg262)
Late sign.
20% to 25% of circulating blood volume
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