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What are the three main parts of the pediatric assessment triangle?
- 1. Appearance: tone, interactiveness, gaze, cry
- 2. Circulation: pallor, mottling, cyanosis
- 3. Work of Breathing: breath sounds positioning ,retractions nasal flaring
What is the earliest amount of time can activated charcoal be given after a child has ingested a toxic chemical?
After 1 hour of ingestion
What is the most appropriate initial tx of burns?
This is the second leading cause of accidental death in children
submersion; near drowning resulting in hypoxia
T or F: Tachcardia and tachypnea are late signs of shock
- False: early
- Late signs include...
- Delayed cap refill
- Weak pulses
- Cool extremities
T or F: Dry mucus membranes and depressed fontanel are early signs of shock
- True: other signs include
- Normal BP
Why is BP not a reliable indicator of shock?
A child can lose one half of blood volume before BP drops
What can these s/s indicate:
Subdural bleeding shown in xray or ct
List interventions for overdose or ingestion of each
- 1. Tylenol: possible gastric lavage in first hour, antidote is, Mucomyst and fluids
- 2. Aspirin: activated charcoal, IVF, Vitamin K, Bicarb, KCL
- 3. Corrosives: activated charcoal, dilute with small amount of water or milk
List immediate treatment interventions for ingestion of toxic chemicals or overdose of piills
- ID and remove poison
- check airway
- contact poison control
- CPR if needed