Pediatric Safety/ Emergency

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  1. 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
  2. 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
  3. What is the most appropriate initial tx of burns?
    Cool water
  4. This is the second leading cause of accidental death in children
    submersion; near drowning resulting in hypoxia
  5. T or F: Tachcardia and tachypnea are late signs of shock
    • False: early
    • Late signs include...
    • Delayed cap refill
    • Weak pulses
    • Cool extremities
    • Hypotension
  6. T or F: Dry mucus membranes and depressed fontanel are early signs of shock
    • True: other signs include
    • tachycardia
    • tachypnea
    • Normal BP
    • Vasodilation
  7. Why is BP not a reliable indicator of shock?
    A child can lose one half of blood volume before BP drops
  8. What can these s/s indicate:
    Retinal hemorrhage
    Subdural bleeding shown in xray or ct
    Lowered LOC
    Poor feeding
  9. List interventions for overdose or ingestion of each

    1. Tylenol
    2. Aspirin
    3. Corrosives
    • 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
  10. 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
    • 911
Card Set:
Pediatric Safety/ Emergency
2018-03-01 01:30:59
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