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
    Seizures
    Poor feeding
    Lethargy
    SBS
  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
Author:
edeleon
ID:
334786
Card Set:
Pediatric Safety/ Emergency
Updated:
2018-03-01 01:30:59
Tags:
Ped Safety Nursing
Folders:
MCN Exam 3
Description:
MCN Exam 3 lecture notes
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