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Flashcards in Chapter 10 Deck (30):
1

Who is the Pediatric Patient?

Infancy to 15 years of age
Neonates
Infants
Toddlers
Preschoolers
School age

2

Pediatric @ FH

up to 17 yrs

3

Not fearful of strangers

Birth to 6 months

4

Fear of strangers initially; toddler clinging to parent

6 months to 3 years

5

Increase verbal activity; period of fantasy play

3 to 6 years

6

Period of cognitive growth; cause and effect

6 to 12 years

7

Age of identity; heighten awareness of body

12 to 19 years

8


Infants (Birth – 1 year)

Familiar position
Holding infant (similar to parents)
Steady, soothing voice
Avoid loud stimuli
Separation anxiety (8 months)
Develop memories, ideas & feelings
White coat syndrome (fear of doctor/association)

9

Toddler (1 to 3 years)


Cannot understand more than 1 word for something
Concerned only with what you are going to do to them at the moment
Separation from parents
Do not like to be immobilized (held)
White coat syndrome

10

Preschoolers (3 to 5 years)

Not able to reason logically
Does not understand cause & effect
Favorite question – “Why”
Must see or hear something to understand
Touch equipment (make them feel comfortable)
Must be actively involved
Short attention span
Will not hold still for long

11

School Age Children ( 5 to 10 years)

Think logically and analyze situation (7 years)
Develop fears
Injury, disease, death, separation from loved ones
Accommodating and eager to please (like to know what going to do)
Great age for beginners
Want to perform task correctly
Maintain privacy
Modest and embarrass easily

12

Adolescent or Older Child

Often expected to act like an adult
“Image is Everything”
Need clear expectations
Distracting conversation
Respect privacy and right to make choices (allow them to make a choices)
Pregnancy question (how you should assess)
Assess maturity to determine how to ask question

13

Prepare for Waiting / Imaging Room

Age appropriate toys & activities for children while waiting
Prepare imaging room ahead of time
Tube / image receptor
Accessory devices
Afraid of the dark – dim lights ahead of time (turn on the light before arrive-get everything ready)

14

Approach the kids

Make a suggestion rather than asking a yes or no question
Gives them the opportunity to say No
Give them an option
Same outcome
Employ distraction techniques
Chatter
Continuing to build a rapport with the child
Answer all questions honestly
All ages respond in a positive manner to honesty and friendliness

15

What is a greatest danger of Premature Infant?

Hypothermia

16

Hypothermia

Sources of heat loss are greater
Greater surface area than body mass
Not capable of storing fat needed for warmth (cap on head need to remove

17

Imaging premature infant

Need Surgical scrub/gown on/gloves 20 munities
Consult with nurse in charge of patient
Perform in isolette
Prevent skin from touching IR
Shielding

18

Procedures performed within the department

Elevate room temperature about 20-30 minutes prior to arrival (warmer)
Prepare room prior to removing infant from isolette
Use heat lamps or warming blankets
Isolation precautions
Minimal handling
b/c Heart rate becomes irregular

19

Protection from unnecessary radiation

Collimation (make it fix, adjust to fix the child to hold safety) and shielding
Proper centering and selection of exposure factors (not too light or dark, use to correct one)
Avoid repeats
Employ effective immobilization techniques

20

Method of transporting patient

Child size & nature of illness or injury (not falling)

21

Safety Precautions

Routinely inspect all immobilization equipment to ensure they are working properly (practice before bring the child in)
Children should be supervised at all times

22

Immobilization

Used only when necessary
Should not cause injury to patient or compromise images
Several methods
Sheet
Commercial immobilizers
Assistant (parents)
Explain to the patient/parent about the use of an immobilizer before applying

23


Sheet Immobilizers

Effective
Easily formed into any size or fashion needed

24


Pigg-O-Stat (rule require)

Great for upright positioning for chest and abdominal exams
Up to 2-3 years of age (look for the child & depends on their fix or not)
Requires a complete explanation to parent

25

Tam-em board, baby board, infantainer


Chest and Abdominal imaging
Velcro straps to hold in place

26

Sandbags

Outer covering – strong canvas type
Coarse sand
Pliable

27


Stockinette & ace bandages

Arms and legs
Different sizes depending on child

28


Compression band, head clamp

Prevent movement of entire body
Restricts movement of head

29

Suspected Child Abuse is called
(nonaccidental trauma)

Battered Child Syndrome

30

Our duty to report suspected cases of abuse or neglect

Consult the radiologist or attending physician