PEDs Sig Flashcards
(41 cards)
What needs to be in the room
Med Sheet
Ambo bag
Suction & O2
epiglottitis interventions
maintain the airway
-no tongue blades, do not look in throat
-avoid xray & transport (portal if needed)
-let parents be w/ child & keep everyone calm
-prepare for sedation & intubation -> antibiotic -> extubate
Constipation management
After 6mo
1. Fluids (H2O)
2. Add fruit juice to help pull water in colon
3. Miralax
What foods are choking hazards
- grapes
- hard candy
- popcorn
- hot dogs
- raw mini carrots
- smooth hard foods
What should be done even everytime you are given a new patient, even if it is just to cover a patient for a few mins?
You should always access the pt and do the vitals and check orders always
Quick look- all details - all PTs - All the time
How to access an IV and Pump
IV site -> tubing -> pump -> bag
If a patient is stable but declining, who should you call?
Call Rapid Response
What if the patient is unstable and needs needs help now?
Call a Code Blue
What should you do for interventions?
Access the patient first -> Do the intervention -> Always re-access
aggressive airway clearance for CF (need to know)
-percussion by manual, PEP mask and vest
-airway clearance therapy
-postural drainage
-breathing exercises
-physical exercise
-oxygen therapy & nebs only if needed bc hard to wean
-isolation while in hospital
cyanotic spells O2 consideration
- acyanotic- don’t give O2 (tissue generally have O2)
- Cyanotic- give O2
discharge planning post cardiac cath
-pressure dressing x24 hr
-no tub baths for 48hrs
-rest 1 night then can resume activities
-teach S/s of infections
holliday segar formula
need to have memorized
-first 10kg add 100 ml/kg/d
-next 10kg add 50 ml/kg/d
->20kg add 20 ml/kg/d
ex) 7kg child would get 700 ml
ex) 12kg (10x100)+(2x50) = 1100 ml
ex) 30kg (10x100)+(10X50)+(10x20) =
1700 ml
divide by 24 to get per hr
What to think about regarding pain?
Think about s/s and development status. Children may lie.
What age can you start using Wong-baker face pain scale?
Depending on development but around 3y/o
FLACC SCALE - pain scale
FACIAL EXPRESSIONS
LEG MOVEMENT
ACTIVITY
CRY
CONSOLABILITY
Infants and Toddlers (0-3 years): Non-pharmacological techniques ideas
Swaddling
Skin-to-skin contact
Pacifiers
Rocking or gentle movement
Soft music or white noise
Preschoolers (3-5 years): Non-pharmacological techniques ideas
Distraction with toys, bubbles, or videos
Simple breathing exercises
Comfort positioning
Guided imagery (e.g., imagining favorite places)
School-age Children (6-12 years): Non-pharmacological techniques ideas
School-age Children (6-12 years):
Distraction with games, books, or electronic devices
Deep breathing techniques
Progressive muscle relaxation
Guided imagery
Music therapy
Adolescents (13-18 years): Non-pharmacological techniques ideas
Relaxation techniques
Guided imagery
Music or art therapy
Cognitive-behavioral strategies
Mindfulness exercises
Intussusception Invagination or telescoping of one portion of the intestine into another. Nursing Consideration & teaching
recognize symp and refer tx, NG tube for decompress, monitor signs of shock, ABX, hydration and nutrition, routine post-op care, family support
TEF failure of the esophagus Preop - Nursing Consideration & teaching
- preop: early detection, maintenance of airway, prevention of PNA, gastric or blind pouch decompression, ABX, prep for surgical correction
how much do you increase fluid needs by for a fever
by 7ml/kg/d
Remember safe dose range
Example: 1-2mg/kg/d
1mg x 2.2kg / 4 (if every 6hr) lower
2mg x 2.2kg / 4 (if every 6hr) upper
if pounds are given most divide by 2.2 to get kg first
