Settings of Pedi PT Flashcards
(45 cards)
what are 6 reasons for pediatric admission into acute care and what is the primary one
respiratory**
GI
neonatal
orthopedic
neurological
multi-trauma/burns
what are 3 special considerations of pedi acute care
- fast paced setting
- psych impact of caring for critically ill child and family
- interprofessional team
what is a consideration of pedi acute care that you need to be vigilant
lab values
- have to know the guidelines and what pt sx to monitor
what lines in a pedi acute care setting might you see and what are considerations
peripheral IV (<6 days)
PICC line (>1 week)
non-tunneled CVCs
- avoid extreme motions which may disturb line
need to know purposed of line
what are tubes in a pedi acute care setting and what are considerations
feeding tubes
- NG (mouth to stomach)
- surgical placement G/J/G-J tube
respiratory tubes
- nasal canula
- CPAP
BiPAP
endotrach tubes
tracheostomy
chest tube
- monitor c/o or sx of pain in area, integrity of seal, help w accurate measurements of drainage
considerations
- c/o pain, dc, or drainage
cautious of gait belt position
what are drains in a pedi acute care setting
post surgical dialysis
LVAD
ECMO
what are 2 scales to assess pain in pedi acute care
FACES scale
FLACC behavioral pain scale
what are pharmacologic management options in a pedi acute care
PCA
young children may go under-medicated -> nursing or family PCA
why might it be helpful to talk to caregiver before starting to work w the child
help you to read the nonverbals
what cases do you typically see PCA use in pedi acute care (3)
post op
sickle cell dz
burns
what are general pedi acute care precautions and contraindications (3)
specific
DVT
infectious processes
what are examples of specific precautions/contraindications in pedi acute (4)
orthopedic
neurological
procedural precautions
- bed rest post lumbar puncture
hematological
- lab values
DVT precautions in pedi vs adult
no difference!
- very similar
- as you would think
what are 3 common hospital infections and what infections are a higher risk in the pedi population or CF population
MRSA
VRE
Cdiff
babies under 1yo @ high risk for RSV
CF: Bcc & psudonomas aeruginosa
what are clinical reasoning components for frequency and duration of PT in acute care (4)
chronicity of condition
rate of expected progress
risk for complications d/t immobility requiring skilled PT intervention
dc needs
type and frequency/duration of physical therapy services for chronic impairments, known developmental delays, medical conditions, and/or non rehab based needs
consult
1-2 visits total
type and frequency/duration of physical therapy services for chronic impairments, known developmental delays, medical conditions, and/or limited ability to participate in functional activities for those who are admitted for non-rehab needs
occasional
1-2x /wk
type and frequency/duration of physical therapy services for no new documented loss of skill or new impairments, w little foreseeable potential for progress toward functional goals
consult
1-2 visits total
type and frequency/duration of physical therapy services for new or chronic impairments, medical conditions, and/or functional limitations
regular
3-4x /wk
type and frequency/duration of physical therapy services for a potential for weekly/monthly progress toward functionally based goals
occasional
1-2x/wk
type and frequency/duration of physical therapy services for acute loss of functional skills d/t new illness/injury and are making significant gains in functional status
intense
>/= 6x/wk
type and frequency/duration of physical therapy services for good excellent potential for daily progress toward functional goals and risk losing skills if seen at lower frequency
frequent
5x/wk
type and frequency/duration of physical therapy services for little to no risk of loss of skills d/t presumed length of stay
consult
1-2x/wk
type and frequency/duration of physical therapy services for potential for daily/weekly progress toward functional goals
regular
3-4x/wk
