Pain Scales & tools
What does FLACC stand for?
Facial expressions, Legs, Activity, Cry, Consolability
2 extra points if u tell me why?
morphine
this person should be involved in selecting pain management strategies for the child
who is parent
Drugs for constipation
stool softeners & laxatives ( Miralax)
Child on morphine is not AROUSED OR APENIC. WHAT TO DO?
stop or reduce opioid, administer oxygen & support respirations, initiate resuscitation efforts as appropriate, administer naloxone
I gave a 1 month year old Hep b? CHAT AM I COOKED
no, birth to 2 months are only allowed hep b
The child chooses a face that to describe their pain
Wong-Baker FACES Pain Scale: six cartoon faces
first line for mild to moderate pain?
Acetaminophen and NSAIDS
what strategy involves saying positive statements during pain?
positive self talk
Diphenhydramine
A child receiving opioids develops constipation. what should the nurse do?
what vaccines can I give at 2 months
DTaP, Polio, Hib, PCV, Rotavirus
Wong baker FACE scale is also used for neonates?
t/f
false, neonates use CRIES
Morphine, codeine, fentanyl
I am using using lullabies, gentle touch and rocking for a distraction technique. what age group am I with
infants
drugs for antiemetics
dimenhydrinate for motion sickness, Oral ondansetron (Zofran) for vomiting
A 14 year old with cancer reports nausea from opioids. what's the best nursing action
prescribed antiemetic
Given zt 11-12 years and again at 16, this vaccine protects against a bacteria causing meningitis and septicemia
what is the meningococcal conjugate vaccine?
A 5 year old with a broken arm is asked to rate pain. which tool is most appropriate?
Wong-Baker FACES
what are the three main types of pain in children?
acute, recurrent, chronic
how do you address a sickle cell person in pain?
1. Assess pain 2. believe the patient's pain report 3. administer pain meds 4. provide non-pharmacological pain reliefs (heat) 5. proper hydration 6. monitor vital signs 7. assess for potential complications 8. provide emotional support or reassurance 9. encourage rest and positioning for comfort 10. collarbolate with healthcare team to adjust pain management as needed
NSAIDs that are given
Ibuprofen (Advil, Motrin)
There was a nurse, a 2 year old and the grandmother. At the visit, the nurse gave the 2 year old a vaccination. 3 hrs later the mother of the child showed up to the office demanding to know why they gave the child a vaccination without her permission. what happened
the nurse didnt have the mothers consent to give the vaccination. but idk cuz give me A min to think
what vaccines can I give at 4-6 years old?
DTaP, Polio (IPV), MMR, and varicella
WHAT IS 5TH MOST COMMON NONFATAL CAUSE OF INJURY
Burn pain
To take blood from a kid
heel sticks or finger
who's your bestie with children
play therapy
what is Tylenol for
useful for mild to moderate pain and fever reduction
A 10 year old post op on PCA morphine is restless and itching. whatintervention is most appropriate
give diphenhydramine
what vaccine is given annually