Bronchiolitis
Bronchiolitis is most common in what age group?
Infants
What form should be filled out prior to surgery and with the parents for a child having an appendectomy?
Informed Consent
A 7 year old child who weighs 28 kg is to receive 56 mg loading dose of SoluMedrol IV. Solumedrol is available in 125 mg / 2 mL vial. How many mL should the RN administer?
0.89 mL
Name the three components of safe infant sleep.
Alone, Back, Crib
At what increments should oxygen be weaned or titrated for pediatrics?
0.25 lpm to 1 lpm
Name a non-pharmacological nursing intervention to be used for a child post-appendectomy?
Ambulating, repositioning, distraction with toys, deep breathing, etc.
0.7 mL
In Meditech, how does the co-signing RN verify pediatric medication or fluids?
Nursing>Notes>Find Primary RN's note verifying medications or fluids> addend note> use canned text for 2nd Verification Peds RN
In the care of pediatric patients with bronchiolitis, what is the most emphasized nursing intervention (hint: it's not breathing treatments)
Suctioning
What would you expect your assessment findings would be if the child develops and abscess post appendectomy?
Persistent pain and fever regardless of medication and non-pharmacological interventions, increased demand for oxygen, increased white blood cell count, etc.
A child weighing 76 lbs is ordered to receive 150 mg of Clindamycin Q6HR. The recommended pediatric does is 8-20mg/kg/day divided into four doses. What is the minimum and maximum total daily dose of this medication for this child?
Minimum: 276.4 mg/day
Maximum: 690 mg/day
At what point during the child's hospitalization should medications or fluids be verified by 2 RNs?
On admission, when the med is ordered
Name the 6 components of the Bronchiolitis Respiratory Score.
Respiratory Rate, Oxygen Need, Retractions, Breath Sounds, Dyspnea, and Secretions
What pain scale would you use to help a school age child communicate his pain intensity?
Wong-Baker Scale with faces
From the previous scenario, is the ordered dose of Clindamycin safe to administer to the child?
YES, 600 mg is within the min and max safe dose range for this child.
What are the three components of the Pediatric Assessment Triangle in PALS?
Appearance, Breathing, Circulation