Signs and Symptoms
Children with difficulty breathing will typically not smile, may not be engaging, and primarily focus on this
What is breathing?
Very young infants primarily breathe through this area, which can be noisy when congested.
What is nose?
The acronym "PEWS" stands for this?
What is Pediatric Early Warning Score?
The Pediatric Assessment Triangle (or PAT) is made up of these three components
What is Appearance, Work of breathing, Circulation of skin?
100-180
What is infant heart rate?
When a child sits forward, hands over knees, it can be an indicator of severe respiratory distress. This position is referred to as
What is tripod position?
This high-pitched musical whistling sound indicates narrowed airways
What is wheezing?
An agitated or inconsolable child would receive this score in the behavior category
What is 2?
The purpose of the PAT is to provide this
What is rapid evaluation?
98-140
What is toddler heart rate?
Some children, particularly small infants, may exhibit this with respiratory distress.
What is nasal flaring?
This high-pitched turbulent sound is caused by disrupted airflow
What is stridor?
If I were to score my patient at this total score or higher I notify the peds on-call provider and reassess in 1 hour
What is 4?
Younger children are often agitated, crying, and resistant to examination; this can make it challenging to distinguish between children who are appropriately distressed and those that are critical. I should consider this when assessing what part of the PAT
What is appearance?
80-120
What is preschooler heartrate?
The use of these during breathing is an important physical sign to look for in the pediatric patient with shortness of breath
What is accessory muscles?
This short, low-pitched respiratory sound in children involves exhaling against a partially closed glottis and is often confused for whimpering
What is grunting?
PEWS can be documented in which two places
What is flowsheet and note?
Increased work of breathing alone only suggests respiratory distress, and when combined with abnormal appearance it suggests
What is respiratory failure?
30-53
What is infant respiratory rate?
A pediatric patient in respiratory distress may have this visible that can be assessed once exposed.
What is retractions?
This noisy upper airway sound that resembles snoring
What is stertor?
PEWS uses _________ ____ to predict patient risk of deterioration.
What is objective data?
An otherwise important assessment that is not a part of the initial circulation to skin assessment
What is capillary refill?
20-28
What is preschooler respiratory rate?