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Respiratory
Trauma
Chronic Diseases
Advance Nursing Protocols
Potpourri
100

What is the first line treatment for bronchiolitis?

Suctioning

100

How do you measure a pediatric patient with the Broselow tape?

Start with the red arrow at the top of the patient’s head and measure down the patient’s HEEL

100

Which chronic disease affects the patient's ability to move, maintain posture, and cause developmental delays?

Cerebral Palsy

100

A patient with a history of Acute Lymphoblastic Leukemia presents with a fever of 100.5 degrees. Before placing your ANP, what question do you need to ask parents or review in her chart?

If the patient is neutropenic or non-neutropenic 

100

A patient presents with RUQ pain, fever, and vomiting x2 days. The patient's WBC is 16K and their CRP is 150. What disease process do you suspect?

Appendicitis

200

What is the breath sound you would normally hear with croup?

Stridor

200

What are the concerning signs of physical child abuse?

TEN-4-FACESp 

200
A patient presents to your room with an O2 saturation of 75%. The patient has a history of hypoplastic left heart syndrome. What is the first question you should ask the caregivers?

What is their oxygen saturation baseline?

200

Which type of Zofran is best for an actively vomiting child if IV is not an option?

ODT Zofran

200

What disease process would you suspect in a patient presenting with jelly-like stools?

Intussusception 

300

How many liters can a nasal cannula go up to?

6 liters

300

Raccoon eyes are a symptom of which injury?

Basilar skull fracture

300
A patient with a history of MCAD presents to your room from triage. What is your first action?

Obtain a glucose

300

What topical anesthetic would you place on a laceration?

L.E.T. (lidocaine, epinephrine, tetracaine)

300

Who decides when to page a Stroke Alert on a pediatric patient?

The Pediatric Emergency Medicine Attending

400

What is the difference between an ambu bag and an anesthesia bag?

self inflating vs. flow inflating

400

What are the three medications we give prior and during a procedural sedation?

Zofran, Ketamine, and Versed (will accept Propofol)
400

Your patient with epilepsy starts seizing. You are the only person in the room. What do you do? (Give at least three answers)

Position patient on their side, place NRB or ambu bag on patient, suction ready to go at bedside, notify provider, start a timer, prepare benzodiazepines 
400

What topical anesthetic could you place on a patient needing an IV?

EMLA (lidocaine 4%)
400

What age do we always perform a lumbar puncture on if our temperature is below 96.7 degrees or above 100.4 degrees?

0-28 days

500

Your patient was diagnosed with RSV. The patient was placed on HFNC over one hour ago. The patient is still tachypneic with retractions and nasal flaring. What is the next treatment you should consider?

NIPPV (nasal intermittent positive pressure ventilation) AKA "baby bipap"

500

What is the goal time for IV antibiotics for an open fracture? What is the antibiotic?

30 minutes, Ancef

500

What lab values do you expect to see in a patient with DKA? (Name at least 2)

pH (acidosis <7.3), anion gap ( >16), bicarbonate (<15), high glucose (>200), ketones in urine

500
A 2 year old presents to your room with a fever of 104 degrees Fahrenheit. The parents did not give her any antipyretics prior to arrival to the ED. The patient's weight is 12kg. How much Tylenol and Motrin would you give them? 
Tylenol-5.6mL, Ibuprofen-6mL
500

When performing HSV swabs on a neonate, what five places need to be swabbed?

left eye, right eye, mouth, nasal, and rectal