The initial assessment of your patient follows the general evaluation of ABC.
What is Appearance, Breathing, Circulation
100
The most common injured abdominal organ in children.
What is spleen? (lack of muscle protection)
100
Cerebrospinal fluid is formed by which part of body.
What is Choroid plexus?
100
Rate at which the body in motion increases in speed.
What is acceleration?
100
Land mark for zeroing EVD.
What is middle ear if EVD?
200
You are caring for a 10 year old with respiratory illness. Breathing is rapid and saturations are not improving. You should consider the next intervention.
What is calling a rapid response.
200
The most common MOI pancreatic injury in children.
What is handle bar injury?
200
Common complications associated with a VP shunt.
What is subdural hematoma, peritonitis, meningitis, septicemia, and abdominal abscess?
200
Head trauma where brain gets injury from two sides
What is coup contrecoup injury?
200
Precautions needed to replace drainage bag on EVD.
What is sterile precautions?
300
Standard fluid replacement for hypotension.
What is 20cc/kg?
300
MOI with potential lacerated liver, ruptured bladder, and internal bleeding.
What is lap belt syndrome?
300
Placement of a VP shunt, the nurse would see desired outcomes. Name at least one
What is alert patient, normal fontanel, gag reflex with suctioning?
300
A child's age when the C-spine becomes similar to adult characteristics.
What is 8 years old?
300
Typical orders associated with a patient with an EVD.
What is fluid replacement order, HOB up, frequent neuro checks, clamping EVD for limited time?
400
A SAMPLE history. Name at least two
What is S/S, Allergies, Medications, Past medical history, Last meal, Events (onset)?
400
Lab tests indicative of risk for intra-abdominal injury.
What is liver enzymes (AST >200 or ALT >125) and HcT <30?
400
Cushing's Triad.
What is widening pulse pressure, bradycaria, slow or irregular respirations?
400
Typical injuries seen in children pedestrian injuries from a motor vehicle.
What is upper leg, chest/abdomen and head?
400
Process for obtaining a CSF culture.
What is make sure a NES team member gets sample?
500
Patient presents with RR of 62, retractions and wheezing and decreased air movement. You expect the next intervention to be.
What is order for nebulized albuterol?
500
Most common cause of blunt abdominal trauma in children.
What is MVA?
500
An appropriate intervention to decrease cerebral blood flow.
What is hyperventilation? (decrease pCO2 cause vasoconstriction)
500
Time of day most pedestrian injuries occur.
What is between 4pm and 8pm?
500
EVD set up with intermittent ICP monitoring.
What is come up to front of class and show how it is set up?