Assessments
Who is responsible for hotlining concerning findings of your pediatric patient's assessment?
What medication would be given to prevent closure of a PDA in a newborn until life-saving surgery can be performed?
prostaglandins
At what age is it no longer appropriate to swaddle a patient for comfort?
6 months
What condition is associated with difficulty breathing and a barking cough?
What is the normal pediatric fluid bolus dose?
10-20ml/kg
What scoring system helps recognize deterioration of pediatric patients?
PEWS
What vital sign change can indicate an early sign of shock?
Tachycardia; increased respirations
What is the minimum age a patient should be prescribed ibuprofen?
6 months
Stridor is indicative of a narrowing in which part of the airway?
Upper airway
What type of shock may develop if a dehydrated patient is not treated?
Hypovolemic shock
What are the 3 components of the Pediatric Assessment Triangle?
Appearance, circulation, work of breathing
What cardiac defect includes VSD, right ventricular hypertrophy, an overriding aorta, and pulmonary stenosis?
Tetralogy of Fallot
Weight for age less than what percentile on the standard growth charts defines the diagnosis of Failure to Thrive?
5th percentile
Why is continuous O2 monitoring required when administering fentanyl?
They are at risk for respiratory depression
What is a red flag for abdominal obstruction?
bilious emesis
What assessment changes should the nurse monitor for while infusing TPA into a patient's chest tube?
Increased WOB, severe pain, swelling or crepitus at the chest tube insertion site
What is your first step after finding your unconscious patient has no pulse?
Start CPR and call a code blue
Projectile vomiting and poor weight gain are common findings for what pediatric diagnosis?
Pyloric stenosis
In what structure of the lungs does gas exchange take place?
Alveoli
What is a contraindication to NG/OG placement?
skull fracture, upper GI surgery, hiatal hernia
What is a visual component that should be included in shift report with both nurses?
PIV and wounds
What is the most common cause of pediatric cardiac arrest?
respiratory failure and shock
What is a complication of phototherapy?
water loss/electrolyte disturbance; skin rash; cancer; retinal injury; epilepsy
What is your first step if a pediatric patient becomes bradycardic with poor perfusion?
Provide 30 seconds of bag-mask ventilations
What is a complication of DKA
Hypovolemic shock