PEARS NURS3055 Pediatric Handout

To be completed while watching video information located with Black board

ECG

1. Name the 4 primary arrhythmias discussed in the video.

a. _____________________

b. _____________________

c. _____________________

d. ______________________

2. Name the 2 “shockable” rhythms.

a. _______________________

b. _______________________

AED

1. A patient is in a shockable rhythm, the provider must say the following lines in order to assess the

environment prior to hitting the SHOCK button.

a. _______________________________________________________________

2. The three leads located on a cardiac monitor go on what location on the patient’s chest?

a. White lead__________________________________

b. Black Lead_________________________________

c. Red Lead__________________________________

3. True or false – an adult hands-free code pad can be used on an infant if there is no infant or pediatric

Pads?

a. True or False

4. The patient has an implantable device within their chest. How do you think this may impact the delivery

of energy? What are the implications to you as a nurse if your patient has an implantable device?

a. ______________________________________________________________________________

______________________________________________________________________________

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General Survey
1. The TICLS mnemonic stands for
a. T___________________

b. I____________________

c. C____________________

d. L_____________________

e. S______________________

2. The A-B-C mnemonic stands for

a. A__________________________

b. B____________________________

c. C______________________________

Go to your Skyscape and search “vital signs.” Be familiar with using Skyscape during class.

Airway

Read pages 24 & 25 in the PEARS Provider Manual.

1. Name 3 symptoms that should alert you that a baby’s airway is compromised. (see pg. 36)

a. ___________________

b. ____________________
c. ____________________

2. Name the head position required to maintain an open and neutral airway in an infant.

a. __________________________

3. When evaluating the airway, the only thing required to assess is whether or not the airway is

______________ and _______________.

4. Name the 5 interventions that can be used to clear or maintain an airway

a. ___________________________

b. ___________________________

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c. ___________________________

d. ____________________________

e. ____________________________

Breathing

Read pages 26-33 in the PEARS Provider Manual. Be prepared to discuss respiratory and lung sounds

during class.

1. Name the oxygen devices from least amount of oxygen requirement to the most oxygen delivery

systems and how many Liters are needed when using the oxygen device.

a. _________________________________

b. _________________________________

c. ___________________________________

d. __________________________________

2. What vital signs are included in the breathing section of your assessment?

a. _____________________

b. _______________________

3. What else is assessed during the breathing phase of the assessment?

a. __________________________

b. ___________________________

c. ___________________________

4. A rescue breath for an infant is given every how many seconds? ______________

5. A rescue breath for a 6 year old is given every how many seconds? ____________

6. Adult rescue breaths are every ________ to ___________ seconds.

7. Rescue breaths or a breath given with a BVM bag should be given until the provider sees what?

a. ____________________________________________

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2015 AHA Update

*When the patient is intubated, CPR is delivered non-stop with rotation of compressors to occur every 2

minutes. Breaths are given 1 every 6 seconds in the adult, pediatric, or infant patient.

Circulation

Read pages 78-84 in the PEARS Provider Manual.

1. What vital signs are included in the cardiovascular section of your assessment?

a. __________________________

b. ________________________

2. What else is assessed during the circulation phase of the assessment?

a. ___________________________

b. ____________________________

c. ____________________________

d. ____________________________

3. As a care provider, where you check for a pulse (centrally) on an infant?

a. _______________________________________

4. As a care provider, where you should you feel for a pulse (centrally) on a child/adult?

a. _________________________________________

2015 AHA Update

* Compressions are delivered at a rate between 100-120 beats per minute. Prior to this update, compressions

were delivered at least 100 times per minute (2010 Guideline).

Disability

Read pages 84-85 in the PEARS Provider Manual.

1. What does AVPU stand for?

a. A___________________

b. V____________________

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c. P_____________________

d. U____________________

2. What else is assessed during the disability assessment

a. _________________________

b. _________________________

c. _________________________

Exposure

Read pages 86-87 in the PEARS Provider Manual.

1. What vital sign is included during this phase of the assessment?

a. _________________________________

2. What else is assessed during the exposure phase of the assessment?

a. _____________________________________________

b. ___________________________________________

Secondary assessment & Tertiary (diagnostic tests) Survey (pg. 19)

We will not spend a lot a time on the secondary & tertiary survey, however you are responsible for knowing this

information.

Categorize-Respiratory

Upper Airway Obstruction (pg. 36)

1. Name the common signs and symptoms of upper airway obstruction

a. ____________________________

b. _____________________________

c. _______________________________

d. _______________________________

e. _______________________________

f. _________________________________

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g. _________________________________

Lower Airway Obstruction (pg. 37)

1. Name at least 3 common signs of lower Airway obstruction

a. _____________________________________

b. _______________________________________

c. _____________________________

Lung Tissue Disease (pg. 37-38)

1. What are the clinical signs of lung tissue disease

a. ______________________________

b. _______________________________

c. __________________________

d. ______________________________

e. _______________________________

f. __________________________________

2. Name at least 3 causes for Lung tissue disease.

a. ___________________________

b. ____________________________

c. _______________________________

Disorder Control of Breathing (pg. 38-39).

1. Name at least 3 neurological disorders that may affect breathing control

a. __________________________

b. ___________________________

c. _____________________________

2. What causes “snoring” respirations?

a. ___________________________________________________________________

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3. How does a provider help a patient who has “snoring” respirations?

a. _________________________________________________

Categorize – Cardiovascular (only Distributive and Hypovolemic Shock are discussed)

Hypovolemia Shock (pg. 90).

1. Name at least 4 reasons why patients can have hypovolemic shock? (pg. 89)

a. ____________________________________________

b. _____________________________________________

c. __________________________________________

d. __________________________________________________

2. What two fluids can be given to patient in decompensated shock?

a. ___________________________

b. ____________________________

3. How much fluid is provided to patients who are in cardiovascular shock?

a. ________________________mL/KG

Distributive (Septic) Shock (pg. 91)

1. Name the most common forms of distributive shock

a. ____________________________

b. _____________________________

c. ______________________________

2. How does the care provider know if the patient has “compensated” or “decompensated” shock? (pg. 97)

a. ______________________________________________________________________

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Medications

You do NOT need to write out the information for the following medications because you will be expected

to use your Skyscape app during class. Know how to find on Skyscape how the drug is metabolized, the

dosage information (FOR PEDIATRIC AGE), and the reason of use, the major symptoms, and patient

education information. I need you to be familiar with the following medications:

1. Ibuprofen vs Tylenol. When is one used over the other and why?

a. ______________________________________________________________________________

______________________________________________________________________________

2. Albuterol

3. Ipratropium (Atrovent)

4. Epinephrine – Racemic, IV high dose and low dose, and Epi pen.

5. Antibiotics in general (we will discuss in class)

6. Dextrose

7. Insulin regular

8. Charcoal with and without Sorbitol (Charcoaid)

9. Dexamethasone, Sol-u-medrol, Prednisolone, Decadron

10. Isotonic Solutions 0.9%NSS or LR

Come prepared with your stethoscope, Skyscape (charged and ready to go), scrubs, and closed toe shoes.

You are prepared to now play!

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