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Peds Ch 5
Test 1
Term | Definition |
---|---|
CRIES | pain indicator used in neonatal intensive care. *Crying *Requiring increased O2 *Increased vital signs *Expression *Sleeplessness Pain score greater than 4 is considered significant. 32 weeks gestation to 20 weeks postterm. |
Neonatal infant pain scale (NIPS) | 33.5 gestational weeks, scale is 0-7 variables: facial expression, arms, cry, legs, breathing pattern, state of arousal. |
Premature infant pain profile (PIPP) | 28-40 gestational weeks, scale of 0-21. Variables: gestational age, eye squeeze, behavioral state, nasolabial furrow, heart rate, O2 stat, brow bulge. |
neonatal pain, agitation, and sedation scale (NPASS) | 23 weeks gestation and full term newborns up to 100 days. Scale of 0-10. Variables: cry/irritability, behavior/state, facial expression, extremities/tone, vital signs. |
FLACC | pain scale uses behavioral approach that observes the child's face, legs, activity, cry, and consolability and is supported for use in children with CI. |
manifestations of acute pain in neonates (physiologic) | increased HR and BP, rapid shallow resp, decreased O2, pallor or flushing, sweating, increased muscle tone, dilated pupils, decreased vagal nerve tone, increase ICP. LABS: hyperglycemia, low pH, high corticosteroids. |
acute pain in neonates (behavioral) | crying, whimpering, groaning, grimace, brow furrowed, chin quivering, eyes tightly closed, mouth open and squarish, limb withdrawal, thrashing, rigidity, flaccidity, fist clench, change in: sleep-wake, feeding, activity level. |