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peds 5th quarter
hospitalization,dying child & neuro
| Question | Answer |
|---|---|
| WHAT IS A CHILDS COMMON RESPONSE TO BEING HOSPITALIZED? | FEAR, ANXIETY, UNCERTAINTY & AMBIVALENCE |
| HOW CAN A NURSE DECREASE FEAR & ANXIETY & INCREASE TRUST IN A CHILD? | IF YOU HAVE CONFIDENCE IN CARING FOR THE CHILD THEN THE CHILD WILL HAVE CONFIDENCE IN THE NURSE, BY EXPLAINING THE ILLNESS TO THE CHILD IN THE AGE APPROPRIATE MANNER & EXPLAIN TO THE PARENT |
| AT WHAT AGE DOES SEPARATION ANXIETY BEGIN? | 6 MONTHS |
| AT WHAT AGE DOES SEPARATION ANXIETY PEAK? | 2 1/2 YRS |
| WHAT ARE THE STAGES OF SEPARATION ANXIETY? | PROTEST, DESPAIR, DENIAL/DETACHMENT |
| WHEN A CHILD CRIES LOUDLY WHEN SEPARATION OCCURS & REJECTS COMFORT FROM STAFF CAREGIVER IS WHAT STAGE OF SEPARATION ANXIETY? | PROTEST |
| WHEN A CHILD WAILS VS CRIES; CHILD APPEARS WITHDRAWN/SAD AND DOES NOT PLAY IS WHAT STAGE OF SEPARATION ANXIETY? | DESPAIR |
| WHEN A CHILD IS DISINTERESTED IN PARENTAL VISITS, CHILD IS SILENT & EXPRESSIONLESS, CHILD MAY HAVE DIFFICULTY FORMING RELATIONSHIPS LATER IN LIFE IF PROLONGED SEPARATION IS WHAT STAGE OF SEPARATION ANXIETY? | DENIAL/DETACHMENT |
| THIS IS EXPECTED; A LOSS OF ACHIEVED LEVEL OF FUNCTIONING THAT WAS SUCCESSFUL DURING EALIER STAGES OF DEVELOPMENT? | REGRESSION |
| WHAT ARE THE 4 TYPES OF PEDS PAIN ASSESSMENT SCALES? | NIPS, FLACC, WONG/BAKER FACES, & 0-10 SCALE |
| WHAT ARE SOME NON VERBAL CUE INDICATORS FOR PAIN? | RIGIDITY, LOUD CRYING, GRIMACING, SCREAMING, THRASHING, FLEXION OF KNEES, RESTLESSNESS, IRRITABILITY |
| WHAT ARE SOME PHYSIOLOGIC CUR INDICATORS FOR PAIN? | INCREASED PULSE RATE & B/P, SWEATING PALMS, DIALATED PUPILS, FLUSHED OR MOIST SKIN, & LOSS OF APPETITE |
| WHAT IS THE NIPS SCALE USED FOR? | NEONATES & INFANTS |
| WHAT SCALE IS RATING SCALE 0-7, FOR INFANTS LESS THAN 2 MONTHS OF AGE (USES NON VERBAL INDICATORS)? | NIPS |
| WHAT SCALE IS FOR 2 MONTHS & OLDER, RATING SCALE 0-10, UNABLE TO VERBALIZE PAIN, NONVERBAL INDICATORS? | FLACC |
| WHAT SCALE IS A RATING SCALE 0-10, MUST BE ABLE TO VERBALIZE PAIN, 0 BEING NO PAIN AND 10 BEING THE WORST & DOESN'T HAVE TO BE CRYING? | WONG/BAKER FACES |
| ACETAMINOPHEN IS USED FOR WHICH TYPE OF PAIN? | MILD TO MODERATE PAIN |
| WITH ACETAMINOPHEN WHAT IS THE DOSE & MAX DOSE? | 10-15MG/KG/DOSE & MAX OF 5 DOSES IN 24HRS. |
| WITH ACETAMINOPHEN IF THE CHILD IS LESS THAN 2 MONTHS OF AGE WHAT DO YOU NEED TOGET BEFORE ADMINISTERING? | MD ORDER |
| DO NOT GIVE ACTAMINOPHEN IF WHAT IS PRESENT? | LIVER PROBLEMS |
| IBUPROFEN (NSAIDS) IS USED FOR WHAT TYPE OF PAIN? | MILD TO MODERATE |
| WHAT IS THE MAX DOSE FOR IBUPROFEN? | 8-10MG/KG EVERY 6 HRS |
| WHEN DO YOU NOT GIVE IBUPROFEN TO A CHILD/PED/INFANT? | IF THERE ARE S/S OF DEHYDRATION, KIDNEY PROBLEMS & LESS THAN 6 MONTHS |
| OPIOIDS ARE USED TO TREAT WHAT TYPE OF PAIN? | MODERATE TO SEVERE PAIN |
| WHAT ARE SOME EXAMPLES OF CONDITIONS THAT OPIOIDS WOULD BE USED? | SICKLE CELL CRISIS, CANCER |
| WHAT ARE SOME SIDE EFFECTS TO THE USE OF OPIOIDS? | CONSTIPATION, RESP DEPRESSION & SYNCOPE |
| WHAT IS THE APPROPRIATE DOSE FOR OPIOIDS IN CHILDREN? | the least amount to be used to take away the pain & another dose given if before the pain returns |
| WHEN OPIOIDS ARE USE APPROPRIATLY THEN WHAT IS RARE IN CHILDREN? | ADDICITION |
| WHAT IS THE REVERSAL AGENT FOR OPIOIDS? | NARCAN (NALOXONE) |
| what are some procedures that emla creams (lidocaine/prilocaine) are used for? | ivs, lumbar punctures, im injections, sutures |
| what is the time it takes for emla creams to take effect? | 20-30 min |
| AT WHAT AGE CAN A CHILD START USING A PCA PUMP FOR MODERATE TO SEVERE PAIN? | AGE 7 |
| TRUST VS MISTRUST | BIRTH TO 1ST BIRTHDAY (HOSPITALIZED INFANT) |
| SENSORIMOTOR ACTIVITY- PUTS THINGS IN MOUTH TO LEARN | BIRTH TO 1ST BIRTHDAY (HOSPITALIZED INFANT) |
| WHEN DOES STRANGER ANXIETY BEGIN? | at 8 months |
| WHAT IS INFANT REATIVE BEHAVIOR? | THRASHING, STRETCHING OF LIMBS, CRYING, PROTEST & IRRITABILITY |
| AUTONOMY VS SHAME | 1ST BIRTH TO 3RD BIRTHDAY (HOSPITALIZED TODDLER) |
| SENSORIMOTOR (1-2YRS) &PREOPERATIONAL (2-7YRS) | 1ST BIRTH TO 3RD BIRTHDAY (HOSPITALIZED TODDLER) |
| WHAT IS REACTIVE BEHAVIORS FOR TODDLERS? | PROTEST, REGRESSION, TANTRUMS & AGGRESSIVENESS |
| INTIATIVE VS GUILT | 3RD BIRTHDAY TO 6TH BIRTHDAY (HOSPITALIZED PRESCHOOLER) |
| PREOPERATIONAL | 3RD BIRTHDAY TO 6TH BIRTHDAY (HOSPITALIZED PRESCHOOLER) |
| WHAT ARE SOME FEARS PRE-SCHOOLERS HAVE ABOUT HOSPITALIZATION? | BODY INJURY/MUTILATION, MAGICAL THINKERS...THEIR BLOOD WILL LEAK OUT FROM SHOTS,LOSS OF CONTROL DUE TO DECREASED MOBILITY& INCREASED DEPENDENCE, FEAR OF SEPARATION DECREASES IN PRE-SCHOOLERS,FEAR PAIN, & MAY GET AGGRESSIVE WITH INVASIVE PROCEDURES |
| HOW DO PRE-SCHOOLERS VIEW ILLNEES/INJURY? | AS PUNISHMENT FOR WRONG DOING |
| what is reactive behavior for pre-schoolers? | protest, despair, detachment, aggression & regression |
| INDUSTRY VS INFERIORITY | 6TH BIRTHDAY TO 12TH BIRTHDAY (SCHOOL AGED CHILDREN) |
| CONCRETE OPERATIONS (7-11YRS) | 6TH BIRTHDAY TO 12TH BIRTHDAY (SCHOOL AGED CHILDREN) |
| WHAT DO SCHOOL AGED CHILDREN FAR ABOUT BEING HOSPITALIZED? | SEPARATION FROM PEERS, SCHOOL ACTIVITIES, INTERRUPTION OF ROUTINE, LOSS OF CONTROL/INDEPENDENCE, DEALTH/DISABILITY, EXTENSIVE PAIN & BODILY HARM |
| HOW DO SCHOOL AGED CHILDREN VIEW ILLNESS? | AS EXTERNAL CAUSE (GERMS) |
| IDENTITY VS ROLE DIFFUSION/CONFUSION | 12-18YRS HOSPITALIZED ADOLESCENT |
| WHAT DO ADOLESCENTS FEAR ABOUT BEING HOSPITALIZED? | THREATS TO BODY IMAGE, LOSS OF INDEPENDENCE, SEPARATION FROM PEERS, LOSS OF CONTROL |
| HOW DO ADOLESCENTS VIEW ILLNESS? | INTERNAL CAUSES (CANCER), BELIEVES INVULNERABLE, RISK TAKERS, REBELLIOUS, GENERALLY WILL COOPERATE IF AWARE OF BENEFITS AND GAINS TRUST |
Created by:
jmbosworth1972
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