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PEDS
Pediatric Final - Nursing
acute pain | irritability, grimacing, sleep disturbances, lethargy, abnormal vital signs |
chronic pain | less symptoms --> usually diagnosed around 3 months |
CRIIES | Crying, Requiring, Increased oxygen, Increased vital signs, Expression, Sleeplessness |
OUCHER scale | ages 3-7 |
FACES scale (Wong Baker) | ages 3+ |
NCCPC | non-communicative child pain checklist |
PICIC | pain indicator for communicatively impaired children |
non-pharmalogical interventions | reposition, sweet-ease, sucking, skin-to-skin, holding, distraction |
3+ months with MILD pain | non-opioid NSAID |
3+ months with MODERATE/SEVERE pain | morphine |
PCA pump - basal rate | continuous rate |
PCA pump - bolus rate | in addition to |
PCA pump | MORPHINE = gold standard |
infant hospitalization | UNAWARE of illness - stranger/separation anxiety |
toddler hospitalization | illness is PUNISHMENT |
school age hospitalizaiton | knows cause & effect of illness |