Pediatric assessment triangle, respiratory distress versus failure, shock types, pediatric arrest and bradycardia algorithms, and weight-based drug dosing.
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- What are the three components of the Pediatric Assessment Triangle (PAT)?
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General appearance, work of breathing, and circulation to skin.
- In the Pediatric Assessment Triangle, what does an abnormal "general appearance" mainly reflect?
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Adequacy of ventilation, oxygenation, brain perfusion, and overall CNS function.
- An abnormal "work of breathing" finding on the PAT points to what kind of problem?
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A problem with oxygenation or ventilation.
- An abnormal "circulation to skin" finding on the PAT points to what kind of problem?
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Inadequate perfusion of vital organs, as in shock.
- What mnemonic describes the sequence of the PALS primary assessment?
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ABCDE: Airway, Breathing, Circulation, Disability, Exposure.
- In the PALS primary assessment, what does the "D" step evaluate?
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Disability, meaning neurologic status.
- What quick scale does PALS use to assess level of consciousness during disability assessment?
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The AVPU scale: Alert, Verbal, Pain, Unresponsive.
- In the PALS primary assessment, what does the "E" step involve?
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Exposure: undressing the child to check for rash, injury, or abnormal temperature.
- Name a sign of increased work of breathing in a child.
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Nasal flaring, retractions, or grunting (any one such sign).
- What is the key difference between respiratory distress and respiratory failure?
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Distress is increased work of breathing with still-adequate gas exchange; failure is inadequate gas exchange (hypoxia or hypercapnia).
- Why can a sudden decrease in work of breathing be an ominous sign in a tiring child?
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It may signal exhaustion and impending respiratory failure rather than true improvement.
- Name a sign that a child has progressed into respiratory failure.
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Cyanosis, bradypnea, or altered mental status (any one such sign).
- What type of breath sound is typical of upper airway obstruction?
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Stridor.
- What type of breath sound is typical of lower airway obstruction, such as asthma?
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Wheezing.
- What heart rate finding, with signs of poor perfusion, triggers starting the pediatric bradycardia algorithm's interventions?
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Heart rate below 60 beats per minute with poor perfusion despite adequate oxygenation and ventilation.