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What are the standards that make up a healthy work environment 1. Appropriate staffing 2. Effective decision making 3. True collaboration 4. Skilled communication 5. Authentic leadership 6. Meaningful recognition
Beacon Award of excellence ensure the critical care unit is a beacon unit
Pediatric assessment Allow them to be comfortable, don't scare them. Give adolescents and school age kids privacy. Use vocabulary they understand. Praise them. Give them choices so they feel in control. Do the least invasive tasks first. Allow them to touch medical equipment.
pediatric developmental levels infant, toddler, preschooler, school age, adolescent.
infant 0-1 years old
toddler 1-3 years old
preschooler 3-5 years old
school age 6-11 years old
adolescent 12-21 years old
Care of the infant allow the parent to remain around to reduce fear. Tactile stimulation is needed so let them hold or touch baby. Cluster procedures together, and give instant gratification.
Caring for the infant with Congenital Heart Disease 1) Start oxygenin via mask that parent holds. 2) Start an IV line. 3) Start cardiac monitoring. 4) Start pulse oximetry.
Treatment for Congenital Heart Disease diuretics and cardiac glycosides to treat heart failure. Prevent endocarditis and arrhythmias. Improve circulation using prostaglandins
Caring for the infant with CROUP an upper airway obstruction USUALLY due to a viral illness. Usually occurs in late autumn and winter. S&S: Low grade fever, "barky" souring cough, stridor, respiratory distress. CXR will show subglottic narrowing (steeples sign)
Treatment for CROUP Apply cool mist oxygen and racemic epinephrine respiratory treatments. Use a cardiac monitor and pulse ox. Draw ABG's if in acute distress
fever (pyrexia) low grade 100-101F, high grade 103-104. 104-107 hyperpyrexia is an extremely high fever.
racemic composed of dextrorotatory and levorotatory forms of a compound in equal proportion
Bronchiolitis Inflammatory disease in the lower respiratory tract. Obstructs bronchioles. USUALLY caused by Respiratory Syncytial Virus (RSV).
S/S of bronchiolitis similar to those of airway obstruction in patients of all ages.
Treatment of bronchiolitis cardiac monitor, pulse oximeter, airway management, nasal/tracheal suctioning, IV fluids, bronchodilators, steroids. Antivirals and intubation in extreme cases.
Meningitis acute inflammation of the meninges. Presentation is similar to adults and treatment similar to adults.
Treatment of meningitis Cardiac monitor, pulse oximetry and closely monitoring ICP. Start ABT therapy immediately, but after getting CSF fluid from lumbar puncture. Antipyretics administered for fever. Steroids for ICP, anticonvulsants for seizures, and intubation for resp issue
Created by: Nana0904
 

 



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