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What are the 3 parts of the patient assessment triangle (PAT)? Appearance, Work of Breathing, Circulation to Skin
What does T.I.C.L.S. stand for? Tone, Interactiveness, Consolability, Look, Speech
What are some of the things to look for when assessing tone? Is the child moving? Is the child pulling away or resisting? How strongly is the child resisting or moving? What is the muscle tone like?
What are some of the things to look for when assessing interactiveness? Is the child alert? Can attention be drawn to distraction such as a person, sound or object? Is the child totally uninterested?
What are some of the things to look for when assessing consolability? Is the child easily consoled by the parent? Does the child continue to cry or be agitated with reassurance?
What should you look for in regards to look? Does the child fix the gaze on a face of have a blank stare?
What should you look for in regards to speech? Does the child talk or cry strongly or in a weak, muffled or hoarse manner?
Name 11 characteristics of respiratory distress. nasal flaring, inspiratory retractions, tachypnea (fast), hyperpnea (deep), head bobbing, seesaw breathing, restlessness, tachycardia, grunting, stridor, lethargy
Name 7 characteristics of respiratory failure. cyanosis, decreased breath sounds, decreased level of responsiveness, poor muscle tone, tachycardia, accessory muscle use, inadequate respirations
What causes stidor? Upper airway obstruction caused by croup or foreign body aspiration.
What causes wheezing? Lower airway obstruction caused by asthma, bronchioltits or foreign body.
What causes grunting? Inadequate oxygenation causes by pneumonia, drowning or pulmonary contusion
What causes crackles? Fluid, mucous or blood in the airway caused by pneumonia or pulmonary contusion.
What causes absent sounds? Complete airway obstruction caused by foreign body, pneumothorax, hemothorax, pneumonia, or severe asthma.
Created by: nehemaut