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Pediatric assessment
study guide
| Question | Answer |
|---|---|
| 6 levels of consciousness | alert and responsive lethargic, somnolent, sleepy stuporous, confused obtunded semi comatose comatose |
| Activities of daily living (ADLs) | eating, walking, bathing, toilet use, etc. |
| Normal CBC values | RBC - 4 - 5 million cells/mm3 Hb - 10 - 14 g/dL HCT - 32 - 40% WBC - 5,000 - 10,000/mm3 |
| electrolyte values | K+ 3.3 - 4.7 mEq/l Na+ 132 - 141 mEq/L Cl- 80 - 100 mEq/L |
| Sweat tests | can detect cystic fibrosis with two positive tests especially if more than 60 mEq/L of Cl |
| Causes of peripheral edema | renal failure, CHF, fluid overload |
| ASSESSMENT: RADIOGRAPHS | |
| flexing and extending head | helps with advancing tube further or withdrawing it |
| where should the tip of a cuffed ETT be? | 2 cm above the carina |
| where should nasogastric or orogastric tube be? | below diaphragm at T9 and T10 level |
| normal position of hemidiaphgrams | level of sixth anterior rib, right side is higher than left due to liver pushing up |
| steeple sign on a lateral neck x-ray? | croup |
| thumb sign on lateral neck x-ray? | epiglottitis |
| which procedure helps identify position of thoracic tumor? | MRI |
| what procedure helps diagnose bronchiectasis | CT |
| What procedure helps diagnose diaphragmatic paralysis? | Fluroscopy |
| 4 indications for cardiac catherization | reopen foramen ovale obtain tissue samples for biopsy measure intracardiac and intravascular blood pressures confirm presence of suspected heart pathology |