Ped ATI remdiation - Ped ati remediation PDF

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Ped ati remediation...

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Topic: Management of care

Major area content: Establishing Priorities

Topic: Major area content: Safety and Accidents/Error/Injury infection control prevention

Topic: Major area content: Safety and Safe Medication infection control Administration

Subscale: Acute and Infectious Respiratory Illnesses

Relevant points: 1. The nurse should avoid any actions, such as obtaining a throat culture, that can cause further inflammation, irritation or obstruction of the airway. 2. The nurse should prepare for nasotrachel intubation or a tracheostomy, which might be required if the toddler begins to experience sever respiratory distress. 3. The nurse should recommend administration of Haemophilus influenzae type B conjugate vaccine for infants as a prevention of epiglottitis. Relevant points: Subscale: 1. To decrease the risk of injury, Health parents should ensure that the bike is Promotion of the correct size for the child. When School-Age Children (6 to 12 seated on the bike, the child should be Years): Teaching able to stand with the ball of each foot touching the ground and should be able About Bicycle to stand with each foot on the ground Safety when straddling the bike's center bar. 2. Children should ride their bikes single file rather than side by side. 3. Children should wear light-colored clothing that has a fluorescent material attached. Fluorescent material on the bike itself too. 4. Bike riders should ride in the direction of the flow of traffic. Chp 6 pg 29 Subscale: Relevant points: Client 1. Know 5 right of medication Identification 2. Right patient 3. Right medication 4. Right rout 5. Right dose 6. Right time 7. know how to monitor therapeutic effects, prevent & treat adverse effects, provide for comfort, & instruct clients in safe use of medications

Topic: Major area content: Safety and Seizures infection control

Subscale: Identifying Common Risk Factors

Topic: Psychosocial integrity

Major area content: Family Dynamics

Subscale: Therapeutic Communication

Grief and Loss -

Death and Dying 

Relevant points: 1. Genetic predispositions 2. acute febrile state, esp in infants and children under 2 3. Head trauma/brain tumor-Cerebral edema 4. abrupt cessation of antielleptic meds Hypoxia 5. Acute drug/alcohol withdrawal 6. Fluid electrolyte imbalances Relevant points: 1. Interpersonal relationship and social networks 2. Type and significance of loss 3. Culture and ethnicity 4. Spiritual and religion beliefs and practice 5. Prior experience with 6. Socioeconomic status

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Topic: Basic care and comfort

Major area content: 1. Mobility/immobility

Subscale: Musculoskeletal Congenital Disorders Evaluating Parent Understanding

Let family stay with body as long as they wish. Allow them to rock infant/toddler. Remove tubes and equipment. Offer to let family assist with preparation of body. Assist with preparations for death rituals. Encourage parents to prepare siblings for funeral/other rituals. Remain with family. Offer support. Allow family to share stories about client. Refer to client by name. Let family communicate feelings. "Give parents permission" to cry. Be sensitive. Do not put family in room next to family celebrating new bab 1. Relevant points: 2. Encourage application of a cotton shirt and cotton socks under harness to prevent irritation 3. -Avoidance of powders and lotions

of a Pavlik Harness

2. Elimination

Gastrointestinal Structural and Inflammatory Disorders: Expected Findings for an Infant Who Has Intussusception

4. -Instruct family to keep harness on continuously, except during bathing 5. -Teach and reinforce skin care 6. -Assess families ability to adjust harness

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3. Nutrition and Oral Hydration

Topic: Health promotion and maintenance

Major area content: 1. Aging Process, Health Promotion of Toddlers (1 to 3 Years)

Caring for an Infant Who Has a Cleft Palate

Subscale: Teaching and Evaluating Parent Understanding

Bowel section invaginates and is propelled by peristalsis. More bowel is pulled in, causing edema, obstruction, and pain. Distended, tender abdomen Guarding over the intussusception site Palpable, sausage-shaped abdominal mass in the right upper quadrant or in the midepigastric area if transverse colon is involved

Avoid sucking on nipples or pacifier, monitor ionone daily weight, pain meds  Position and then upright on her back or onside immediate postop, of the restraints, Celine on a sterile swab to clean site in about appointment as prescribed, gently aspirate secretions from Altha nasopharynx to prevent respiratory complications  maybe placed on abdomen in the immediate postop, Monitor packing usually remove 2 to 3 days, elbow restraints, IV fluids until able to eat or drink Relevant points: 1. adolescents should apply suncreen with at least 15 SPF 2. adolescents should reapply sunscreen every 2-3 hours 

2.Developmental Stages and Transitions.

3.Health Promotion/Disease Prevention

About Sun Protection

3. -adolescents should avoid tanning beds 4. it is important to avoid long periods of direct UV contact

Health Promotion of Infants (2 Days to 1 Year): Findings to Report for a 5Month-Old Infant

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Health Promotion of School-Age Children (6 to 12 Years): Planning to Administer Immunizations

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The head circumference averages between 33 and 35 cm (13 to 14 inches). Newborn weight averages 2,700 to 4,000 g (6 to 9 lbs newborns will lose up to 10% of their birth weight by 3 to 4 days of age. this is due to fluid shifts, loss of meconium, and limited intake, especially in infants who are breastfed. The birth weight is usually regained by the tenth to fourteenth day of life, depending on the feeding method used.

Immunization schedule: DtaP at 2,4,6, 15.18 mo and at 4 -6 years Td booster once every 10 years Hib 2,4,6,18 mo again at 4 - 6 years MMR 12-15mo and 4-6 y Varicella vaccine—1 dose at 12-15mo again at 4-6 y Pneumococcal (PCV) 2,4,6 and 12-15 mo HepA two doses 6mo apart after 12 mo HepB within first 12 hr after birth additional dose at 1-2 mo and 6-8 mo Flu annually starting at 6 mo Meningococcal 11-12 years HPV2—11-12years (females) HPV4(males) 9 yDosage calculation:Desired/ Have Ensure measurements are same Convert if need Be Reasonable Have second nurse check if you’re

unsure

Topic: Basic care and comfort

Major area content: Complementary and alternative therapies

Major area content: Topic: Pharmacological 1.Medication Administration and parenteral therapies

Topic: Pharmacological 2.Parenteral/Intravenous and parenteral Therapies therapies

Subscale: Relevant points:  It is important to assess if the Contraindication for client has asthma before aromatherapy aromatherapy use because some essential oils can cause bronchospasm.  Nurses should always consult the provider before beginning use of aromatherapy.  You should always make sure to educate the patient on side effects relating to aromatherapy. Relevant points: Subscale:  Production of antibodies that Contraindication prevent illness from a specific for Receiving microbe. the Measles,  Children who have fever should Mumps, and not receive these vaccine Rubella Vaccine  Contraindications for MMR vaccination include history of a severe (anaphylactic) reaction to a previous dose or to any component of the vaccine  Measles, mumps, & rubella vaccine (MMR) should be given 1 to 2 doses @ ages 19, 49, & 50.  Varicella contraindication with child who never had previous infection

Intravenous Therapy: Planning Antibiotic Therapy for an Infant

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Check the prescription Identify allergies to latex or tape Follow the right of medication administration Check compatibilities of IV solution and medication Preform hand hygiene Examine the IV solution for the

Topic: Reduction of risk potential

Major area content: 1.Changes/abnormalities in vital signs

Subscale: Vital signs: estimating systolic blood pressure

2.Diagnostic Tests

Assessment and Management of Newborn Complications: Urine Specimen Collection

clarity, leaks, and expiration date.  Don clean gloves.  Evaluate extremities and vine. Clip hair at around the insertion site with scissors. Do not shave the area because an abrasion can occur, increasing the risk of infection. Relevant points:  You should always inflate the cuff 30 mm Hg above the palpated systolic pressure to ensure accurate reading when estimating a blood pressure.  You should put the cuff against the client’s skin and not over the clothes.  Make sure to ask the client if live with or around someone they have been smoking recently, exercising or even drinking caffeine prior to taking blood pressure, because that can alter the reading.

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Risk for infection. Agitation Injury Wash the genital area and pat dry with a clean towel. Wash your hands with soap and water. Attach the bag around your child's genitals using the sticky strip. Check the bag regularly and remove when your child has weed. Cut the corner off the bag and pour urine into the urine sample bottle or test tube.

3.Laboratory Values

Cardiovascular Disorders: Laboratory Tests for Confirmation of Rheumatic fever

4.System Specific Assessment

Physical Assessment Findings: Assessing Cranial Nerves 3rd, 4th

Throat Culture Serum Antistreptolysin-O Titer C-Reactive Protein (CRP) & Erythrocyte Sedimentation Rate ECG

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 5.Therapeutic Procedures

Acute and Infectious Respiratory Illnesses: Caring for a Child Following a

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For the 3rd (ocolomotor), 4th (trochlear), and 6th (abducens) cranial nerves, eyes are observed for symmetry of movement, globe position, asymmetry or drop of the eyelids (ptosis), and twitches or flutters of globes or lids. Extraocular movements controlled by these nerves are tested by asking the patient to follow a moving target (eg, examiner’s finger, penlight) to all 4 quadrants (including across the midline) and toward the tip of the nose; this test can detect nystagmus and palsies of ocular muscles. Brief fine amplitude nystagmus at end-lateral gaze is normal. Anisocoria or differences in pupillary size should be noted in a dimly lit room. The pupillary light response is tested for symmetry and briskness. tonsillectomy s/sx of bleeding— Frequent swallowing, clearing the throat, restlessness, bright red emesis, tachycardia, pallor. Educate pt after tonsillectomy— no red foods s/sx of bleeding—tachycardia,

Tonsillectomy and Adenoidectomy Physiological Adaptation

1.Alterations in Body Systems

Cardiovascular Disorders: Identifying the Location of a Patent Ductus Arteriosus

2.Illness Management

Acute Otitis Media: Expected Findings

3.Medical Emergencies

Acute and Infectious Respiratory Illnesses: Caring for a Child Who Has Epiglottitis

repeated swallowing, --hypotension= late shock-adequate fluid intake-- Ice bag-Hand hygiene The normal conduit between the pulmonary artery and the aorta fails to close = ^ blood flow L-R shunting

infection of the structure of the middle ear with rapid clinical symptoms of infection. A collection of fluid in the middle ear, but no infection rubbing and pulling at ear * crying, lethargy, bulging yellow of red tympanic membrane *purulent material in middle ear or drainage from external ear * decreases or no tympanic movement w/ pneumatic otoscopy *lymphadenopathy of head and neck * temp as high as 104 , hearing problems, speech delays is chronic condition

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medical emergency! group symptoms: sitting with chin pointing out, mouth opened, tongue protruding drooling. Make sure let the patient sit in comfort position Reduce their anxiety which cause by resp distress absence of spontaneous

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4. Anesthesia and Moderate Sedation

Findings to Report to the Provider Following an Appendectomy(

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coughing Dysphonia (difficulty speaking) give them a communication board to communicate. Dysphagia(swallowing) don’t out anything in pt mouth to prevent choking. restlessness collect nasal secretions to detect illness, DO NOT attempt to use a tongue depressor or throat culture!!! Upright position

Uncontrolled vomiting. Increased pain in your abdomen. Dizziness/feelings of faintness. Blood in your vomit or urine. Increased pain and redness in your incision. Fever. Pus in the wound...