This preview shows page 1. Sign up to view the full content.
Unformatted text preview: T: PHYSICAL ASSESSMENT: CHILDREN APPROACH IS CRITICAL Growth Measurement
Organ Systems GROWTH MEASUREMENT
GROWTH MEASUREMENT Growth Chart – Length/Height
– Head circumference Take note when pt. is: Under 5th percentile Over 95th percentile PHYSIOLOGIC PHYSIOLOGIC MEASUREMENTS Respirations, pulse, BP, temp
– Respiration for 1 minute
– Pulse = Apical pulse for 1 minute
– B/P = Dinamap, 2/3 to 3/4 of upper arm
– Temperature Oral, Axillary, Tympanic Evidence Alert: Evidence Alert: Tympanic Temperature Temp measured in 106 infants in ED by tympanic, axilla, rectal. Results: Tympanic closer to rectal than axillary, whether febrile or not.
Tympanic measurements had a sensitivity of 76% whereas axillary had a sensitivity of only 24%. CONCLUSION: Tympanic thermometry is more accurate than electronic axillary thermometer. ElRahdi , A. & Patel, S. (2006). An evaluation of tympanic thermometry in a paediatric emergency department. Emergency Medicine Journal , 23(1): 401. No two babies are alike! GENERAL APPEARANCE GENERAL Overall physical appearance such as nutritional state, hydration status, behavior…
Your general impression? SKIN
SKIN Color, temperature, moisture, turgor
Typical assessment findings: – Skin is warm and dry. Good skin turgor, no lesions.
– Skin is rough and dry with scaling patches over chest and arms. Skin
Skin Color Markings Pink
Smooth Hydration Dry and flaky
HEAD Size and Shape Fontanels – Posterior closes by 2 months
– Anterior closes by 1218 months HEAD Ears
• Check ear position
• Young children are at risk for otitis media because
the eustachian tubes are shorter and more horizontal.
•Pull back and down to examime...
View Full Document
This document was uploaded on 03/04/2014 for the course NURS 331 at University of San Francisco.
- Fall '11