Edu caregivers learn cpr cardiac respiratory monitor

Edu: caregivers learn CPR, cardiac & respiratory monitor, don’t put to bed on stomach, grow slowly- monitor ht & wt
Apnea : cessation of breathing for 20 sec or longer, accompanied by cyanosis, bradycardia, pallor, hypotonia, apnea of prematurity
common at less than 37 wks gestation
ALTE apparent life threatening event : episode of apnea accompanied by color change, hypotonia, choking, near miss Sids, dx when
other cc have been ruled out, <4 mo old, born at term
CC: GERD, resp infection, seizures, heart defects, child abuse, aspiration, monitor pt
BRUE- brief resolved unexplained event
Trauma
NICU: 22 wks-post term, prematurity #1 reason, ill neonates- born on time, sepsis, macconium aspiration, decreased temp regulation,
hypoglycemia, diabetes, congenital defects- spina bifida, organs external, heart defects, hypothyroid
Issues: parent bonding- too small to remove from isolets, separation issues, breastfeeding- too weak or small, family liaison or
counselor- social work support
Neonatal Resuscitation: thermoregulation (thin skin, increased fluid loss), preemie bag- cut hole in for head, developmental care-
physical & cognitive, individual poc, evidence based interventions, CPR- 2 thumbs, circle hands, 15-2 breaths, 2 fingers- 30-2 with
one person
**Adult CPR once they hit puberty
Follow up appointments: med, developmental, 2 yrs to catch up to rest of peers, 3 mo- do things newborn would, 26 wks = 14 wks
early
Common Mechanism of Injury (non fatal): falls #1, 0-15 yrs old, animal bites & stings, struck by or against object, overextertion,
MVC #1 15-19 yrs
Trauma: unintentional injury, leading cause of death in children ages 1-19First minutes- talk directly to pt, calm, say whats happening,
1 sole person as communicator, roll to assess (log roll pt)

Emergency room: parents can be at bedside, fast paced, multiple providers & tests, short interactions, estimating ht & wt (braslow
tape- head to heels, gives ET tube size, med doses)
Head- contusion, edema SCIWORI= spinal cord injury with out radiological image
Thoracic- blunt trauma, pulmonary contusion, pneumo
Spinal cord- sciwori, increase cartilage cant see on image
Abdominal- internal bleeding- liver & splenic (increased vascularization)
Skeletal- bones
PICU: surgery, trauma, intense med needs, echmo (acts as heart, oxygenate & pump), sensory overload for pts- cluster care, consider
organization, emotional needs of pt/family, strict I&O, warmer-temp regulation, labs q12hr, (1/2 cc tube draw), med compatability,
feeds- small bore, doubhoff post pyloric
Ex: increased ICP= blood, csf, swelling  stat head CT, no bleeding, ventriculostomy, phenobarbital (induced coma), mannitol, NE,
vasopressin with DI, CCTV, NG, foley
Organ donation: size qualification with peds
Brain death donor: only heart, anything, specific regulation, 2 brain death tests with no function
Donation after cardiac death: withdrawl of care, can give kidney, ligament, cornea
Living donors: kidney, liver
Peds Stat
Epinephrine: increase HR/BP, vasconstrict
Atropine: increase HR
Lidocaine: antidysrythmic
Vasopressin: BP
Amiodarone: antidysrythmic
Adenosine: chemically defibrillate- SVT, push fast, connect flush at same time 10cc