Codes code nurse picu charge nurse med nurse documentation nurse compressor

Codes code nurse picu charge nurse med nurse

This preview shows page 7 - 9 out of 11 pages.

Codes: code nurse (picu charge nurse), med nurse, documentation nurse, compressor, respirators, cart/defib nurse, clerk, other nurses (watch rest of pts) Sinus Brady: atropine, breaths, CPR, pacing, nothing based on S&SSinus Tachy: treat the cause, pain, inf, diff breathing, playing, meds, dehydration Asystole: CPR, epinephrine Pediatric ArrhythmiasRhythmTreatmentSupraventricular Tachycardia SVTVagal maneuver, ice, closed straw, adenosine, synchronized cardioversionWolff Parkinson White (delta wave)Same as SVT, B & Ca channel blockers, ablationLong Q T syndromeB blocker, ICD, pacemakerPremature Ventricular Contraction (PVC)NothingComplete heart blockPacemaker Childs PTSD risk factors: procedures, severity of illness, invasive procedure, restricted to bed, attached to equipment, sedation & analgesia Helping children cope: promote sense of control, facilitate use of play, encourage routines, encourage privacy, diversion Parent Stressors: loss of parenting role, cannot support child if their own needs are not met Parent Reactions: shock & disbelief, anger & guilt, deprivation & loss, anticipatory waiting, readjustment & mourning Respite for parents= McDonald house, take breaks, family assistance, support limits for family, encourage routines Family Interventions: build trust, prepare for first view of child, presence during invasive procedures, sibling preparation- focus on faceSiblings: negative reactions- jealousy resentment, anger, depression, guilt, attention seeking behaviorsPositive reactions- emotional growth, insight, behavior improvement, maturity, tolerance for differences in others, increased with good parent relationships Causes of DeathNeonatal= short gestation, low birth weight, congenital malformation, chromosomal abnormalitiesFirst year= SIDS, unintentional injuriesAge 1-4= traumaAge 5-9= unintentional injury, cancerAge 10-14= unintentional injury, cancer, suicideAge 15-19= unintentional injury, suicide, homicide End of Life care: cultural belief, social support systems*childs developmental level determines what they think of deathInfants & toddlers= don’t understand, based on parentsPre-school= temporary/reversible, blame themselvesSchool= irreversible, fears about integrityAdolescents= mature understanding, struggle with own identity, may not confront others Culture: baptism, dispensation of body & treatment, autopsy, keeping vigil, donation, returning to prior faithNurse responsibilities: assist with spiritual practices, support family’s needs, avoid judgement
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Advance Care planning: parent’s consent, grandparents state, identify the decision makers & make sure all on the care team are aware, describe expected changes in child’s functional ability & quality of life, determine goals (cure vs comfort), anticipatory guidance about changes to expect near death Palliative Care: comfort & cure, start at dx & occurs simultaneously with tx of disease, relieves suffering, home, hospital, other facility, appropriate for conditions that may be cured but may also experience treatment failure
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