Does the child track and focus Drainage Ears Outer canthus parallel with top of

Does the child track and focus drainage ears outer

This preview shows page 7 - 12 out of 16 pages.

Does the child track and focus? Drainage? Ears Outer canthus parallel with top of ear Don’t stick anything in ear Note position of ears on head Assess for any drainage from the ears
Image of page 7
Throat/Mouth Teething, lost teeth, loose teeth Oral hygiene Sores infection/strep? Physical Exam Variations, Based on Age Talking to Kids _____________________________________________________________ Medication Administration
Image of page 8
Physiological differences o DOSES DIFFERENT FOR PEDS o Immature liver and kidneys o Higher risk for med errors due to different dosages for each patient (weight based) o Different concentration of medications Morphine – orange = 10mg/mL White = 5mg/mL Medication Administration Oral syringes – tip of syringe, put in side of cheek & dribble little in at a time = less likely to spit out, medipop – pacifier with med admin If spit up, assess how much taken, call doc to reorder Medication cups – larger volume of med – 8yo needs 20mL Pills vs Liquid vs chewable o How to decide – ask parents what best for them o Ask child o Ask nurse who gave you report Tolerance stubborn Crushed pills in pudding, applesauce o Antibiotics may not come in liquid o Take small corner of pudding, smaller amount with med, then give them the rest to finish Mix in baby bottles? o No, what if baby wont finish whole bottle o Don’t mix ANY meds in bottle Coercion and using Child Life o Can we ever force child to take medicine if they don’t want to? o Yes can force – under 18 , minor, can’t make that decision o Parent can refuse for child, but need to explain need medicine to get better! o Rewards, threats, child life specialist (prizes, stickers, less traumatic experience), ultimately will hold child down to admin meds. Offer to let parent give (in your presence)
Image of page 9
IVs Check IV every time in room , (hourly) esp when fluids are running through it. Can infiltrate quickly & wont always let you know Can place in the head on an infant Hands, arms Feet are acceptable until the child is walking May need to use protective equipment to guard IV (but must be removable to assess site) o Elbow restraints o Out of sight, out of mind Pediatric IM Injections Site based on child’s size & age Limit on volume injected in one site Offer choice – would you like this leg or this leg – give VIABLE options May or may not be able to give the child a choice of injection location Vastus lateralis or deltoid
Image of page 10
Get another nurse and one to hold, give at same time in thighs…? Comfort Holds and Restraining o Often necessary to use restraints to protect medical equipment and/or keep child from injuring himself o Comfort holds are used for painful procedures and allow the child to be held by parent/nurse while the procedure is completed o Do not do painful or scary procedure in pt’s room – take pt to procedure room & do it there. Children associate pain/fear.
Image of page 11
Image of page 12

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture