Study 2 Pediatric Initial Assessment and Triage with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What three features make up the Pediatric Assessment Triangle?
The Pediatric Assessment Triangle (PAT) is a rapid visual first impression based on appearance, work of breathing, and circulation to the skin; it does not replace a full assessment.
What does the ABCDE primary assessment sequence stand for?
Assess and address threats in sequence: Airway, Breathing, Circulation, Disability, and Exposure. Intervene and call for appropriate help if a life-threatening problem is found.
Which findings suggest an immediate pediatric airway threat?
Stridor, choking, apnea, inability to maintain the airway, or markedly reduced air movement are concerning airway findings.
What signs can indicate serious pediatric breathing difficulty?
Grunting, nasal flaring, retractions, infant head bobbing, cyanosis, exhaustion, apnea, or poor air entry are concerning. Becoming quieter or less responsive after struggling to breathe may indicate deterioration.
Does normal blood pressure rule out early pediatric shock?
No. Children may maintain blood pressure until shock is advanced, so do not wait for hypotension before escalating concern.
Which findings may signal poor pediatric circulation?
Weak pulses, cool or mottled skin, prolonged capillary refill, significant bleeding, and worsening tachycardia are concerning circulation findings.
What are concerning pediatric findings during the Disability assessment?
New confusion, unusual sleepiness, poor response to voice or touch, seizure, or reduced consciousness are concerning changes in responsiveness.
What should the Exposure assessment include?
Look for injuries, rash, bleeding, and other clues; obtain temperature when appropriate. Protect privacy and prevent heat loss during the examination.
How should an infant’s head and neck be positioned during airway assessment?
Keep the infant’s head and neck in a neutral position while assessing the airway.
What information does the SAMPLE history cover?
SAMPLE stands for Signs and symptoms, Allergies, Medications, Past history, Last intake, and Events.
When should a focused history be delayed?
Address immediate threats first. Do not delay urgent assessment or treatment to complete the history.
Why must pediatric findings be interpreted by age and developmental stage?
Use the child’s age and developmental stage to interpret findings; a value normal for an older child may be abnormal for an infant.