Chs 51,46,47

When the nurse is caring for a child presenting with a traumatic injury, which action is priority?

Perform an assessment ABCs

Children who are manually ventilated typically have some

abdominal distention as some air passes into the stomach

Indications the tube is accidentally inserted into the esophagus include

auscultation of breath sounds over the abdominal region

atropine is used to treat what?

bradycardia

Management of the near-drowning victim focuses on assessing

the ABCs and correcting hypoxemia. Administering oxygen is the primary intervention to assist breathing - Provide O2

Intraosseous (IO) vascular access refers to

the placement of a specialized hollow bore needle through the cortex of a bone into the medullary space for infusion of medical therapy and laboratory tests

Rn teaching on intraosseous site

-The intraosseous site is preferred if peripheral access cannot be obtained in 90 seconds. -The child would be positioned so the nurse can readily access the bone rather than in a position with the spine flexed. - The intraosseous needles are generally 15 to 18 gauge. -Any fluids or medications that can be infused via a peripheral site can be given via an intraosseous site.

What is the amount of Jules one should deliver to a patient in an emergency?

Energy for cardioversion is delivered at 0.5 to 1 joule/kg

A 3-year-old child has sustained injuries from a fall. Once the airway is secured, which of the following interventions would be done next?

Stabilize the cervical spine

How do you calculate the cardiac output?

Stoke volume * Heart Rate

Rn teaching for defibrillation

The initial energy amount for defibrillation is 2 joules/kg; -it can be increased up to 4 joules/kg for defibrillation for subsequent shocks. -Defibrillation uses electricity to depolarize the cells of the myocardium to help stop life threatening cardiac rhythms. -The electrical current is applied to the R wave during synchronized cardioversion. -Medications may be used to enhance cardioversion.

Rn teaching for Refractory shock

It is irreversible despite resuscitative measures and death is imminent

Way to check the airway without moving the spine

Jaw thrust exercise (move jaw forward, spine is unaffected)