| A | B |
|---|
| eyes slant down | down syndrome |
| sinuses | ethmoid sphenoid maxillary |
| grunting is | impending R distress |
| retractions | indentations between ribs |
| S1 = lub | close of tricuspid mitral - lub |
| S2 = dub | closure of aortic and pulmonic |
| aortic | 2nd intercostal right sternal border |
| pulmonic | 2nd intercostal left sternal border |
| tricuspid | 4th intercostal left sternal border |
| mitral | 5th intercostal - midclavicular |
| metabolic rate, ox needs, kcal needs are | high |
| turgor - where to check | abdomen, forearm, thigh |
| fontanel soft suken in | dehydration |
| ears - children under 3 | down and back |
| ears - children over 3 | up and back |
| breaths over 60 tires out the kids | when slow down -SERIOUS distress |
| respirations auscultate | both anterior and posterior |
| SID | 28% |
| 1 - 19 years old | unintentional accidents |
| Denver II - test 4 things | personal social, fine motor, language, gross motor |
| tylenol - ibuprofen | 10 mg/kg weight |
| Pain - vitals will return to | normal despite persistance of pain |
| FLACC - pain assessment | face legs activity cry consolabilit |
| unrelieved pain causes | R problem, delay gastric/bowel, anorexit, low insulin |
| Emla | transdermal or topical meds to numb |
| tylenol - what to ask | what strength |
| cellulitis risk for | sepsis - elevate limb |
| dermatitis 4 types | contact, diaper, seborrheic, eczema |
