[Download Now] Pediatric Crisis: Mastering Rapid Assessment Skills & Unique Treatment Challenges – Robin Gilbert

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Pediatric Crisis: Mastering Rapid Assessment Skills & Unique Treatment Challenges – Robin Gilbert

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• Mock Code Blue: Know What to Do
• Critical Lab Values & Blood Gases: The Underlying Issues
• Risky Business: Street Drugs & Thugs
• Pediatric Sedation: Medications & Complications
• Early Clues for Respiratory Distress & Failure
• Fever, Pain, & Skin Rash: How Sick is This Child?

There is a child who presents with severe Dyspnea after a snack at daycare. Oxygen saturations are dropping and the child’s heartrate is decreasing on the monitor. His mental status is getting worse. The doctor makes a decision to intubate. What size tube do you think the child will use? The decision was made to start an IO because IV access is not available. You don’t know if you have an IO on your cart. The physician ordered a drug. The child develops a heart problem. Now what?

This situation has become your worst nightmare. The patient who suddenly decompensates is the one who increases your heartrate the most. Calculating the medication dose in a code situation is one of your biggest concerns. Managing the airway? There are subtle signs that lead to a rapid response. Children need additional assessment skills and interventions. If you become confident in your assessment skills, you will be able to handle unforeseen situations. You will have time to practice mock rapid response scenarios, use Broselow tape, and review airway management tools. Robin Gilbert will teach you how to recognize and treat life threatening emergencies in the children’s population.

1. Analyze case scenarios to determine acuity and prioritization.
2. Differentiate between common rashes and those that require immediate intervention.
3. Interpret lab values and quickly identify potential causes of abnormal values.
4. Determine the unique pediatric needs during presentation of respiratory distress or failure.
5. Assess for causes of neurological deterioration in pediatric patients.
6. Perform sample medication calculations.
7. Discuss nursing responsibilities during the use of moderate sedation.
8. Differentiate between clinical characteristics of acute abdominal diagnoses.

Appendicitis and abdominal pain are related.

• Gastorenteritis
• Intussusception/Volvulus
• Pyloric stenosis
• Testicular torsion/Epididymitis
• Diaphragmatic hernia
• Gastroschisis

The airway is for children.

• Recognizing the child in distress
• Unique characteristics of the pediatric airway
• Urgent respiratory conditions
  • Tracheoesophageal fistula
  • Asthma
  • RSV / Bronchiolitis
  • Cystic Fibrosis
  • Chest Trauma

ALTE vs. BRUE.

• Clinical manifestations
• Management

Street drugs, tattoos and more are risky businesses.

• What’s trending
  • Amphetamines
  • Cocaine
  • K2, Spice, Molly
• Implications & interventions

The Neonate has a lot of Fever in it.

• Sepsis workup & when?
• Antibiotics for neonate vs. infant

There are head injuries.

• ICP assessment
• Skull fractures
• Concussion/Contusion/TBI

There are Bruises and Fractures.

• Does the story fit – or is it maltreatment?

A rash becomes a risk.

• Varicella
• Measles & More

Blood Gases and Lab Values.

• What impacts the numbers: Identifying potential causes
• Blood gases simplified
• Blood glucose, DKA, & insulin protocols

Hematologic and coagulation disorders are related.

• Sickle cell anemia
• Hemophilia

Procedural analysis.

• Medications and equipment
• The nurse’s responsibilities
• Prevention and management of complications

The Code Blue is about knowing what to do.

• A, B, Cs
• Arrhythmias
• Med calculations