Pediatrics

Pediatrics HESI Guide 2 1. Remember: If you know the normal; you are then able to identify what is not normal. Age Pulse Resps. Blood Pressure Temperature Newborn 100 to 160 30 to 60 Systolic: 65-95 Diastolic: 30-60 97.7-99.1 (axillary) 1 to 11 months 100 to 150 25 to 35 1 to 3 years (toddler) 80 to 130 20 to 30 3 to 5 years (preschooler) 80 to 120 20 to 25 Girls: 91-104/52-66 Boys: 93-107/ 50-65 97.5-98.6 (axillary) 6 to 10 years (school age) 70 to 110 18 to 22 Girls: 102-115/60-74 Boys: 102-115/61-75 97.5-98.6 (oral) 10 to 16 years (adolescent) 60 to 90 16 to 20 Girls: 111-124/66-80 Boys: 116-130/65-80 97.5-98.6 (oral) - Safety basics/various facts: Airway and breathing are always first!!  Remember the ABCs: o A- airway: patent airway always priority #1, age regardless o B- breathing o C- circulation o D- disabilities (LOC) o E- exposure  Feeding: 108kcal/kg/day  Child falls & bumps head: NEURO ASSESSMENT FIRST  Preferred IM site: Vastus Lateralis  Poison Ingestion: NO syrup of ipecac to induce V (RT rebound corrosion on throat); typical treatment: activated charcoal, may need gastric lavage 2. Review G&D (Milestones, Theorists)-------chapter 4, Pg 55 a. 4mo old—what is expected i. Social smile occurs at 2mo ii. Head turns to locate sounds at 3mo iii. Moro & other primitive reflexes (aside from Bartaloni disappear) iv. **Steady head control (hold head and chest upright while lying on stomach during tummy time); kick & push with their feet 1. Roll from BACK to SIDE