PEDIA

0-12 months

INFANT AGE

CR: 120-160 bpm

RR: 30-60 bpm

BP: 72-104 / 37-56 mmHg

INFANT CR, RR, BP

1-3yrs

TODDLER age

3-5 yrs

PRESCHOOLER age

6-10 yrs

SCHOOLER age

13-19 yrs

ADOLESCENT age

CR: 60-100 bpm

RR: 12-20 bpm

BP: 102-131/61-83 mmHg

ADOLESCENT CR, RR, BP

95-100%

02 SAT

EYE OPENING

VERBAL RESPONSE

MOTOR RESPONSE

GLASGOW COMA SCALE

1. Dilatational Stage

2. Expulsive Stage

3. Placental Stage

4. Recovery Stage

STAGES OF LABOR

• Latent (1-3cm)

• Active (4-7 cm)

• Transitional (8-10 cm)

Dilatational Stage Phases

Dilatational Stage

 onset of contractions to full dilation

Expulsive Stage

Full dilation (10 cm) to expulsion of the baby

• Engagement

• Extension

• Descent

• External Rotation

• Flexion

• Expulsion

• Internal Rotation

Cardinal Movements of labor:

PLACENTAL STAGE

stages where birth of baby to delivery of placenta

• Tone (Uterine Atony) - most common

• Trauma

• Tissue (Retained Placental Tissue)

• Thrombin (coagulation Disorders)

Causes of PPH (Postpartum Hemorrhage)

1 Sudden gush of blood

2. Lengthening of umbilical cord

2. Uterus becomes firms, hard and globular

4. Uterus rises in the abdomen

Signs of Placental separation:

• Rubra - red in color, first 3 days

• Serosa - pink, 3-10 days after

• Alba - white/yellow, 10-14 days or up to 6 weeks

 Lochia:

1. Fundal Grip

2. Umbilical Grip

3. Pawlik's Grip

4. Pelvic Grip

LEOPOLD'S MANEUVER

Fundal Grip

palpate fundus to identify fetal pole (head or breech)

Umbilical Grip

palpate sides of abdomen to locate fetal spine and extremities

Pawlik's Grip

grasp lower abdomen to assess presenting part engagement

Pelvic Grip

face maternal, apply deep pressure to pelvic inlet to confirm descent.

IV rate x Infusion Time

To Find VTBI:

volume (mL or cc) / IV rate (mL/hr) = hr

To Find Infusion time:

IV rate (mL/hr) x drop factor / 60 mins/hr = gtts/min

To Find drop rate:

Volume (ml or cc) / Infusion time (hr) = cc/hr

To find Infusion rate:

D (Desired dose) / X (quantity) x H (amount on hand)

DRUG CALCULATION

Orange

once a day (OD) color

Blue

Twice a day (BID) color

White

Thrice a day (TID) color

Green

4 times a day (QID) color

Red

PRN (as needed) color

Yellow

 STAT (immediately / hrs of sleep) color