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Nursing
Pedi Vitals and Pain
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Nonpharm pain interventions
Distraction, play \n Relaxation: holding, rocking \n Guided imagery, breathing \n Positive self-talk \n Behavioral rewards (stickers) \n Swaddling, positioning \n Skin-to-skin (kangaroo care) \n Non-nutritive sucking (NNS) \n Massage \n Biofeedback
2
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Pharm pain intervention
Use least traumatic route \n Routine vs PRN \n Combine adjuvant with analgesia \n • Steroids, antidepressants, anti- \n anxieties, muscle relaxants, \n anticonvulsants \n Analgesics: \n • Acetaminophen & NSAIDs \n • Opioids: morphine, oxycodone, \n fentanyl (mod-severe) \n No IM or intranasal \n Discourage rectal
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PEWS pain scale
4
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NIPS
5
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Infant temp
37\.5-37.7
axillary, rectal
6
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3-5 yr temp
37\.2-37
axillary, tympanic, oral, rectal
7
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7-9 yr temp
36\.7-36.8
axillary, tympanic, oral
8
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11-13 yr temp
36\.7- 36.6
axillary, tympanic, oral
9
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newborn HR
110-160
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infant HR
90-160
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1-2 yr HR
80-140
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3-5 yr HR
70-120
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6-12 yr HR
60-110
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13-18 yr HR
50-100
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Newborn RR
30-60
irregular
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infant to 2 yr RR
25-30
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3-5 yr RR
20-25
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6-12 yr RR
20-25
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13-18 yr RR
16-20
20
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Newborn BP
64/41
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Infant BP
85/50
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1-2 yr BP
85-91/37-49
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3-5 yr BP
89-98/46-53
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6-12 yr BP
94-106/55-62
25
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13-18 yr BP
120/80
26
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OLD CAT
Onset
Location
Duration
Character
Aggravating/alleviating
Timing
27
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SODA
Sleep
Output
Diet
Activity
28
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