Pedi Vitals and Pain

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

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

PEWS pain scale

NIPS

Infant temp

37\.5-37.7

axillary, rectal

3-5 yr temp

37\.2-37

axillary, tympanic, oral, rectal

7-9 yr temp

36\.7-36.8

axillary, tympanic, oral

11-13 yr temp

36\.7- 36.6

axillary, tympanic, oral

newborn HR

110-160

infant HR

90-160

1-2 yr HR

80-140

3-5 yr HR

70-120

6-12 yr HR

60-110

13-18 yr HR

50-100

Newborn RR

30-60

irregular

infant to 2 yr RR

25-30

3-5 yr RR

20-25

6-12 yr RR

20-25

13-18 yr RR

16-20

Newborn BP

64/41

Infant BP

85/50

1-2 yr BP

85-91/37-49

3-5 yr BP

89-98/46-53

6-12 yr BP

94-106/55-62

13-18 yr BP

120/80

OLD CAT

Onset

Location

Duration

Character

Aggravating/alleviating

Timing

SODA

Sleep

Output

Diet

Activity