care of the unconscious child and reyes syndrome

what is the priority for care for the unconscious child

CAB

1. circulation

2. patent airway

3. adequate breathing

immediate care for the unconscious child

1. assess CAB

2. stabilize the spine

3. treat shock

4. monitor and decrease ICP

ongoing care for the unconsciousness child

• frequent neuro checks

• monitor resp status and blood gas

• protect skin

• maintain temp regulation

small pediatric endotracheal tubes can be misplaced

what is contraindicated in ICP

lumbar puncture because of herniation risk

what are the 3 diagnostic tests for the unconscious child

• EEG: evaluate electrical activity

• CT: identifies inflammation, hemorrhage, structural abnormalities

• MRI: evaluate brain structures

what is reyes syndrome

serious condition involving liver dysfunction and brain swelling

when does reyes syndrome happen

• after viral illness

3 characteristics regarding reyes syndrome

• follows FLU or varicella

• don’t give pepto bismol or aspirin (salicylates)

what does reyes syndrome causes

• metabolic encephalopathy

• cerebral edema

• impaired liver function

• elevated ammonia levels

what are signs and symptoms of reyes syndrome

• profuse vomiting

• lethargy after viral illness

what can reyes syndrome lead to

• increased ICP

• delirium

• seizures

• coma

• herniation

• death

what is the diagnostic test for reyes syndrome

• liver biopsy

treatment for reyes syndrome

• recognize symptoms early

• elevate HOB 30 degrees

• monitor coagulation, I’s and O’s to prevent dehydration

• monitor LOC and s/s of ICP

prevention of reyes syndrome

• avoid aspirin and salicylate

• influenza and varicella vaccination prevents this

• dont use especially in children under 16