Active Recall

Temp: 97.8 - 99.1. Afebrile. 99.2-103 is Febrile. 100.4 - 106 is pyrexia. Anything over 106 is hyperpyrexia.This is adults. Infants 97-100?
Pulse: 60-100 BPM. Tachycardia and bradycardia. Pulse ox measures your SP02. Oxygen saturation of the blood from protein carrying blood cells.
Respirations: 12-20
Types of respiration abnormalities (sounds): Rales, ronchi, weezes, stridor, pleural friction rub, diminished or absent breath sounds.

Blood Pressure: 120/80 or below
121-130 /80 elevated
130-140 / 81-90 stage 1
140+ / 91+ stage 2

Ages of Pediatrics: 0-1 month neonate
infant 1-12 months
toddler 1-3 y/o
pre school 3-5 y/o
elementary school 6-10 y/o (Grown up teeth start coming in. Start talking more factual and not in fantasy terms).
middle school 11-13 y/o (Puberty) (TDap vaccine required, Men ACYW, HPV)
adolescence 14-18+ y/o (this is the stage they will ask the parents to leave the room to ask the kids questions.

HEEADSSS: Home, employment\education, eating\exercise\sleep, activities, drugs, sexuality, suicide, safety

Exceptions for under 18 not needing parent to sign off on forms: Medical emergency if the parent cant be reached, drug/alcohol rehabilitation/mental health help, sexuality concerns such as transitioning medication, emancipated minors/military/marriage
When is confidentiality not in play? When it comes to self harm/ suicidal ideation.

Well child exams timestamps: 3-5 days out, 1 month, 2 month, 4 month, 6 month, 9 months, one year, 15 months, 18 months, 24 months, 30 months. Yearly after that.
DTaP vs Tdap: Unknown acronym but DTAP is for kids and Tdap is the one for adults. Diphtheria, tetanus, and pertussis. 7 years old or below get DTaP.
Vaccine Routes: Oral, Sub-q, Intramuscular, Intra nasal, Intradermal
Vaccines that go Sub-q: MMR, Varicella(chickenpox), MMRV, yellow fever, DEN4CYD, MPSV4, Zoster
Vaccines that go IM: Hep, Tetanus, HPV, covid, influenza(flu), Men, PCV, Hib, PPSV23, RSV
What side do you use for apical pulses for children under 3 and how long do you need to do it for? 1 minute and the smaller side of the scope, bell
Infants what artery? Brachial
Where to measure respirations on infant? Abdomen
What age do you start taking BP? 3
At what age do you start pulling up and back for tympanic: 3
When can you start doing oral temps? 4-5+
What age do you start visual acuity tests? 3
What is the first step of taking capillary blood? (Can also be put on gloves), wipe away the first drop of blood with gauze

What vital sign do you do first for kids? Respirations
Followed by: Pulse
3rd: Pulse Ox
4th: BP
Last: Temp
Length is done until what age? 2
Head circumference measured how often and until what age? Every visit until 3y/o
At what age can you start finger sticks for blood? What kind of needle? 1?,butterfly. Before then it is normally heel sticks.