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A is for the "ABC's" {Airway, Breathing, Circulation} of BLS/PALS/ACLS; always to observe.

A is for appropriateness of attention/activity/interaction/behaviors/physical and mental development.

A is for the possibility of abuse: physical, mental, sexual.

A is for addiction: alcohol, tobacco, drugs.

A is for Anorexia Nervosa, Bulimia, and other eating disorders.

A is for AIDS which any child might have.

B is for Body Substance Isolation against Blood-Borne Pathogens and the "Universal Precautions" we should all practice to protect ourselves and others.

C is for Consent: Informed, Parental or Guardian, In Loco Parentis, Minor's own consent where permitted by statute, e.g. Emancipation, Matters related to STDs and Therapeutic Abortion, etc.

C is for Co-Dependency.

C is for Communicability, Contagion and Contacts.

C is for Congenital Abnormalities: Heart Defects, Spina Bifida, Cerebral Palsy, etc.

C is for Carbon Monoxide (CO), acute or chronic: due to smaller mass, the child, given equal exposure, will show worse effects sooner than adults.

D is for Diarrhea and Dehydration with volume and electrolyte depletion leading to disaster; the death of many decimating the population in days of yore.

D is for Dentition and Dental Health.

E is for "Eddy Eagle": the National Rifle Association's free Children's Safety With Firearms In The Home campaign.

E is for Environment.

F is for Fear.

F is for Fire Safety, clean Smoke Detectors with fresh batteries, E.D.I.T.H.[Exit Drills In The Home], 911 awareness.

G is for Genetics: Sickle Cell Disease, Hemophilia, Down's Syndrome.

I is for Immunization Status.

I is for Intraosseous Infusion for rapid vascular access in younger children when veins cannot be found.

I is for Infestation: Scabies, Pediculosis, Ringworm, Tapeworm, etc.

I is for Insect stings and bites which may be the portal for systemic infection; for which careful search of scalp and body.

I is for Ingestion of drugs, poisons, allergens, and non-foodstuffs, and Inhalation (Aspiration) of Steam, Carbon Monoxide, Pollutants and Allergens, Glue and Solvent Sniffing.

L is for Lead Poisoning.

M is for Medication Safety, the pills in Grandma's purse or bedside where they can be reached, Child Safety Caps, etc.

M is for Meningitis.

O is for Orifice and the things that can be put in them

P is for Parenting; Parenting Skills (& fears/concerns), Parenting interactions with the child, and is this adult really the parent?

P is for Prevention.

P is for Pica by which strange substances enter the body; and which may be a clue to severe Iron Deficiency Anemia.

P is for Puberty.

P is for Pregnancy, and for pregnancy testing.

P is for Precocity.

R is for Reporting of Abuse, Crimes, Communicable Disease Reportable to Authorities,Social Work Concerns and Child Protection Issues.

R is for the role-modeling which you do and encouragement of youngsters to consider Nursing as a future career by which we will recruit future professionals.

R is for Runaway, and actual social conditions not being what they seem.

S is for Safety Seats, Safety Belts, Safety Helmets.

S is for Sexuality, Secondary Sexual Characteristics, Sexually Transmitted Diseases.

S is for Screening, School Performance, and the Senses of Vision and Hearing.

S is for Shielding of Gonads during radiographic procedures.

T is for Toilet Training and problems.

T is for Tobacco use prevention.

T is for Toxicology.

U is for Urinalysis for diagnosing UTI, Renal Disorders, and Diabetes Mellitus, and for Urine Human Gonadotrophic Hormone.

V is for violence.

W is for Water Safety with bathing, swimming, boating, and other water activities.

W is for Why? When? Where? What? Who? and With Whom?

W is for Weight: weighing the child, and correct dosages of medications.

X is for X-Ray which may demonstrate pathology, poisoning by Iron and other radio-opaque drugs, metallic and other foreign bodies, soft-tissue swelling in Epiglottitis and abscesses.

Y is for Younger children influenced by older children.

Z is for Zoonoses acquired from pets and other animals.


"Pediatric Hints For The Emergency Nurse"
[http://ENW.org/PediatricHints.htm]
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Tom Trimble, RN [Tom@ENW.org]


 
 

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