AACN Updated CCRN-Pediatric Exam Questions and Answers by king

This presentation is concerning fordeep vein thrombosis (DVT)orinfiltration/extravasationof vasoactive medications. Thefirst step is to elevate the limb, which reduces venous pressure and minimizes further tissue damage.Massaging or compressing the area is contraindicateddue to risk of embolization or tissue injury.

“Suspected venous obstruction or extravasation requires elevation of the affected limb and notification of the provider. Avoid massage or compression until diagnosis is confirmed.”

(Referenced from CCRN Pediatric – Direct Care: Multisystem, Vascular Access Complications)

The presence ofgrunting, crackles, retractions, and anS3 gallop—withhypotension and tachycardia—is highly suggestive ofcardiogenic shock. These findings indicatepoor myocardial contractility and pulmonary congestion. An S3 gallop is particularly indicative ofvolume overloadin the setting of ventricular dysfunction.

“Cardiogenic shock should be suspected in pediatric patients with signs of respiratory distress (crackles, retractions), an S3 gallop, and poor perfusion. Myocardial failure leads to elevated filling pressures and pulmonary edema.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Types of Shock and Hemodynamic Findings)