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CPEN "Key Points" Sample

Updated: Aug 14, 2022

1. Coarctaction of the Aorta – congenital heart defect due to a “crimp” in aorta leading to bounding brachial and radial pulses and decreased femoral pulses.

2. Kawasaki Disease – vasculitis causing high fever for over 5 days, conjunctivitis, strawberry tongue, and edema of hands and feet.

3. Commotio Cordis – chest trauma resulting in V Fib or Asystole.

4. Caregiver’s diluting formula – causes hyponatremia and risk of seizures.

5. Volvulus – malrotation of bowel causing bilious vomiting, surgical emergency.

6. Intussusception – telescoping of bowel causing currant-jelly stool and sausage-shaped mass. Treat with barium enema.

7. Henoch-Schoenlein Purpura (HSP) – vasculitis with purpuric rash and fever.

8. Glomerulonephritis – brown foamy urine and peripheral edema after strep throat.

9. MVC Lap-restraint only - small bowel rupture and chance fracture.

10. Straddle injury – bicycle, bathtub, or sports injuries, GU consult if difficulty urinating.

11. Legg-Calve-Perthes – avascular necrosis of the femoral head, seen in shorter males, present with a limp.

12. Slipped Capital Femoral Epiphysis – hip disorder in obese adolescents.

13. Hair tourniquet – remove hair immediately by cutting or hair remover.

14. Down’s Syndrome – risk of atlantoaxial instability.

15. Measles – the 3 C’s – cough, coryza, and conjunctivitis, with Koplik spots.

16. Reye’s Syndrome – Chicken pox or flu, treated with aspirin.

17. Diphtheria – grey pseudomembranous coating in the back of the throat.

18. Prenatal vitamin ingestion – Treat with chelating agent Desferal to bind with iron.

19. Alkaline battery ingestion – causes liquification necrosis so remove ASAP.

20. Tick paralysis – numbness and tingling starting in lower extremities, after tick attachment.

PDB Nurse Education, LLC CPEN References

  • American Academy of Pediatrics. Neonatal Resuscitation Program.

  • American Heart Association, Manual of Pediatric Advanced Life Support (PALS), 2020.

  • Emergency Nurses Association. Emergency Nurses Pediatric Course Provider Manual, 5th edition, 2020.

  • Emergency Nurses Association (ENA). Sheehy’s Emergency Nursing: Principles and Practice, 7th ed. Elsevier, 2020.


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