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In assessing a pediatric trauma patient's capillary refill time, an abnormal finding would be a refill time of?

1) Greater than 5 seconds
2) Less than 2 seconds
3) Greater than 2 seconds
4) Greater than 4 seconds

User Rml
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1 Answer

5 votes

Final answer:

An abnormal finding for a pediatric trauma patient's capillary refill time would be greater than 2 seconds according to the provided options, though clinically, over 3 seconds is often considered abnormal. The concept is distinct from the Apgar score, which assesses the immediate health of newborns and includes criteria such as heart rate and respiration.

Step-by-step explanation:

In assessing a pediatric trauma patient's capillary refill time, an abnormal finding would be a refill time of greater than 3 seconds. In the context of the options provided for a multiple-choice question, a refill time greater than 2 seconds (choice 3) can also be considered abnormal, although the generally accepted abnormal capillary refill time in a clinical setting is over 3 seconds. This assessment helps to gauge the efficiency of the body's perfusion, which indicates how well blood is being supplied to the patient's extremities. An extended capillary refill time may suggest poor circulation, which could be due to various conditions such as shock or hypothermia.

While this concept is related to the initial assessment of a newborn's condition through the Apgar score, which includes heart rate and respiration, capillary refill time is not one of the criteria in the Apgar score. The Apgar score is used to quickly summarize the health of newborn children against five criteria: skin color, heart rate, reflex, muscle tone, and respiration, with each criterion assigned a score of 0, 1, or 2. Scores below 7 at the 5-minute mark typically indicate that medical assistance may be needed.

User Rubin Simons
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