ATI Unit 2 - Cardiovascular and Hematological Disorders (Josh) Flashcards
– is acute systemic vasculitis.
Kawasaki Disease
With epistaxis, seek medical care if bleeding lasts –
more than 30 mins
With infants, hold Digoxin if pulse is less than —
In other kids, hold Digoxin if pulse is less than —
90/min
70/min
Lab tests for Cholesterol
Lipid Profile (fast for 12 hours prior)
Fasting Blood Glucose
With epistaxis, — can be inserted after a nose bleed to prevent crusting.
water-soluble jelly or petroleum
Expected Hgb levels
2 months: 9-14
6-12 yrs: 11.5-15.5
12-18 yrs: 13-16 (male) / 12-16 (female)
Gamma globulin administered IV in high dosage for —
kawasaki disease
Prophylactic Antibiotics for RF
Penicillin G
Sulfadiazine
Apply direct continuous pressure — above the catheter entry site to localize pressure over the location of the vessel puncture.
2.5 cm (1 in)
Nursing considerations w/ Iron Supplements
Give 1 hr before or 2 hr after milk or antacid
GI upset is common but will decrease
Administer on empty stomach if tolerated
Give w/ Vit C to increase absorption
Use straw to prevent teeth staining (brush teeth afterwards)
Use Z-track and don’t massage
Expect tarry green stools
Why assess client for febrile illness 3 weeks prior to cholesterol screening?
illness will alter results
After Kawasaki Disease, avoid live immunizations for —
11 months
Jones Criteria for RF
child needs 2 major, or one major and 2 minor to be positive for RF
Major:
- Carditis
- Erythema Marginatum
- Polyarthritis
- Chorea
- SubQ nodules
Minor:
- Fever
- Arthralgia
To prevent Iron deficiency anemia, limit milk intake in toddlers to –
32 oz /day
Don’t give ASA except with —
Kawasaki Disease
- high dosage
What is Acute Chest Syndrome?
life-threatening complication from SCD
- chest, back, and abdominal pain
- fever 38.5 (101) or higher
- cough
- tachypnea
- dyspnea
- retractions
- decreased O2 sat
What is the definitive diagnosis for SCD?
Hgb Electrophoresis
Meds for Hemophilia
DDAVP
Factor VIII
Corticosteroids
NSAIDS
Hyperlipidemia meds
- used in clients w/ LDL o1 190 or higher or 160 or higher if they have risk factors
Cholestyramine
Colestipol
Rheumatic Fever is an inflammatory disease caused by —
Group A beta-hemolytic streptococcus (GABHS) infection of the throat
Sources of Iron
Dry beans and lentils
Peanut Butter
Green, leafy veggies
Poultry
Red meat
S/S of Kawasaki Disease
High Fever (38.9 / 102)
Red eyes w/ drainage
Bright red, chapped lips
Strawberry Tongue w/ white coating or red bumps
Red oral mucous membranes
Swelling of hand/feet w/ red palms/soles
Nonblistering rash
Bilateral joint pain
Enlarged Lymph Nodes
Expected HCT levels
2 months: 28-42%
6-12 yrs: 35-45%
12-18 yrs: 37-49% (male) / 36-46% (female)
S/S of Iron Deficiency Anemia
SOB
Pallor
Brittle, spoon-shaped fingernails
Fatigue, irritability, and muscle weakness
Systolic Hear murmor, cardiomegaly, and/or HF
What is the med DDAVP
synthetic form of vasopressin that increases plasma factor VIII for hemophilia
— and — are potassium wasting diuretics uses with Congential Heart Disease.
Furosemide
Chlorothiezide
Rheumatic Fever usually occurs — following an untreated or partially treated URI (strep throat)
2-6 weeks
Hemophilia A is treated with Factor —
Hemophilia B is treated with Factor —
VIII
IX
When hypoxic, which position improves ventilation?
knee-chest position
Why could Iron Deficiency cause HF?
increases demand on heart to supply O2 to tissues, overworking it
Iron deficiency will result in decreased — levels in the blood.
Hgb
