Care For Child ATI Flashcards

1
Q

Cushing’s triad

A

Indicate brain stem herniation

Hypertension

Bradycardia

Decreased respiration’s

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2
Q

Epidural hematoma

A

Seizure precautions

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3
Q

Chelation therapy

A

Lead poisoning

45 mcg is greater

Sometimes if over 10 mcg

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4
Q

Decrease lead absorption

A

Calcium

Vit C

Iron

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5
Q

Ruptured appendix WBC count

A

Above 10,000

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6
Q

Lumbar puncture interventions

A

Topical analgesic 60 min prior

Encourage fluids

Prone or flat position 12 hr post op

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7
Q

MMR vaccine

A

Contains neomycin

Eggs

Gelatin

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8
Q

Celiac disease

A

Weight loss

Distended abd

Steatorrhea

Malabsorption

Diarrhea

Pyloric stenosis

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9
Q

Care for cheiloplasty

A

Excessive swallowing can be related to bleeding!! Report right away

Clean sutures with sterile water and hydrogen peroxide following feedings

Antibiotic ointment daily for 3 days

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10
Q

Cerebral palsy manifestations

A

Positive Babinski reflex
Ankle clonus (rhythmic reflex)
Exaggerated stretch reflexes
Contractures (muscle tightening)

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11
Q

Epiglottis intervention

A

Upright

Face mask or blow by O2

Monitor O2 sat

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12
Q

Kawasaki disease

A

Increased temp

Strawberry tongue

Cracked lips

Edema

Xeropthalmia (red and dry eyes)

Tachycardia

Cervical lymphadenopathy (enlarged cervical nodes greater than 1.5 cm)

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13
Q

Bacterial meningitis

A

Increased cerebrospinal pressure

Decrease glucose

Increased protein

Elevated WBCs

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14
Q

1st round chemo anaphylactic reaction

A

Urticaria

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15
Q

Suctioning an infant

A

5 sec or less

60-100 mm Hg pressure

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16
Q

Increased intracranial pressure

A

Bradycardia

Hypertension

Decreased attention spans

Lethargy

Decreased activity

17
Q

Hypercyanotic spell intervention

A

Knee-chest

Admin morphine IV

APPLY O2 100% face mask

IV fluids

18
Q

Hypopituitarism

A

Recombinant growth hormone injections

Dwarfism in children and premature aging in adults

19
Q

Teething

A

Lower central incisors appear first

Pulling at ears norm

Rub guns with cold cloth

20
Q

Amount of carbs for hypoglycemia

A

15g

21
Q

Cystic fibrosis interventions

A

Increase fat to 40% calories

Steatorrhea- increase pancreatic enzymes

Admin pancreatic enzymes within 30 min of meals and snacks

22
Q

Asthma

A

Cough suppress contraindicated

Avoid sweeping with child around

Use a dehumidifier !

Pulmonary function tests every 12-24 mo

23
Q

Hemolytic reaction

A

flank pain

24
Q

Allergic reaction during blood infusion

A

Laryngeal edema

25
Q

Intussusception

A

Bloody stools

Vomiting

Lethargy

Weight loss

26
Q

Diphtheria

A

Hoarseness

27
Q

Infectious mononucleosis

A

Splenomegaly

28
Q

Measles (rubeola)

A

Koplik spots

29
Q

Mononucleosis

A

Epstein-Barr

Restrict activity 2-3

Acute symptoms 10 days

Fatigue 4 wks

Monospot blood test used to diagnose

30
Q

Scoliosis

A

Unilateral rib hump

31
Q

Ventricular septal defect

A

Loud, harsh murmur

32
Q

Coarctation of aorta

A

HPN

weak femoral pulses

33
Q

Hyperpyrexia

A

Extreme elevation in temperature

34
Q

Post op cardiac catheterization

A

Regular diet

Wait 3 days for tub bath

Can go to school next day

New adhesive dressing daily for 2 days

35
Q

Cystic fibrosis interventions

A

Offer child high protein meals and snacks throughout the day

Need 35-40% fats

36
Q

Urticaria

A

Hives

37
Q

Tetralogy of fallot

A

Infant in knee-chest position