Children ATI Flashcards

Question

Levothroxine teaching?

Answer 1

Increases metabolic rate , protein synthesis ,cardiac output, renal profusion , oxygen use, body temperature, blood volume , growth process Can Result in hyperthyroidism, a fib, fractures, bone loss Monitor TSH levels Do not take after MI or heart problems Do not use with and I also removed, calcium and iron supplements It can break down vit k Report signs of bleeding or bruising Full effect takes 6 to 8 weeks Take 30 to 60 minutes before breakfast Two finals, monitor signs and symptoms of heart problems

Answer 2

130-150 meq

Answer 3

Increase thirst Dry mucus membrane Capillary refill is greater than 2 seconds Weight loss 3-5%

Answer 4

1. 005-1.025 | 4. 6-8

Answer 5

Abcs , vitals, pain , neurological status , neurovascular status, supine position , remove jewelry , monitor urine , elevate limb, apply ice , proper alignment , rom , keep warm , alelgesics radiograph

Answer 6

Neurovascular-Numbness/ tingling Warm not cool skin temp Skin color distal to injury pigmentation Cap refill with in 3 seconds Pulse -Equal to unaffected side / strong Before casting- observe skin area , clean, dry, pad bony prominences Pain not relieved by medication or increased pain Compartment syndrome signs Infection , fever ,redness, inflammation

Answer 7

Keep warm, decrease activity, frequent feedings and small meals q 3 hours for 30 min at a time , increase calories Cool humidified O2 Mask nasal cannula Suction as needed Monitor O2 q 2-4 hours

Answer 8

Cultures Asses wbc , hematology test, electrolytes Fluids Rest Minimize activity , cooking blanket Antibiotics / antipyretics Decrease shivering (blankets during chills) Oral hygiene Dry clothing/linens Room temp at 70-80

Answer 9

Opioids / pain meds Antibiotics Place in position to help drainage Elevate HOB Check for bleeding (frequent swallowing, clearing throat, increase pulse, bright red, breathing/airway) Ice collar Sips of water Encourage clear liquids after gag reflex comes back Avoid red colored juice or milk based foods

Answer 10

First Maintain a clear airway and promote oxygen Check lung sounds Suction mouth and nose Give fluids and pain reliever for fever and headache Can lead to pneumonia and severe breathing problems in babies

Answer 11

Personality changes Lethargy Irritability / agitation Combative Confusion Vomiting Seizures Loss of consciousness Increase liver enzymes and serum ammonia level Coagulation times extended Blurred vision, increased sleep , inability to follow simple commands , decrease in school work, Buldging frontenal , high pitched cry , separation of cranial , poor feeding , sun setting sign , dissented scalp veins

Answer 12

Asses airway , resp rate, vitals, CBC , chest x Ray , ABGs , O2, Lung sounds , vaccinations , Saba - monitor for wt changes

Answer 13

Hand hygiene Cover nose and mouth when coughing Change and wash linens daily If immunocompromised seek prompt medical care Participate in decisions Fever, fatigue , decrease in appetite , headache and rash that starts in center of trunk

Answer 14

``` Fever Cough Increased breathing Wheezing Rales (cracking in lungs ) Runny nose (rhinitis)? Decrease appetite Sneezing Irritability Decreased activity Hard to breath ```

Answer 15

``` Rest Monitor I and o Weigh diapers Monitor urine for protein Vitals WT Monitor edema Abdominal girth daily Pitting color Texture of skin Cough Infection Deep breathe Hand hygiene Antibiotic therapy Salt restrictions Repo often Keep skin dry Elevate body parts ```

Answer 16

``` Take with meals Don’t stop suddenly Dont stop suddenly Eat foods high in potassium Monitor serum electrolytes and I and o Keep away from potential infection ```

Answer 17

``` Oral rehydration Inform school Stay home Skin care Avoid spread Change bed linens and underwear daily Clean toys and areas Shower often Avoid undercooked food Hand hygiene No sharing utensils Clip nails Thumb sucking no Avoid fruit juices , carb sodas , gelatin , caffeine , broth, banana , rice, applesauce, toast (brat) Monitor voids - give water, breast milk, lactose free formula Monitor i&O and WT daily Avoid rectal temp IV fluids Rotavirus immunization for - prevention Avoid antibiotics ```

Answer 18

120 degrees

Answer 19

Until two years old or height recommended by manufacturer

Answer 20

``` Standing position Crawls Dominant hand evident Knows object still exists when out of site Knows word no Obeys simple commands Seasonal flu vaccination ```

Answer 21

Raises head and shoulders off mattress with slight head lag No more grasp reflex Coping noises Interest in environment Turns head to sounds of rattle Consenents ate added Nocturnal sleep pattern

Answer 22

Age 7-11 years old Concept of conversation

Answer 23

5-6 years old Able to see perspective of others problem solve

Answer 24

Low fat milk Finger foods Regular meal times Avoid desserts Avoid grapes , nuts, hot dogs Bite size foods 11-12 hours sleep

Answer 25

``` HepB Rota virus DTap Hib Polio (IPV) Pcv13 ```

Answer 26

6m- yearly

Answer 27

MMR Varicella HepA

Answer 28

HPV | Meningococcal conjugate

Answer 29

Fever of 105 or higher , seizures Redness swelling temp of 101.0 Diarrhea vomiting Tenderness Local reaction , rash fever swollen neck , brain damage deaf Varicella- seizures , pneumonia, decrease blood count , brain reactions HepB - guillain barre syndrome HPV- fainting

Answer 30

``` Smoking Side sleeping or prone Premature Fam hx Poverty low apgar Overheating No pacifier No immunizations up to date ```

Answer 31

``` Jaundice Swelling in face Increase pulse Diaper rash Seizure ```

Answer 32

300 mg - 200 a day

Answer 33

Local anesthetics

Answer 34

Bleeding gums are blood in stool, brittle spoon shaped fingernails, muscle weakness, heart murmur, tarry stool’s, anemia, pain, short of breath, and Pale mucous membranes, jaundice, cool to touch hands and feet, dizzy, headache

Answer 35

Sweating, tachycardia, fatigue, pale, cool, week pulses, hypertension

Answer 36

6.5-8 is ok in children