Comp 3 Flashcards
Glomerulonephritis Causes
Immunological diseases
Autoimmune diseases
Antecedent group A streptococcal infection
Hx of pharyngitis or tonsillitis 2 to 3 weeks before symptoms
Glomerulonephritis types
Acute: occurs 2 to 3 weeks after strep infection
Chronic: may occur after the acute phase or slowly over time
Glomerulonephritis complications
Kidney failure
Hypertensive encephalopathy
Pulmonary edema
Heart failure
Glomerulonephritis assessment
Periorbital and facial edema Anorexia Decreased urinary output Cloudy, smoky, brown urine Pallor, irritability, lethargy headaches, abdominal pain, dysuria hypertension proteinuria Azotemia elevated BUN and creatinine levels Increased strep titer
Glomerulonephritis interventions
Monitor vital signs, I&O, characteristics of urine
Daily weights
limit activity
diet restriction of sodium
monitor for complications
administer diuretics and abts
seizure precautions
parents report bloody urine, headache, edema
educate appropriate treatment for infections
Erik Erikson’s stages of psychosocial development
infancy
Birth to 18 months
Trust vs Mistrust
attachment to mother
Erik Erikson’s stages of psychosocial development
early childhood
18 months to 3 years
Autonomy vs shame and doubt
gaining some basic control over self and environment
Erik Erikson’s stages of psychosocial development
late childhood
3 - 6 years
Initiative vs guilt
becoming purposeful and directive
Erik Erikson’s stages of psychosocial development
school age
6 - 12 years
Industry vs role confusion
developing social, physical, and learning skills
Erik Erikson’s stages of psychosocial development
adolescence
12 - 20 years
identity vs role confusion
developing a sense of identity
Erik Erikson’s stages of psychosocial development
early adulthood
20 - 35 years
intimacy vs isolation
establishing intimate bonds of love and friendship
Erik Erikson’s stages of psychosocial development
middle adulthood
35 - 65 years
generativity vs stagnation
fulfilling life goals that involve family, career, and society
Erik Erikson’s stages of psychosocial development
Later adulthood
65 years to death
integrity vs despair
looking back over one’s life and accepting its meaning
Infant skills
2 to 3 months
smiles turns head side to side cries follows objects holds head in midline
Infant skills
4 to 5 months
grasps objects switches objects from hands rolls over for the first time enjoys social interaction begins to show memory aware of unfamiliar surroundings
Infant skills
6 to 7 months
creeps sits with support imitates exhibits fear of strangers holds out arms frequent mood swings waves bye bye
Infant skills
8 to 9 months
sits steadily unsupported
crawls
may stand while holding on
begins to stand without help
Infant skills
10 to 11 months
can change from prone to sitting position
walks while holding on to furniture
stands securely
entertains self for periods of time
Infant skills
12 to 13 months
walks with 1 hand held
can take a few steps without falling
can drink from a cup
Infant skills
14 to 15 months
walks alone
can crawl upstairs
shows emotion such as anger and affection
will explore away from mother in familiar surroundings
Sickle Cell Anemia
Interventions
Hydration - IV or oral Oxygen Blood transfusion Pain medication Keep extremities extended position for comfort Antibiotics high calorie diet with folic acid supplement monitor for complications
Sickle Cell Anemia
Risk factors
African American descent
parents with hemoglobin s
Sickle Cell Anemia
triggers
fever
dehydration
emotional or physical stress
Celiac Disease
assessment
acute or insidious diarrhea steatorrhea anorexia abdominal pain or distention muscle wasting vomiting anemia irritability
