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Pediatrics Exam 1 > Diseases #2 > Flashcards

Diseases #2 Flashcards

1
Q

Vaccine Administration

Needle size
Injection site

  1. ) <2
  2. ) 3mth -12 yrs
  3. ) 13 yrs +
A

5/8 in vastus lateralis < 2mths

1 in Deltoid or Vastus: 3 mths-12 years

1 in Vastus or Deltoid 13 yrs +

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2
Q

Vaccine Administration

What are the 6 sections you document on Record?
MM-LENI

A

(MM-LENI)

  1. ) Month, day, year
  2. ) Manufacturer
  3. ) Lot number
  4. ) Exp date
  5. ) Name, Address and Title of Administering nurse
  6. ) Informed Consent
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3
Q

What form must be given to parents before administration of vaccines?

A

Vaccine Information Statements (VIS)

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4
Q

How to control the spread of disease to others

A
  • Reduce the risk of cross-transmission of organisms
  • Infection control policies
  • Hand washing
  • Sneeze and cough etiquette
  • Hygiene measures in home and school
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5
Q

Prevent Complications

A

pg. 162, and 170

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6
Q

When the nurse suspects a communicable disease, it is important to assess for?

A
  1. ) Recent exposure to infectious agents
  2. ) Prodromal symptoms
  3. ) Immunization history
  4. ) History of having the disease
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7
Q

What are prodromal symptoms

examples include

A

s/s occurring: early manifestations-clinical syndrome

For example, fever, malaise, headache, and lack of appetite

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8
Q

Provide Comfort

TX for:

  • Ear
  • Nose
  • Throat
A

Ear: hot packs
Nose: humidifiers, netty pots, saline
Throat symptoms: lozenges, bland, soft food

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9
Q

Provide Comfort

Urticaria tx

A

Urticaria: light weight clothes, cool bath (no soap) lotions

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10
Q

Provide Comfort

Fever tx and meds

A

Fever: tyleonl, ibu, tepid bath

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11
Q

Provide Comfort

Pain tx and meds

A

Pain: Tylenol, Ibu, distraction

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12
Q

Provide Comfort

Irritability tx

A

Irritability: no new routine, regular rest, distraction

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13
Q

Chickenpox

Clinical S/S
Complications

A

Mild fever, Centripetal rash

Comp:
Secondary Bacterial Infection

Encephalitis

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14
Q

Chickenpox

Nursing
When is there isolation?
What is the priority care?
What is specifically tx?
When are contact precautions set?
A 
Immunization
Isolation *lesions
Skin Care
*Treat Pruitus
*if weeping put them on contqcat precautions
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15
Q

Diphtheria

Clinical S/S
Complications

A

Nasal:
drainage
Malaise, sore throat, fever
: fever, hoarseness

Comp
Toxic cardiomyopathy
Airway obstruction
Toxic neuropathy

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16
Q

Diphtheria

Nursing
What type of isolation?
What meds?
What needs to be monitored?
What needs to be ensured to aid recovery?
A

Immunization
Isolation: Standard/droplet

Antibiotics
Bedrest
*Monitor for Respiratory obstruction —> suction

17
Q

Fifth Disease

Clinical S/S
When do the signature s/s appear
Describe the skin conditions?

Complications?

A

Erythema in cheeks (day 1-4) *Slapped Cheeks)
*Lace like rash(day after face rash

Self-limited Arthritis
Anemia
Aplastic Crisis

18
Q

Fifth Disease

Nursing

A

Isolation (hospitalized): droplet

Antipyretics/Analgesics

19
Q

Roseola

Clinical S/S
Complications

A

High Fever in otherwise well child

*Rash appears after fever-rose pink, blanches with pressure

Comp
Recurrent febrile seizures
Encephalitis

20
Q

Roseola

Nursing
What meds?
What special precautions are considered?

A

Immunization:
Standard precautions

Antipyretics —> Treat fever

*Seizure precautions

21
Q

Mumps

Clinical S/S
The signature s/s?
What worsens with chewing?

Complications?

A

Fever, *earache that worsens with chewing
*Parotitis
Sensorineural deafness

Comp:
Encephalitis
Myocarditis
Arthritis
*Sterility
22
Q

Mumps

Nursing
What type of isolation?
What tx is promoted?
What diet is used?
Meds used?
A

Immunization
Isolation: droplet

**Increase fluids
Bedrest
Analgesia
Soft food
- hot/cold neck compress
23
Q

Measles

Clinical S/S
The signature s/s?

Complications

A

Mild fever,
malaise,
cough,

coryza conjunctivitis,
*Koplik spots
Rash on face spreads downward

Compications:
Otitis Media

Pneumonia/
Obstructive Laryngitis

Encephalitis

24
Q

Measles

Nursing
What type of isolation?
what isolation if hospitalized?

Treatments?

A

Immunization

Isolation: droplet/contact
Rest / if hospitalized: airborne precaution up to 5 days  droplet

Treat fever
Eye Care
Treat cough, coryza
Skin care
**cool mist vaporizer**
- Tepid bath
25
Q

Pertussis

Clinical S/S
Signature s/s?

Complications?
(PHH)

A

URI
“*Whoop” cough at night
Difficulty breathing through secretions

Comp
Pneumonia

Hemorrhage (scleral, conjunctival, pulmonary)

Hernias

26
Q

Pertussis

Nursing
What type of isolation?
What tx is promoted?
infant position?
what screening is done?
A

Immunization
Isolation: droplet
Oxygenation
*Monitor for Respiratory obstruction

  • Position infant on side
  • nasopharyngeal culture
27
Q

Poliomyelitis:
Oral/Fecal

Clinical S/S
Inapparent?
nonparalytic s/s?
paralytic s/s?

Complications

A

Inapparent: Fever, malaise, anorexia, n/v

Nonparalytic: same as above with neck, back and leg pain

Paralytic: same as above with paralysis

Comp
Permanent paralysis
Respiratory arrest
Hypertension
Kidney  stones
28
Q

Poliomyelitis:
Oral/Fecal

Nursing
What type of isolation?
Monitor for what?
Tx used?

A 
Immunization
Isolation: contact
Monitor Respiratory Status
Skin 
Physical therapy
29
Q

Rubella

Clinical S/S

Complications
Who is this most dangerous for?

A

Rash on face, moves downward similar to Roseola

Comp
Rare, Most dangerous for fetus

30
Q

Rubella

Nursing

A

Immunization
Isolation
*Reassurance of benign nature

AVOID pregnant women

31
Q

Scarlet Fever

Clinical S/S
What is the signature s/s?

Complications

A

High Fever
*Strawberry tongue
Circumoral pallor
Rash in joint folds

Comp
Peritonsillar and pharyngeal abscesses

Acute Glomerulonephritis

32
Q

Scarlet Fever

Nursing
What meds are used?
What tx is promoted?
What is avoided?

A

Isolation

Antibiotics —> Penicillin
Analgesics

Push Fluids
Encourage rest

  • Avoid irritating foods

Pediatrics Exam 1 (15 decks)

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