Endocrine

Question 1

What medicine is NOT given to reduce the fever in a child?

Answer 1

Do NOT give aspirin to a child < 18 years old, it can cause Reye’s syndrome.

Give acetaminophen or NSAIDs instead. Sometimes aspirin is prescribed by the HCP for treatment of Kawasaki’s disease. So only give aspirin to a child if it’s prescribed.

Question 2

How long after an antipyretic is given should the temperature be checked again for evaluation?

Answer 2

Within 30 - 60 minutes.

Question 3

Describe:

Phenylketonuria

Answer 3

A genetic disorder where the child lacks the enzyme to break down amino acids that are found in foods that contain protein.

Toxicity can build up and cause mental retardation.

Question 4

How is phenylketonuria diagnosed?

Answer 4

With the PKU test.

Every newborn gets tested with a heel stick.

Question 5

Interventions:

Phenylketonuria

Answer 5

Restrict foods with phenylalanine:

• infant will need to be started on a special formula or be breastfed
• avoid meats, dairy products, and aspartame

Question 6

What types of foods should be provided to a child to prevent child obesity and type II diabetes?

Answer 6

• drink water instead of soda, juice, or sports drinks
• limit fast food
• eat more fruits and vegetables, and whole grains

Question 7

What is the recommended physical activity for a child?

Answer 7

1. be active at least 1 hour a day
2. limit screentime to 1 hour a day - no screen time for children less than 2 years old
3. if playing video games, play interactive games that require physical activity

Question 8

What are the warning signs and symptoms that a child may have diabetes?

Answer 8

• increased thirst and urination
• blurry vision
• unusual fatigue

Question 9

Can a child be allowed to check their own glucose level and give themselves insulin?

Answer 9

YES. As long as the child has the motor skills and knowledge, they can start checking their own blood sugar and give themselves insulin starting at age 6.

Provide adult supervision.