Final Flashcards
Digoxin toxicity signs
N/V/D, lethargy, bradycardia
Therapeutic index of digoxin
0.8-2.0
Antidote for Digoxin
Digimmune
Tx for SVT
bolus w/ fluids, adenosine, or vagal maneuver.
Treatment for Lyme disease
< 8 give Amoxicillin
>8 give Doxycycline
Precocious puberty
development of sexual characteristics before the usual age of puberty.
Females: < 8
Males: < 9
Typical presentation of sepsis in children
low grade fever, hypothermia, lethargic, decreased appetite, may be subtle
Acute glomerulonephritis assessment
HTN, mild anemia, fluid volume overload, proteinuria/hematuria (tea or cola colored), elevated ESR, ASO titer, recent hx of strep
Management of acute glomerulonephritis
correct HTN, Na+/fluid restrictions, daily weights, close neuro monitoring for encephalopathy or sz.
only FDA approved medication for depression and/or anxiety in children
Fluoxetine (Prozac)
FDA approved atypical antipsychotic used to treat aggression, bipolar disorder and schizo in children over 13
Risperidone (Risperdal)
Mental health emergencies of childhood:
harm to self or others, fire-setting, inflicting harm to animals
Most common feature of depressive disorders in children and teens
presence of sad, empty irritable mood, associated with somatic and cognitive changes that interfere with functioning at home, in school and/or with peers.
What does depression look like in infants
feeding difficulties, sleep disturbances, irritable, poor eye contact, irritable or apathetic
what does depression look like in toddlers
behavior problems, excessive tantrums, aggression, irritability, regression
Symptoms of increased pulmonary blood flow
pink and well perfused, tachypnea, feeding difficulties (fatigue/sweating when eating), poor weight gain, fluid overload symptoms
Physical characteristics of Turner syndrome
webbed neck, low posterior hairline, wide-spaced nipples, edema of the hands and feet, amenorrhea, no development of secondary sex characteristics, sterility, perceptual and social skill difficulties.
Depression screening tool for children and teens
PHQ-9, GAD-7, SCARED
Most common features of depressive disorders in children and teens
presence of sad, empty or irritable mood, which is associated with somatic and cognitive changes that interfere with functioning at home, in school, and/or with peers
Normal ANC
> 1000
Severe neutropenia
<500
