Final Exam Content Review Flashcards

1
Q
A
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2
Q

Eriksons stages

0 - 1

1 - 3 toddler

3 - 6 preschool

6 - 12 school aged

A

0 - 1 infant Trust vs mistrust

1 - 3 toddler Autonomy vs Sahme

3 - 6 preschool Iniative vs guilt

6 - 12 school aged Industy vs inferiority

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3
Q

Type of precautions & PPE

  1. TB
  2. Flu, Covid, Pertussis (Whooping cough)
  3. Pneumonia, RSV
  4. Cystic Fibrosis
A
  1. TB:
    Airborne
    N95, negative pressure room, pt wears mask outside room
  2. Flu, Covid, Pertussis (Whooping cough)
    Droplet
    Surgical mask, patient isolation, googles
  3. Pneumonia, RSV
    Droplet + contact
    Gloves, gown, mask
  4. Cystic Fibrosis
    Contact + resp hygiene
    Contact precautions
    Separate CF patients from eachother
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4
Q

How to treat foreign body obstruction

Infants / Toddlers….

Older children…

If unconscious…

A

Infants <1 yr Conscience
Backblows 5 & chest thrust 5 alternate

Older children Heimlich Maneuver

If unconscious CPR immediately

Circulation
Airways
Breathing

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5
Q

Asthma is chronic inflammatory disease that leads to bronchonstriction & airway hyperresponsiveness

Treatment

Quick relief …
Long-term control…
Status Asmatcus…

A

Quick SABA Albuterol

Long-term: Corticosteroids (Fluticasone/ Budesonide)

Status Asmatcus: oxygen therapy, Epinephrine, intubation

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6
Q

Piaget stages

Give age ranges…

Sensorimotor

Develops object permanence

Preoperational

Egocentric
Animism
Lack of Conservation

Concrete Operational

Logical thinking Develops
Cause & Effect
Masters Conservation

Formal Operational

Abstract thinking

A

0 - 2
Sensorimotor
Develops object permanence

2 - 7
Preoperational
Egocentric
Animism
Lack of Conservation

7 - 11
Concrete Operational
Logical thinking Develops
Cause & Effect
Masters Conservation

12+
Formal Operational
Abstract thinking

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7
Q

Oxybutynin is…..

Used fir..

A

Bladder Antispasmodics

Used for Enuresis & overactive bladder

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8
Q

Phenazopyridine….

Used for…

SE…

A

Urinary analgesia

UTI Pain relief

SE: Orange urine

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9
Q

Albuterol & Levalbuterol

Type…

Indications…

A

SABA Short Acting beta agonist

Rescue Inhaler for astham

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10
Q

Salmeterol

Type…

Indications…

A

LABA

Long acting beta agonist

Asthma maintence

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11
Q

Budesondie, Fluticasone

Type…

Indications…

A

Corticosteroids

Prevent asthma attack

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12
Q

Ipratopium

Type…

Indications…

A

Anticholinergic

Sever asthma

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13
Q

SIDS Prevention

Back to sleep
Firm crib
Room sharing- Not bed
Pacifier use….?
No smoking/ overheating

A

Yes pacifier

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14
Q

IVIG administration

For: SCID, Kawasaki, ITP

  1. Before administration….
  2. Slow infusion rate to avoid…
  3. No live vaccines for…..
A
  1. Give Tylenol/ Benedryl (prevent reactions)
  2. Hypotension
  3. 6 months. No live vaccines for 6 months after IVIG
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15
Q

Name live vaccines (4)

A

MMR
Varicella
Rotavirus
Intranasal Flu

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16
Q

Contraindications for live vaccines (3)

A

Immuno compromise children (SCID, HIV, Cancer)

Preggers

IVIG within 6 months previous

17
Q

Vaccine Administration in adolescentes

Types…(4)

Site…

A

Tdap
Hpv
Meningococcal
Influenza (Yearly)

Deltoid

18
Q

Zidovudine (AZT) prophylaxis is used for..

A

Infants bo4n to HIV mom

19
Q

SCID severe combined immunodeficiency

Born no immune system

Treatment….
IVIG…
Vaccines….

A

Bone marrow transplant CURE
Yes IVIG
Vaccine yes but not live

20
Q

Antibody

IgG
IgA
IgE
IgM

Allergies
Mucosal immunity
Longterm
First responder

A

IgE Allergies
IgA Mucosal immunity
IgG Longterm
IgM First respond

21
Q

Organs in ped immunity

Bone marrow
Thymus
Spleen
Lymph nodes

T cell maturation
Filters blood, fights bacteria
Traps infection
Makes WBC & matures B cells

A

Thymus: T cell maturation
Spleen: Filters blood, fights bacteria
Lymph nodes: Traps infection
Bone Marrow: Makes WBC & matures B cells

22
Q

Albendazole…

A

Used to treat pinworm

2 doses 1 week apart?

23
Q

Deferoxamine is…

A

Antidote for Iron

24
Q

Salicylate OD ….

A

Activated charcoal / Sodium bicarb

25
N-acetylcysteine (NAC).....
Acetaminophen Antidote
26
NG Tube verification... Gold standard....
Ph <5 X-ray not done often due to radiation exposure
27
Diarrhea management Assess dehydration Oral rehydration: Pedialyte Why no antidiarrheal meds... Avoid sugary drinks.
Can be dangerous with Rotavirus
28
Projectile vomiting (non-billous) Dehydration & metabolic alkalosis Olive shapped mass RUQ Visibility of Peristaltic waves This condition... This treatment...
Pyloric stenosis Treatment: Pyloromyotomy
29
McBurneys Point (RLQ) Rebound tenderness Sudden pain relief = Possible rupture- Peritonitis risk
Appendicitis
30
Sausage shapped mass (RUQ) Currant Jelly stools Telescoping of intestines Untreated- necrosis Problem... Treatment...
Intussusception Barium enema/ Surgery
31
Parkland formula (Burns) - Fluid Resuscitation....
4mL × body weight (KG) × % Of body burned = Fluid requirement 24 hrs 1st 8 hrs = 50% of Fluid Following 16hrs = other 50% fluid
32
Keep hot water heater set...
<120
33
Burn center indications...(3)
>10% Face, hands, feet, Genital Inhalation injury
34
Pediculous Capitis.... Treatment...
Lice Permethrin/ wash bedding
35
Tinea Corporis... Treatment....
Ringworm Antifungal- No Steroids
36