Final Exam Review Flashcards

1
Q

glasgow coma scale

A

eyes
motor
verbale

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1
Q

febrile seizure

A

> 38.5
protect air way
4 mo and under most common

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2
Q

ICP s/s

A
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3
Q

hydrocephalus exam findings and emergency

A

visual changes, bounding fontelle, sunset eyes, diplopia
increase icp shunt malformations

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4
Q

conjuct (bacterial, viral, allergic)

A

bacterial: unilateral, purulent
viral: both, clear
allergic: bilateral, watery stirngy

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5
Q

otis externa

A

outside, swimmers ear, forgien body

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6
Q

otis media

A

bulging TM
bacterial infection can precede
inside ear

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7
Q

cleft lip and palate

A

can be bilateral or unilateral and one or the other and both
protect suture post op, supine
lip first and have to be weaned from bottle for palate (1 year)
keep upright and give breaks
breast feeding works

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8
Q

tolsinectomy

A

no red fluids
excessive swallowing is bleeding
don’t put anything back there

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9
Q

worse retractions

A

suprasternal

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10
Q

s/s of resp distress in infants

A

grunting
flaring
retreating

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11
Q

preschool s/s of resp distress

A

tripod
don’t retract as much since intercostal are more developed

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12
Q

thumb sign

A

epiglottis
- don’t put tongue blade

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13
Q

cystic fibrosis

A

autosomal rescessive
increase mucus production

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14
Q

3 S of asthma

A

squeezing
- branch dilator
swelling
- steroid
snot
- hydration

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15
Q

considerations for asthma

A

5/10/5
rule of 2

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16
Q

asthma possible triggers

A

allergies
dust
dirt
white pine dust

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17
Q

ASD

A

left to right atria

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18
Q

VSD

A

left to right ventricle

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19
Q

PDA

A

aorta to PA

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20
Q

HLHS

A

absence of mitral and aortic valve and left vent is small
- need PDA

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21
Q

TGV

A

PA and aorta switch
two parallel systems
need PDA

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22
Q

CoA

A

constriction of aorta
increase pressure in head and arms and decrease pressure in legs

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23
Q

TOF

A

pulm stenosis
R vent hyperthrophy
VSD
overriding aorta

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24
Q

tx for tet spells

A

knee to chest
morphine

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25
Q

why do knee to chest

A

shunt blood
decrease BP to LE and decrease blood to lungs

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26
Q

Kawasaki

A

autoimmune proceeded by infection
rash on trunk and peri area
red tongue red throat
cracked lips and finger tips
tx is IVIG 2g/kg 10-12 hours and aspirin
complications is coronary artery ansersym

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27
Q

iron def anemia

A

increase milk decrease nutrition
microcytic and pale
hbg is low
decrease ferritin
more prone is less than 2 due to increase milk

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28
Q

B12/folate

A

macrocytic
decrease hbg

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29
Q

thalassemia

A

iron level normal
decrease hbg
poor hbg structure

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30
Q

hyperbili

A

physiologic: break down of fetal hbg
pathologic: hemolysis
- ABO, RH
phototherapy is treatment and stripped down to diaper so watch temp
bill makes them tired so watch hydration

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31
Q

dangerous locations of vascooculsive

A

lungs and spleen

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32
Q

sickle cell possible triggers

A

decrease o2
stress
dehydration

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33
Q

treatment of sickle cell

A

pain med
- occurs in the joints
hydration
o2
hydroxyurea

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34
Q

aplastic anemia

A

lysis
triggered by infection
decrease folic acid
decrease production and increase lysis

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35
Q

s/s of cancer

A

fatigue
anemia
cahcesixa

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36
Q

diagnosis of ALL

A

bone marrow aspiration and LP: more defeintiitve
CBC: increase WBC
ANC

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37
Q

s/s of osteosarcoma

A

pain and limp

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38
Q

common age of osteosarcoma

A

rapid growth 13-14

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39
Q

common XR finding for osteosarcoma

A

starburst and sunburst

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40
Q

wilms tumor

A

unilateral kidney on the right side
commonly found in bath

41
Q

neuroblastoma s/s

A

neuro and behavioral
- headache, confusion, unstable gait

42
Q

tumor lysis syndrome

A

treatment of tumor with in 24-48 hours more common in bigger tumors
decrease ca
increase phos, pot, uric

43
Q

neutropenic precautions

A

no honey, fruit, fresh flowers, we glove gown and mask
individual room
- they cannot fight infection cause theybahev small and defective neutrophils

44
Q

what patient may be paired with the nurse who has neutropenic precautions

A

no bacterial or viral infection
- maybe broken leg

45
Q

output for infant and up

A

infant is weigh the dipaers
and up is the hat

46
Q

IV rate

A

4-2-1
- 4 ml/kg up to 10
- 2ml/kg up 10-20
- 1ml/kg above 20

47
Q

breast milk storage

A

rule of 4
4 hour on counter
4 days in fridge
4 months in freezer

48
Q

formula until

A

1 year

49
Q

whole milk until

A

2

50
Q

low fat milk

A

2+

51
Q

when to give rice cereal

A

6 mo

52
Q

toddler food

A

small and frequent meals high in protein

53
Q

types of dehydration

A

isotonic
hypotonic
- loses sodium
hypertonic
- loses water

54
Q

considerations for IVF

A

watch IV site

55
Q

what is hard on kidney

A

mycin

56
Q

hirschrpung disease

A

aganglionic mega color
no ganglion cells so absence of peristalsis
bilious vomit
biopsy

57
Q

appendicitis

A

rebound tenderness, RLQ, radiate
- ampicillin, gentamycin, flagyl

58
Q

pyloric stenosis

A

projective vomit
increase size of the pyloric muscle

59
Q

hypospaidus

A

ventral
bottom

60
Q

nephrotic syndrome pee

A

mostly protein

61
Q

nephritic pee

A

tea color
more blood

62
Q

UTI

A

frequency, dysuria, hesitaceny, retention, foul odor, abx

63
Q

precocious puberty

A

8-10
see secondary sex characteristics

64
Q

when to give growth hormone

A

at night

65
Q

hypothyroidism

A

obese, cold intol, sleepy

66
Q

hyperthyroidism

A

thin, increase BP and HR, hot intl, thin

67
Q

Addisons disease

A

decrease cortisol

68
Q

type 1 vs 2

A

1: autoimmune
2: resistant

69
Q

carb ratio

A

carbs / ratio = insulin

70
Q

correction

A

actual - target = X / correction = insulin

71
Q

cast care

A

noting down it
plaster dry for 2 days so handle with palms
check NV 5 p’s

72
Q

Perthes disease

A

decrease in vascular to epicondyle head so decrease o2 leads to necrosis
self limiting especially if held in place

73
Q

osteomyletis

A

infection
IV abx 4-6 weeks
elevated sed rate

74
Q

scoliosis

A

s or c shaped curve
>10 degrees
seen in adol and periods of rapid growth

75
Q

accidental burns

A

scald with splash
touch

76
Q

suspicious burns

A

glove
no splash
sharp demark

77
Q

estimating burn %

A

rule of 9
palm

78
Q

parkland formula

A

4mL x % x kg = 24 hour amount first 50% in 8 hours, second 50% in 16 hours
JUST REPLACEMENT NOT MAINTENCE

79
Q

nutritional for burns

A

increase cal protein and fatty acids

80
Q

priority with brn

A

airway

81
Q

pediculosis capitis

A

lice, dandruff that sticks
found on back of neck and behind ears
can live off of the head for 72 hours
peticuloide and repeat 7-10 days for the nits and go through with fine tooth comb

if on second treatment there is nothing = School
if on second tx and there is something = cannot go to school and have to do a second treatment

82
Q

tinea corporis

A

ringworm on the body, circular that expands
selenium sulfide shampoo and let sit

83
Q

scabies

A

4 weeks later get s/s
web like rash
skin to skin and sex
scabicide
anithist for itching

84
Q

contact dermatitis

A

leathery skin
keep skin moist
ointment>cream>lotion

85
Q

LP findings for meningitis

A

decrease glucose: bacteria
WBC for both

86
Q

immunizations passive vs active

A
87
Q

chicken pox causal

A

varicella

88
Q

5th

A

human parovirus B19

89
Q

measles

A

morbiliviris

90
Q

mono

A

EBV

91
Q

pertusis

A

bordetella

92
Q

mengionococus

A

nesreria

93
Q

call posion center and er

A
94
Q

common type of posion

A

cleaning and household

95
Q

treamtn for posion

A

activated charcoal

96
Q

age most at risk for posion

A

1-4

97
Q

number one social determinant for health

A

poverty

98
Q

how to know if able to give med safely

A

watch

99
Q

tyelenol safe dose

A

10-15

100
Q

PCA age

A

6 and can self report

101
Q
A